Topic 2 - Responsibilities of the NHS for healthcare provision Flashcards
Before 2001, most care homes registered to provide nursing care were maintained by
Social Services
In 1999, the Royal Commission recommended that personal care should be available after assessment and paid for out of … while … should be subject to co-payment according to means.
General taxation
Housing and Living Costs
While there is no precise definition of nursing care, the general understanding is that it relates to
Treatment or prevention of illness or disability
Section 49 of the Health and Social Care Act 2001 removed local authorities’ responsibility to
Pay for nursing care in care homes
CHC and NHS funded nursing care are set out under the …
National Framework
The Health and Social Care Act 2012 represented an extensive reorganisation of the NHS. This included the establishment of … that commission most of the NHS services in the local areas for which they are responsible
Clinical Commission Groups (CCGs)
The National Framework describes continuing care as:
[A] package of ongoing care that is arranged and funded solely by the National Health Service (NHS) where the individual has been assessed and found to have a ‘primary health need’ […] Such care is provided to an individual aged 18 or over, to meet health and associated social care needs
that have arisen as a result of disability, accident or illness.
Continuing care is sometimes referred to as…
Fully funded NHS care
Care needs portrayal
document that may be completed when the MDT when assessing eligibility for NHS CHC. Used in conjunction with the DST, records a person’s care needs.
Checklist screening
light-touch assessment to identify people who may need CHC, they will then do the full assessment if necessary.
The Decision Support Tool (DST)
helps bring together and assess evidence of a persons need to see if they need CHC. Assessor may be a social care professional or local authority staff. Used during full assessment.
Multi-disciplinary team
people who carry out the full assessment for CHC. Must include at least 2 professionals from different healthcare professions. Or one HC professional and one SC professional.
Eligibility process has 2 stages:
- Initial screening – nurse, doctor or other H or S care professional
- Full assessment – Multidisciplinary team using a DST
DST looks at the following care domains:
- Behaviour
- Cognition (understanding)
- Psychological/emotional needs
- Communication
- Mobility
- Nutrition
- Continence
- Skin and tissue visibility
- Breathing
- Symptom control through drugs and medication
- Altered states of consciousness (coma)
- Other significant care needs
The DST measures the need of each domain through the following ratings:
None, low, moderate, high, severe priority
What are the rules surrounding patient consent with the DST
They must consent before any work is done, and they can withdraw their consent at any time
The DST is a tool solely to support the decision making, but what team must make the final recommendation
Multidisciplinary team
In most cases, it should take no more than … from being referred for a full assessment to receiving a decision
Two weeks
If a patient is assessed as not eligibile for CHC, what 2 steps can the patient take
They can first ask the CCG to reconsider
If not, they can go to the NHS complaints teams
If a patient is not eligible for CHC, they can be potentially put forward for…
NHS funded nursing care
How long should the first review take place after being assessed as eligible for care, and how frequent are the reviews after that
3 months
At least once a year
When did the standard band of NHS funded nursing care come into play?
October 2007
What are RNCCs?
Registered nursing care contributions - the pre October 2007 bands of NHS funded nursing care.
What were the three bands of RNCCs?
Low, medium and high
