
Leaving hospital
What’s next?
NHS
continuing healthcare
Who’s eligible?


Who’s eligible?
Situated in the quaint and historic town of Dunsville, in generous private grounds sits Wyndthorpe Hall and Gardens Care Home. Comprising of two buildings, one being a grade two listed 18th century mansion which houses a dome ceiling and has been converted sympathetically. The second being a beautiful red brick purpose-built building with an idyllic walled garden. Both providing a high standard of person centred care in a home from home setting for our clients.
✔ We offer long term residential, dementia and nursing care.
✔ We also provide day care and short term/respite stays to give home carers a well-earned break.
✔ All meals are home cooked and freshly prepared by our cooks. Daily menu choices are available, and all special diets are catered for.
✔ There is a hair salon on site which is visited regularly by a professional hairdresser.
✔ Chiropody, eye testing service and other complementary therapies are also available by arrangement.
✔ We have a full time personal activities leader who provides a varied programme of activities for our clients varying from one to one, group activities, regular outings and frequent fundraising events throughout the year.
Sheffield Churches Council for Community Care (SCCCC) is a charity dedicated to supporting older and vulnerable people since 1966.
SCCCC is a trusted organisation that provides both practical and emotional assistance to those in need. Partnering with Doncaster Royal Infirmary, GPs, and community clinicians, they help older adults live independently while offering vital services, especially after a hospital stay.
SCCCC’s Home from Hospital Scheme is a personalised four-week programme designed to help older people regain confidence and settle back into their homes and communities after being discharged from hospital. This programme aims to prevent hospital re-admission by addressing various needs that can often feel overwhelming. The friendly SCCCC staff offer help with:
• Prescriptions: Short-term prescription collection and assistance in setting up a delivery service for future needs.
• Bills: Temporary help with bill payments and support in setting up direct debits (note: SCCCC does not provide financial support).
• Home Safety: Moving small items and removing trip hazards to reduce the risk of falls.
For more information on these services, call 0114 2505290 (option 4).
“I can’t thank you enough, it’s so uplifting in these trying times to know there are people like yourselves giving so much help and care. Thank you”
Pauline - Service User
Since 1966, SCCCC has brought smiles and friendship through their befriending service. They have recently launched the scheme in Doncaster. They offer friendly face-to-face visits in your home on a regular basis, for a cuppa and a chat. If you prefer, they can offer a cheerful phone call instead. They take great care in matching their volunteers with older people to ensure they really connect and enjoy each other’s company. As the saying goes, good neighbours become good friends.
Contact: 0114 2505293 - Option 2 or email: sabina.france@scccc.co.uk
(GNS Doncaster Coordinator)
Stay connected with SCCCC and keep up with their latest activities on social media @sheffield4c
SCCCC staff are trained Trusted Assessors, capable of evaluating your needs for home aids.
• Cleaning: Light housekeeping, arranging deep cleaning, decluttering, or organising long-term cleaning solutions.
• Laundry: Assisting with laundry tasks and helping to set up a future laundry service if necessary.
• Shopping: Accompanying clients to rebuild confidence and assisting with online shopping or finding a support worker for long-term help.
• Meals: Discuss meal options that suit mobility and dietary needs, including ready meals or meals-on-wheels.
For further information, visit their website at www.scccc.co.uk, call 0114 2502590, or email mail@scccc.co.uk.
SCCCC is committed to providing compassionate support and ensuring that older adults in Doncaster receive the help they need when they need it most. Whether it’s practical help or emotional support, SCCCC is there every step of the way.
SCCCC is a CIO registered in England and Wales: 1168077
Some people with long-term complex health needs qualify for free social care arranged and funded solely by the NHS. This is known as NHS continuing healthcare.
Where can NHS continuing healthcare be provided?
NHS continuing healthcare can be provided in a variety of settings outside hospital, such as in your own home or in a care home.
Am I eligible for NHS continuing healthcare?
NHS continuing healthcare is for adults. Children and young people may receive a “continuing care package” if they have needs arising from disability, accident or illness that cannot be met by existing universal or specialist services alone.
Find out more about the children and young people’s continuing care national framework on GOV.UK
You should be fully involved in the assessment process and kept informed, and have your views about your needs and support taken into account. Carers and family members should also be consulted where appropriate.
