Continuing care assessment
My wife is now in hospital for the seventh time since October.
Her social worker mentioned earlier this year that there had been some talk of doing a continuing care assessment for her but nothing has been mentioned since and that social worker is now on maternity leave.
My wife continues (in my view) to slowly deteriorate physically ( not mentally at the moment thank goodness) and I think I need to chase this up.
Before I phone Social Services to progress the matter, has anyone any experience of going through a continuing care assessment ( or know anything about it anyway).
The care would hopefully be at home. We currently have carers four times a day and they have been excellent but they are not medically trained and I think we need something that they or I cannot do.
Thanks
Re: Continuing care assessment
Call 08000 223 444 between 9am and 5pm any weekday. It’s Age Cymru Advice. They will sort you out.
Re: Continuing care assessment
Quote:
Originally Posted by
Elwood Blues
My wife is now in hospital for the seventh time since October.
Her social worker mentioned earlier this year that there had been some talk of doing a continuing care assessment for her but nothing has been mentioned since and that social worker is now on maternity leave.
My wife continues (in my view) to slowly deteriorate physically ( not mentally at the moment thank goodness) and I think I need to chase this up.
Before I phone Social Services to progress the matter, has anyone any experience of going through a continuing care assessment ( or know anything about it anyway).
The care would hopefully be at home. We currently have carers four times a day and they have been excellent but they are not medically trained and I think we need something that they or I cannot do.
Thanks
Feel for you with the situation you are having to go through, both you and your good lady. Surely the specialist or GP can get assessments under way via the District Nurses team or similar ? Phone everyone you need to and I hope you get some help , all the best.
Re: Continuing care assessment
Quote:
Originally Posted by
Elwood Blues
My wife is now in hospital for the seventh time since October.
Her social worker mentioned earlier this year that there had been some talk of doing a continuing care assessment for her but nothing has been mentioned since and that social worker is now on maternity leave.
My wife continues (in my view) to slowly deteriorate physically ( not mentally at the moment thank goodness) and I think I need to chase this up.
Before I phone Social Services to progress the matter, has anyone any experience of going through a continuing care assessment ( or know anything about it anyway).
The care would hopefully be at home. We currently have carers four times a day and they have been excellent but they are not medically trained and I think we need something that they or I cannot do.
Thanks
The biggest issue is who pays for the care - social care is paid for by the local authority but the NHS pay for continuing health care (if as I assume what you mean by continuing care) and NHS usually fight and fight against continuing health care as it adds to their costs - crazy I know but until there is proper integrated care packages then this will continue - you need to push for a replacement social worker as quickly as possible - find out who the team manager is of the one who has gone on maternity and keep nagging them - either way if it is a social care assessment or a continuing health care assessment keep nagging - also you should be entitled to a carers assessment if they have done one already and that is a legal right you have under the social services well-being Wales act - this may lead to support you didn't know was available - PM me if you want - but keep persevering as difficult and wearing as it is.
Out of interest which local authority do you come under ?
Re: Continuing care assessment
Quote:
Originally Posted by
Nobody's Rep
The biggest issue is who pays for the care - social care is paid for by the local authority but the NHS pay for continuing health care (if as I assume what you mean by continuing care) and NHS usually fight and fight against continuing health care as it adds to their costs - crazy I know but until there is proper integrated care packages then this will continue - you need to push for a replacement social worker as quickly as possible - find out who the team manager is of the one who has gone on maternity and keep nagging them - either way if it is a social care assessment or a continuing health care assessment keep nagging - also you should be entitled to a carers assessment if they have done one already and that is a legal right you have under the social services well-being Wales act - this may lead to support you didn't know was available - PM me if you want - but keep persevering as difficult and wearing as it is.
Out of interest which local authority do you come under ?
Yes Continuing Health Care I meant, she already gets the social care package from the authority
Cardiff we come under.
To be honest I am not sure exactly what difference CHC will make it was just that the last Social Worker mentioned it.
Re: Continuing care assessment
If she's in hospital they will do what is called a DST or decision support tool, it may also be called a n FNC or Funded Nursing Care assessment.
Does she have capacity to make her own decisions related to discharge, if not then during the meeting they will do what is called in Best Interest. What that means is that any decisions will be the least restrictive but safe option, weighing up the positive and negatives of each.
The decision support tool I think has 10 domains ranging from No needs to severe and priority. From that if there are a number of the domains are in the higher bracket then there is more chance of CHC Funded care.
Domains include behaviour, nutrition, continence and breathing.
The ward should allocate a social worker for you, whom will be present in the meeting, furthermore some hospitals have a Discharge planning nurse whom will help you through the process.
Once the meeting concludes you can appeal if not happy. Furthermore the assessment can be reassessed further down the line if she deteriorates.
If it's CHC then the NHS pays for care, if not CHC then usual costs occur: your social worker will go through it with you
Best wishes
Re: Continuing care assessment
If she's in the community however, the district nursing team will do the assessment
