NHS funding for continuing health care in England: the revised (2009) guidance

Luke Clements

doi:10.5042/scn.2010.0207

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Social Care and Neurodisability

ISSN: 2042-0919

Online from: 2010

Subject Area: Health and Social Care

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NHS funding for continuing health care in England: the revised (2009) guidance

Document Information:
Title:	NHS funding for continuing health care in England: the revised (2009) guidance
Author(s):	Luke Clements, (Cardiff Law School, Cardiff University, UK)
Citation:	Luke Clements, (2010) "NHS funding for continuing health care in England: the revised (2009) guidance", Social Care and Neurodisability, Vol. 1 Iss: 1, pp.39 - 47
Keywords:	Continuing health care, Framework, Funding, Reform
Article type:	General review
DOI:	10.5042/scn.2010.0207 (Permanent URL)
Publisher:	Emerald Group Publishing Limited
Abstract:	This paper considers the eligibility criteria for NHS continuing healthcare funding in England - with particular focus on the revised framework guidance issued by the Department of Health in July 2009. It commences with a brief review of the tensions that exist between the guidance and the law (in the form of court judgments) and provides an overview of the aspects of the guidance of most relevance to those working with disabled people with severe head and spinal injuries.The paper advises how professionals involved in this difficult area should interpret the new materials so as to reach an outcome in individual cases that is in accordance with the law. It suggests, however, that even with the July 2009 revisions, the framework and the associated decision support tool remain problematic.The paper concludes with a cautionary note, that the recent increase in the numbers of patients qualifying for NHS continuing healthcare funding may be attributable, not to the detail of the framework, but to the Department of Health's rhetoric of change and the additional monies that it has made available to primary care trusts (PCTs) for this sector.