A decision about eligibility for a full assessment for NHS continuing healthcare should usually be made within 28 days of an initial assessment or request for a full assessment.
If you are not eligible for NHS continuing healthcare, you can be referred to your local council who can discuss with you whether you may be eligible for support from them.
If you still have some health needs then the NHS may pay for part of the package of support. This is sometimes known as a “joint package” of care.
Your eligibility for NHS continuing healthcare depends on your assessed needs, and not on any particular diagnosis or condition.
To be eligible for NHS continuing healthcare, you must be assessed by a team of healthcare professionals (a multidisciplinary team). The team will look at all your care needs and relate them to:
• what help you need
• how complex your needs are
• how intense your needs can be
• how unpredictable they are, including any risks to your health if the right care is not provided at the right time
Your eligibility for NHS continuing healthcare depends on your assessed needs, and not on any particular diagnosis or condition. If your needs change then your eligibility for NHS continuing healthcare may change.
The process involved in NHS continuing healthcare assessments can be complex. An organisation called Beacon gives free independent advice on NHS continuing healthcare.
Visit the Beacon website or call the free helpline on 0345 548 0300.
The team’s assessment will consider your needs under the following headings:
• breathing
• nutrition (food and drink)
• continence
• skin (including wounds and ulcers)
• mobility
• communication
• psychological and emotional needs
• cognition (understanding)
• behaviour
• drug therapies and medicine
If you’re eligible for NHS continuing healthcare, the next stage is to arrange a care and support package that meets your assessed needs.
• altered states of consciousness
• other significant care needs
These needs are given a weighting marked “priority”, “severe”, “high”, “moderate”, “low” or “no needs”.
If you have at least 1 priority need, or severe needs in at least 2 areas, you can usually expect to be eligible for NHS continuing healthcare.
You may also be eligible if you have a severe need in 1 area plus a number of other needs, or a number of high or moderate needs, depending on their nature, intensity, complexity or unpredictability.
In all cases, the overall need, and interactions between needs, will be taken into account, together with evidence from risk assessments, in deciding whether NHS continuing healthcare should be provided.
The assessment should take into account your views and the views of any carers you have. You should be given a copy of the decision documents, along with clear reasons for the decision.
You can download a blank copy of the NHS continuing healthcare decision support tool from GOV.UK
If your health is deteriorating quickly and you’re nearing the end of your life, you should be considered for the NHS continuing healthcare fast-track pathway, so that an appropriate care and support package can be put in place as soon as possible – usually within 48 hours.
If you’re eligible for NHS continuing healthcare, the next stage is to arrange a care and support package that meets your assessed needs.
Depending on your situation, different options could be suitable, including support in your own home and the option of a personal health budget.
If it’s agreed that a care home is the best option for you, there could be more than 1 local care home that’s suitable.
Your ICB should work collaboratively with you and consider your views when agreeing your care and support package and the setting where it will be provided. However, they can also take other factors into account, such as the cost and value for money of different options.
You’ll be given a personal budget to spend if your local council decide you’re eligible for help with any social care and support you need. You can request an assessment from the council to establish your needs.
The money in your personal budget can be paid to you, to help you make more decisions about how it’s spent. This is known as a direct payment. What is a personal budget?
Your personal budget is the amount of money your local council will pay towards any social care and support you need.
The amount of money in your personal budget is decided by your local council after a needs assessment to work out:
• what kind of care and support you need
• how much it will cost
• how much you’re able to afford yourself
If you’re a carer, you may be entitled to receive a personal budget after having a carer’s assessment to see what might help make your life easier.
Carers and personal budgets
If you’re a carer, you may be entitled to receive a personal budget after having a carer’s assessment to see what might help make your life easier.
A carer’s assessment is free and anyone over 18 can ask for one.
You can ask the council to either:
• manage your personal budget for you
• pay the money to another organisation – such as a care provider
• pay the money directly to you or someone you choose – this is known as a direct payment
You can also choose a combination of these options. For example, the council could arrange some of your care but send you the rest of the money. This is often called a mixed package or “mix and match”.
The money in your personal budget will be spent for you by the council. They will arrange all your care and support based on your agreed care plan.
They still need to check you’re happy with the care they’re arranging for you.
