NHS Care Home Payments 2020

Based on the provided search results, here is a summary of NHS payments for care homes related to dementia and end-of-life care in 2020:

1. NHS Continuing Healthcare (CHC): This is a package of care funded by the NHS, covering the full cost of care home fees. To be eligible, individuals must have a primary health need, such as dementia, and meet specific criteria. The assessment process involves a screening checklist, followed by a full assessment of need. If granted, CHC funding is free of charge to the individual.
2. NHS-funded Nursing Care (NFC): This is a contribution towards the cost of nursing care in a care home, funded by the NHS. The standard rate in England is £235.88 per week (as of 2020). This funding can be used to top up care home fees, reducing the amount the individual or their family must pay.
3. End-of-Life Care: The NHS provides end-of-life care in various settings, including hospices, hospitals, and care homes. Hospices offer free care, including pain and symptom management, as well as emotional and practical support for individuals and their families. Community palliative care nurses can also provide care at home.
4. Fast Track Pathway: For individuals with rapidly deteriorating health and nearing the end of life, the NHS offers a fast track pathway for CHC assessment and funding. This aims to provide an appropriate care and support package within 48 hours, covering the cost of care at home or in a care home.
5. Top-up Agreements: When an individual’s care home fees exceed the local authority’s standard rate, a top-up agreement can be made with the local authority. This allows a third party (e.g., a relative or charity) to pay the additional cost, ensuring the individual receives the necessary care.

Key points to note:

• NHS CHC funding is means-tested, but NFC is not.
• The NHS provides end-of-life care in various settings, including hospices and care homes.
• The fast track pathway aims to provide timely and appropriate care for individuals nearing the end of life.
• Top-up agreements can be made to cover additional care costs.