Reviews
Reviews are the part of the NHS Continuing Healthcare process.
Around three months after the initial eligibility decision, individuals in receipt of funding will normally have a review to focus on whether the care plan in place remains appropriate to meet their needs. Following this, it is expected that a review will take place at least annually. However, in some cases, if the ICB can demonstrate that there has been a significant reduction in care needs since completing the previous DST, the ICB will arrange for a new MDT to complete a DST to make an eligibility recommendation.
In these circumstances, it is advisable to contact ARROW for advice and support.
The ICB must ensure the individual’s needs continue to be met during this period, but it will normally involve the Local Authority in the eligibility decision at the new MDT DST meeting. Should both bodies support a decision to remove eligibility, the ICB will write to individuals telling them the reasons why they are no longer eligible and the date from which the changes will take place. Individuals should contact their Local Authority to see if they are eligible for financial support.
If funding is removed, individuals have the right to request a review of the ICB decision. They can also argue that the NHS should continue to pay for care until their appeal has been heard and resolved. Funding cannot be legally taken away until a person's care needs have been reassessed in line with the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care and relevant case law.
Click on the button below to find out more about how ARROW can help with your Review
Around three months after the initial eligibility decision, individuals in receipt of funding will normally have a review to focus on whether the care plan in place remains appropriate to meet their needs. Following this, it is expected that a review will take place at least annually. However, in some cases, if the ICB can demonstrate that there has been a significant reduction in care needs since completing the previous DST, the ICB will arrange for a new MDT to complete a DST to make an eligibility recommendation.
In these circumstances, it is advisable to contact ARROW for advice and support.
The ICB must ensure the individual’s needs continue to be met during this period, but it will normally involve the Local Authority in the eligibility decision at the new MDT DST meeting. Should both bodies support a decision to remove eligibility, the ICB will write to individuals telling them the reasons why they are no longer eligible and the date from which the changes will take place. Individuals should contact their Local Authority to see if they are eligible for financial support.
If funding is removed, individuals have the right to request a review of the ICB decision. They can also argue that the NHS should continue to pay for care until their appeal has been heard and resolved. Funding cannot be legally taken away until a person's care needs have been reassessed in line with the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care and relevant case law.
Click on the button below to find out more about how ARROW can help with your Review