If your money is paid to another organisation
The organisation you choose, such as your care provider, will speak to the council and arrange the payments.
Sometimes other organisations charge you extra money to arrange payments from the council.
Direct payments give you more flexibility over how your care and support is arranged and provided.
For example, you could choose to hire care workers or personal assistants who:
• are always the same people and available when you need them
• speak the same language as you
• have experience working with your care needs
• are a specific person that has been recommended to you
• can help you get to shops or social events
There are many ways you could choose to use the money. It’s your choice as long as you’re spending your personal budget on things that meet your agreed care plan.
Most councils will ask for evidence of how you’ve spent your money every 3 months.
You may decide direct payments are not helpful if:
You should be offered direct payments as an option after your needs assessment.
You can also ask your local council’s social services department about direct payments.
You could also consider having someone else manage your direct payments, for example a friend or family member.
• you’re worried about managing money or the people you employ
• you spend a lot of time in hospital
• you would rather the council arranged your care
If you’re not confident about keeping records or managing the people who care for you, your local council should be able to provide support.
You could also consider having someone else manage your direct payments, for example a friend or family member. You’ll need to set up a trust for payments that are managed by someone else.
The Money Advice Service has information about setting up a trust.
If you choose direct payments, the council will send you the money in your personal budget by either:
• paying it directly into a bank, Post Office, building society or National Savings and Investments account
• sending you a pre-paid card
You can then choose how you spend the money on your own care and support, as long as it matches the care plan you’ve agreed with the council.
Signing
The council might ask you to sign a document called a direct payment agreement. This says:
• how the council want you to record your spending –for example, keeping receipts
• your responsibilities as an employer - if you’re paying for a care worker
If you spend direct payments on something that isn’t agreed in your care plan, the council could take the money back or end the direct payments.
If you’re struggling to manage your money
Ask your local council for advice or call the Money Advice Service on 0800 138 7777.
If you want someone else to receive the direct payment
You could speak to the council and agree for the money to be sent to someone who will spend it for you. For example:
• a carer
When choosing an agency, decide what sort of service you’re looking for and the tasks you need help with.
• a friend or family member
• someone else who speaks up for you (an advocate)
You may need to write down how they will spend the money and which decisions they can make for you. This is known as a decision-making agreement.
If you decide to hire a carer or personal assistant yourself, it’s important to know the responsibilities you’ll have as an employer.
Although support from the council should be available, you may need to arrange:
• background checks or references
• tax
• National Insurance
• pension contributions
Read more about employing someone to work in your home on GOV.UK.
Disability Rights UK also have more information on getting a personal assistant.
You could choose to hire care workers through an agency instead. This removes the legal obligations of being an employer, but could:
• cost you more money
• remove some of the benefits - such as having the same person provide your care
When choosing an agency, decide what sort of service you’re looking for and the tasks you need help with. It’s a good idea to contact more than one agency, as they may offer different types of services.
You can find out about local home care agencies by:
• speaking to your local council’s social services department
• contacting the UK Homecare Association
If you’re eligible for NHS-funded nursing care, the NHS will arrange and fund nursing care provided by registered nurses employed by the care home.
There are also organisations that inspect care agencies to see how well they are doing. The Care Quality Commission (CQC) regulates all health and adult social care in England.
You might see a CQC inspection rating when you search online for care home agencies. Their 4 ratings are:
• Outstanding
• Good
• Requires improvement
• Inadequate
You could also search for care home agencies on the CQC website to see their full reports.
If you would like support to help you manage your personal budget or direct payments, speak to your council or call:
• the Disability Rights UK personal budgets helpline on 0330 995 0404
• the Age UK advice line on 0800 055 6112 (for older people)
NHS-funded nursing care is when the NHS pays for the nursing care component of nursing home fees. The NHS pays a flat rate directly to the care home towards the cost of this nursing care.
Who is eligible for NHS-funded nursing care?
You may be eligible for NHS-funded nursing care if:
• you’re not eligible for NHS continuing healthcare but have been assessed as needing care from a registered nurse
• you live in a nursing home
You should be assessed for NHS continuing healthcare before a decision is made about whether you are eligible for NHS-funded nursing care. Most people don’t need a separate assessment for NHS-funded nursing care. However, if you do need an assessment or you haven’t already had one, your integrated care board (ICB) can arrange an assessment for you.
