Who Pays For Elderly Mentally Infirm Nursing Care?

[Rob S]

Hi Bankoff,

 

Your stance is similar to the one I have taken, with the main difference being that we agreed to the PCT moving my father into a EMI home on the basis they would fund the costs pending the case going to the SHA for a panel review. Although we have got the panel review to agree with us the battle is by no means over. I will have to keep on fighting this case as the PCT will do everything they can to re-assess my father to show he is no longer eligible.

 

PS Could a Mod contact me by a means other than PM so that I can address some confidential site issues please?

[borolad63]

Hi

 

Can someone advise please.

 

my parents have both passed away and where in care/nursing homes.

 

we have asked for a copy of their care notes but have been refused.

 

What do we do next?

[emmaf01]

Hi Borolad63. Do you want to claim back nursing home fees already paid on behalf of your parents? If so, the first port of call is to your parents local PCT to ask for a Retrospective Review of NHS funding.

 

May I ask the nature of your parents health problems? Please also start a thread specifically to focus on your parents cases, just so we don't get muddled with this one.

 

Just shout with any questions you have.

[borolad63]

Hi emmaf01

 

1) What is a PCT?

 

2) we are looking to reclaim back fees paid on behalf of our parents

 

3) I will have to back to you with regards to my parents health problems, I need to check their death cert.

 

4) We had to sell our parents house to pay for the care costs.

 

5) We have asked both care homes to provide the care notes they have on my mother and father and both care homes are refusing to supply.

[poppynurse]

PCT is the primary care trust - the organisation that funds health care locally.

 

The death certs may not have all the health problems on - they will just have the cause of death and contributing factors.

 

It will be helpful if you can establish waht type of care they were receiving - residential, nursing or EMI. Do you know what (if any) level of funding they received.

[emmaf01]

Look here-

 

NHS funded Continuing Care and the Coughlan case

 

For what reasons did your parents go into the nursing home?

[borolad63]

Do I write a letter to the PCT for each parent?

 

And what would be the content of the letters?

 

What is a retrospective review of NHS funding?

 

Sorry for asking these questions I am new to this and also new to forums.

[emmaf01]

You can probably send one letter if they were covered by the same PCT. The technical name for getting the PCT to see if they need to refund the costs already paid for your parents nursing care is a "Retrospective Review of NHS Continuing Care Funding".

 

Sorry, you still haven't said why your parents were in the nursing homes- why this was and who recommended they went into the nursing homes are what dictates what you put in the letter. If you aren't comfortable saying in the open forum, feel free to PM me. I have been through this process and won so I have some idea of what you need to do.

[IdaInFife]

Hi,

 

Very interested in this thread,

 

I am in Scotland,

 

Does the same apply?

 

my gran went into a home in 2006 at dr's and social advice due to alzeimers and bascially her private and state pension is used for this,

 

would it be possible for her to claim this?

 

 

Ida x

[IdaInFife]

http://www.sehd.scot.nhs.uk/mels/CEL2008_06.pdf

 

I found the scottish notes!

 

I think my gran is eligable, as per the above link I will be contacting her social worker next week and asking for a referral,

 

Ida x