Registered Nursing Care Contribution

Registered Nursing Care Contribution (RNCC) is a benefit paid by the NHS to those who need to receive care from a registered nurse or doctor whether they have to pay for their own care or are being funded by the Local Authority. It is intended to cover the cost of the nursing care that the resident receives in a nursing home. RNCC is only used to pay for nursing care. You will remain responsible for paying the cost of your own accommodation, board and personal care, although people with limited income and capital may get funding from the Local Authority Unlike NHS Continuing Healthcare, which can be paid in any setting, Registered Nursing Care Contribution is not payable if you continue to reside at home or in a residential care home. It is paid directly to the nursing home and is paid tax free and although entitlement is assessed it is not means tested, nor does it affect Attendance Allowance. The amount received is usually reviewed annually in April.

N.B. When discussing fees with any possible nursing home it is important to establish whether the fees quoted are before or after deduction of the Registered Nursing Care Contribution as care homes differ on this.

Rates of Registered Nursing Care Contribution.

The amount received varies dependant on both where the person receives care and how long they have been receiving nursing care for.

The standard Registered Nursing Care contribution for people assessed as needing nursing care for the first time in 2013/14 are:-

England - £109.79 per week.

Wales - £ 120.55 per week,

although those who were receiving the original higher rate band prior to 1/10/2007 will remain on a higher rate of £151.10 per week but still be subject to reassessment.

In Scotland, people needing nursing care do not receive Registered Nursing Care Contribution as such, but receive instead a contribution towards nursing care which is currently £75.00 per week (2013/14) and £166 per week (2013/14) towards Personal Care but you do then lose Attendance Allowance.

Is Registered Nursing Care paid automatically to all on entry to a nursing home?

No, although entitlement is not means tested, entitlement is based on an assessment carried out by a registered nurse to confirm the need for an input from a registered nurse in meeting their care needs. Services provided regularly by a registered nurse are likely to involve:

  • provision of nursing care
  • monitoring and reviewing medication needs

Regular reviews will then take place the first being within 3 months and annually thereafter. If the person's health improves and the need for nursing decreases the contribution may even stop.

What happens if you disagree with the assessment?

If you are not awarded the Registered Nursing Care Contribution and disagree with the assessment you should contact the Nursing Home Co-ordinator of the Primary Care Trust and ask for it to be reviewed. If you still disagree with the outcome of any review you could ask for it to be independently reviewed or even refer it to the Healthcare Commission.