Outcome of the assessment
If you’re eligible for NHS-funded nursing care, the NHS will arrange and fund nursing care provided
It’s worth speaking to your council’s social services before making an official complaint to see if they can help.
You still have to the right to complain if you:
• have been told you’re not eligible to receive money towards your care and support
• don’t agree with the amount of money in your personal budget
You could either:
• speak to your social worker about being re-assessed
• call your local council social services and request a complaints form
Your council should also have a formal complaints procedure on its website.
If you’re not happy with the council’s response
Contact your Local Government Ombudsman. They investigate all adult social care complaints.
• Age UK have a detailed fact sheet on personal budgets and direct payments in social care
• The Money Advice Service has a guide to direct payments
by registered nurses employed by the care home. Services provided by a registered nurse can include planning, supervising and monitoring nursing and healthcare tasks, as well as direct nursing care.
If you’re not eligible for NHS-funded nursing care and you don’t agree with the decision about your eligibility, ask your ICB to review the decision.
NHS-funded nursing care is paid at the same rate across England. In May 2022, the rate was set at £209.19 a week (standard rate) and will be backdated to 1 April 2022.
If you moved into a care home before 1 October 2007, and you were on the previous high band, NHS-funded nursing care is paid at a higher rate. In May 2022, the higher rate was set at £287.78 a week and will be backdated to 1 April 2022. You’re entitled to continue on this rate unless:
• you no longer have nursing needs
• you no longer live in a care home that provides nursing
• your nursing needs have reduced and you’re no longer eligible for the high band, when you would change to the standard rate of £209.19 a week, or
• you become entitled to NHS continuing healthcare instead
You will not be entitled to help with the cost of care from your local council if:
• you have savings worth more than £23,250 – this is called the upper capital limit, or UCL
• you own your own property (this only applies if you’re moving into a care home)
You can ask your council for a financial assessment (means test) to check if you qualify for any help with costs.
You can choose to pay for care yourself if you don’t want a financial assessment.
You can:
• arrange and pay for care yourself without involving the council
• ask the council to arrange and pay for your care (the council will then bill you, but not all councils offer this service and they may charge a fee)
Having a carer who lives with you costs from around £800 a week. But it can cost as much as £1,600 a week if you need a lot of care.
There are 2 types of care home:
• residential homes have staff that help with everyday tasks such as getting dressed and supply all your meals
• nursing homes also offer 24-hour nursing care
A room in a care home costs:
• around £700 a week in a residential home
• over £850 a week in a nursing home
The price will vary according to where you live and the type of care you need.
For example, serious health problems like dementia and chronic obstructive pulmonary disease (COPD) can increase the cost.
Even if you choose to pay for your care, your council can do an assessment to check what care you might need. This is called a needs assessment.
Even if you choose to pay for your care, your council can do an assessment to check what care you might need. This is called a needs assessment.
For example, it’ll tell you whether you need home help from a paid carer for 2 hours a day or 2 hours a week and precisely what they should help you with.
The needs assessment is free and anyone can ask for one.
How much will care cost?
Social care can be expensive. Knowing how much you’ll have to pay will help you budget.
A typical hourly rate for a carer to come to your home is around £20, but this will vary depending on where you live.
You may be eligible for benefits, like Attendance Allowance and Personal Independence Payment (PIP), which aren’t means-tested.
You can use them to pay towards the cost of your care.
You won’t have to sell your home to pay for help in your own home.
But you may have to sell your home to pay for a care home, unless your partner carries on living in it.
Sometimes selling your home to pay care home fees is the best option.
But there may be other ways to pay care home fees if you don’t want to sell your home straight away.
Releasing money from your home (equity release)
Equity release lets you take money that’s tied up in your home without selling it. It’s available if you’re over 55.
Editorial content supplied by: the NHS
But you have to pay interest on the money you take out, which can be expensive.
• PayingForCare, a free information service for older people
• Society of Later Life Advisers (SOLLA) on 0333 2020 454
Telephone help
Get advice on paying for care from:
Contact your local council about 3 months before you think your savings will drop to below the limit and ask them to reassess your finances.
Contact your local council about 3 months before you think your savings will drop to below the limit and ask them to reassess your finances.
