|
As part of the new National Framework for NHS Continuing Healthcare the Department of Health introduced a new Decision Support Tool designed to support decision makers in the application of the national policy on eligibility for NHS continuing care. The aim is that this facilitate logical and consistent decision making.
The tool provides a way for a multi-disciplinary team to examine and assess a persons needs by looking at 11 “care domains” or criteria. Those domains are as follows:
|
No need |
Low |
Medium |
High |
Severe |
Priority |
Behaviour |
|
|
|
|
|
|
Cognition |
|
|
|
|
|
|
Psychological and Emotional needs |
|
|
|
|
|
Communication |
|
|
|
|
Mobility |
|
|
|
|
|
|
Nutrition – food and drink |
|
|
|
|
|
Continence |
|
|
|
|
|
Skin and tissue viability |
|
|
|
|
|
Breathing |
|
|
|
|
|
|
Drug therapies and symptom control |
|
|
|
|
|
|
Altered State of conciousness |
|
|
|
|
|
|
Under this system you should qualify if you are assessed as having a priority need in any one priority area, or 2 or more severe needs in any criteria, but problems in one area shouldn’t be counted in another e.g. if a person is wandering and posing a risk to others this should be considered within the behavioural domain and not duplicated in mobility.
If the person in need of care has moderate or high needs in a number of domains and the needs interact with each other, this to can indicate a primary health need.
Please note that should you be assessed as needing continuing care and receive NHS funding they can dictate which home the care should be provided in.
To go back to our home page click here
|
