Is this possible. Re Tm and "dementia tax"

[monkeysox]

Have been thinking about this.

If many people no longer inherit big ish sums due to care costs (home not taken into account at the moment for care in own home) how will this affect the housing market?

Government may end up "owning" shares of lots of houses but who will have a deposit to buy one of them?

It would take loads of potential homeowners out of the market.

Aibu does that make sense?

I'm just catching back up with this after contributing a bit yesterday.

It's inaccurate that no social care needs are ever covered by the NHS. If someone is assessed as being eligible for NHS CHC funding then ALL their care needs are covered by this including what would be deemed 'social care' needs; as these needs are arising from a primary health need. The CCG commissions the care from private providers and picks up the bill.

It is far, far easier to get CHC funding for health conditions other than dementia due to the way the assessment criteria are set.

This is the reason the new proposals have been dubbed as a dementia tax, they will unfairly affect people with dementia more than those with other chronic health conditions.

In my LA a Social Worker of health care professional can carry out the check list, if the service user is eligible there is a full assessment by a MDT. My experience is with adults at home or, more often, already in res or nursing care with an allocated Social Worker and the social workers carry out the initial check list and then, if necessary arrange the assessment.

Blackgrouse - yes what you describe sounds about right for the CHC process although in some areas the CHC teams will no longer accept checklists from social workers, only medical professionals (i.e. nurses). This is almost certainly a cost saving measure as it restricts access to the full assessment and I totally agree with you that finances have a bearing on assessments. It is notoriously difficult to get funding despite people often clearly meeting the criteria.

As an example, I submitted a fast track application for a patient with dementia who I had assessed was dying imminently. My assessment was questioned, I was made to jump through hoops getting a GP to back up my assessment (I'm a consultant nurse) and by the time I'd got an answer from the CHC team (which was to refuse the funding) the patient was dead.

Black grouse why would sw conspire to prevent someone being funded by CHC as that means their care needs are funded by the NHS rather than social care.therefore saving the social care budget ( even if that directed process which it doesn't ..that would be illegal )

Staria Fast T is rejected in my area if their is not enough evidence provided by doctors. I've never come across this being a nurses decision

Mill, a fast track can be completed by any 'appropriate clinician', including nurses, as defined by the CHC guidance which in this case I was. A fast track should never be declined and should be actioned straight away and can then be rescinded if the application is later found to be inaccurate.

My gran was self funding and unlikely to live very long so there was no impact on social care funds whether she got the CHC or not. There were many dementia care service users who did not receive CHC and should have, as proven by the sheer number of cases retrospectively given it. I hope this has now improved.

drinkingtea, sorry it was Mill who said, it. I quoted Mill and you responded and I didn't check the name.

Just to update on the lady I know. So she had another fall yesterday, police and paramedics in attendance, hospital admission. This is the 2nd time this month. I can't for the life of me see how anyone can say her needs are social care, she is ill, she is using a huge amount of public funding as the police are being called out regularly by the lady herself and worried neighbours, paramedics being called out regularly to deal with overdoses, falls, fallouts from hallucinations.

In the last few months she has had 4 hospital admissions, countless visits by paramedics. Is she falling due to low blood sugar as she isn't eating, does she have an undiagnosed condition as no one bothers to check her physically so it could be her heart, blood pressure, a balance problem.

Anyway woman in her 80s with a serious mental health condition lies there with her face looking like she has been assaulted and stitches and bruising and no one takes responsibility for her. Britain in the 21st century. The thing everyone needs to remember is if you are lucky you will get old and then God help you because no one else will.