Releasing money from your home (equity release)
MoneyHelper has more information on equity release. Renting out your home
• Age UK on freephone 0800 055 6112
• PayingForCare, a free information service for older people
• Independent Age on freephone 0800 319 6789
You can rent out your home and use the income to help pay your care home fees.
Equity release lets you take money that’s tied up in your home without selling it. It’s available if you’re over 55.
A deferred payment scheme
But you have to pay interest on the money you take out, which can be expensive.
MoneyHelper has more information on equity release.
A deferred payment scheme can be useful if you have savings less than the upper capital limit of £23,250 and all your money is tied up in your property
Renting out your home
The council pays for your care home and you repay it later when you choose to sell your home, or after your death.
You can rent out your home and use the income to help pay your care home fees.
Ask your council if you’re eligible for a deferred payment scheme.
You can get more information from:
A deferred payment scheme can be useful if you have savings less than the upper capital limit of £23,250 and all your money is tied up in your property
• MoneyHelper: deferred payment schemes
• Independent Age: do I have to sell my home to pay for residential care?
The council pays for your care home and you repay it later when you choose to sell your home, or after your death.
Get expert financial help
Ask your council if you’re eligible for a deferred payment scheme.
You can get unbiased expert advice from a specialist care fees adviser.
You can get more information from:
• MoneyHelper: deferred payment schemes
They’ll help you compare all your options before you decide what’s right for you.
Find a specialist care fees adviser in your area with:
• Independent Age: do I have to sell my home to pay for residential care?
You can get unbiased expert advice from a specialist care fees adviser.
They’ll help you compare all your options before you decide what’s right for you.
Find a specialist care fees adviser in your area with:
• MoneyHelper on freephone 0800 011 3797
• Society of Later Life Advisers (SOLLA) on 0333 2020 454
Get advice on paying for care from:
If your savings fall below the upper capital limit of £23,250, your council might be able to help with the cost of care.
• Age UK on freephone 0800 055 6112
• Independent Age on freephone 0800 319 6789
• MoneyHelper on freephone 0800 011 3797
Contact your local council about 3 months before you think your savings will drop to below the limit and ask them to reassess your finances.
Councils provide funding from the date you contact them. You won’t be reimbursed if your savings are below the limit before you contact them.
If your savings fall below the upper capital limit of £23,250, your council might be able to help with the cost of care.
You might be able to get some free help regardless of your income or if you’re paying for your care.
Contact your local council about 3 months before you think your savings will drop to below the limit and ask them to reassess your finances.
This can include:
• small bits of equipment or home adaptations that each cost less than £1,000
Councils provide funding from the date you contact them. You won’t be reimbursed if your savings are below the limit before you contact them.
• NHS care, such as NHS continuing healthcare, NHSfunded nursing care and care after illness or hospital discharge (reablement)
You might be able to get some free help regardless of your income or if you’re paying for your care.
This can include:
• small bits of equipment or home adaptations that each cost less than £1,000
• NHS care, such as NHS continuing healthcare, NHSfunded nursing care and care after illness or hospital discharge (reablement)
The Care Quality Commission is here to make sure health and adult social care services including hospitals, home and residential care as well as GPs in England provide people with safe, effective, high-quality care. We publish independent inspection reports and ratings about services – information you can use when you’re choosing care for yourself, or a loved one.
You can use our website to search for services you might be interested in by geographical area, or by specialism. For example, a care home that might offer specialist care for someone who has dementia.
We also welcome your feedback on the care you have received – good or bad. We use this information to help inform our inspections and can alert authorities including local social services, if there are safeguarding concerns about care being provided.
You can visit our website at www.cqc.org.uk to find our inspection reports, or share an experience of care. You can also call us to share an experience of care on 03000 61 61 61.
Here are some tips to help you choose your care.
1 The Care Quality Commission (CQC) registers all care homes and home care agencies. You can find out which ones support specific groups of people, such as people with a learning disability or those living with dementia.
2 CQC’s Chief Inspector for Adult Social Care, always uses ‘The Mum Test’: is a care home safe, caring, effective, responsive to people’s needs and well-led? In other words, is it good enough for my Mum (or anyone else I love and care for)?
Look for care homes and home care agencies where the staff involve people who use services and their families and carers, and treat individuals with compassion, kindness, dignity and respect
Whether you are being cared for in your own home or in a residential setting, the staff looking after you need to be skilled, kind and supportive They should also be capable and confident in dealing with your particular needs. You should always feel that their support is helping you to live the life you want to.
5 A care home will be a home for you or your loved one. Residents should be treated as individuals with their likes and dislikes taken into account. Think about whether a home is close enough to family, friends, and community facilities
Look at how well-led and managed a home is. What does it have in place to ensure that it delivers high quality care? Does it promote
If you or a loved one needs help with day-today care, you can contact your local council’s social services department. They will ‘make an assessment of your needs’ and depending on circumstances, may be able to help you access financial help. For more advice visit Age UK’s website www.ageuk.org.uk/home-and-care.
Your local social services department should be able to provide details of approved agencies.
Safeguarding adults who receive social care is everybody’s business. If you are concerned about the safety of a loved one receiving care, contact the service provider in the first instance. You can also contact social services at your local council. If you feel a crime has been committed, contact the police. You can share your safeguarding concerns with us on our website or contact our National Customer Services on 03000 616161.
Alzheimer’s Society wants everyone affected by dementia to know that whoever you are, whatever you are going through, you can turn to them for support, help and advice.
Dementia Connect, from Alzheimer’s Society, is a personalised support service for anyone with dementia, their carers, families and friends.
We understand that dementia affects everyone differently. So whether you, a loved one, a friend or neighbour needs dementia support, we’re here for you.
We’ll connect you to a whole range of dementia support, by phone, online and face to face. Our highlytrained dementia advisers can help people come to terms with their diagnosis and navigate the complicated maze of health and social care services.
It’s free, easy to access, and offers you the support you need. Whether it’s advice on legal documents, help understanding dementia or someone to talk to when things get tough, we’re here to help.
We can keep in touch with you to make sure you keep getting the support you need. And because we know it’s never easy to tell your story, you’ll only ever need to tell it to us once.
Our dementia advisers are available to talk to on the phone seven days a week. They will listen and give you the support and advice you need, including connecting you to help in your local area and online.
We can offer you the option of regular calls so we can keep in touch, to find out how you are and help when things change.
Support line opening hours*
Monday – Wednesday: 9:00am – 8:00pm
Thursday – Friday: 9:00am – 5.00pm
Saturday – Sunday: 10:00am – 4:00pm
*Calls charged at standard local rate.
Dementia Connect online support is available round the clock through our website. Answer a few simple questions about yourself, or someone you know, to get personalised, relevant information and advice. From guides on dementia to advice on making your home dementia friendly, get the information about the things that matter to you.
‘The Dementia Adviser was lovely and full of information. Without Alzheimer’s Society and the Dementia Adviser we’d have nothing. She is a major networker and knows everything and everyone local. I feel in charge and empowered.’ Katherine, living with dementia
If you need further support, you can request a call from our dementia advisers, who should be in touch with you within a week. Our online support includes Talking Point, our online community where you can connect with others in a similar situation, and our Dementia Directory where you can search for local services.
Where possible, our local dementia support workers can meet you in person to offer further support, advice and information. They will also connect you to other face to face services in your area, including local support groups.
Notes: Dementia Connect phone and online support is available wherever you live. As the service is new, some parts of the service may not be available in your area just yet.
0800 804 4302 / 01302 244105
“A unique approach to personal care tailored to each individual needs’’
We are a domiciliary registered company since 2004 and work throughout the borough of Doncaster to provide care for individuals whilst still in their own home. All staff are DBS checked and have full training, which enables them to provide top quality care for each individual service user.
Orchids Care offer a range of services which include daily calls, personal care, medication prompts, shopping packages, cleaning services, companionship, escorting to medical appointments, meal preparation and day care services.
The care package is tailored to each individuals needs and we offer calls from 15 minutes, and operate 7 days a week, 52 weeks a year.
We provide care services to the elderly, individuals with learning disabilities, physical disabilities and neurological conditions.
Any queries about our services for yourself or family member do not hesitate to contact our friendly team on 01302 570729 or email: hannahrobson.orchids@gmail.com
We also have opportunity to join Orchids Care team as a carer, full training is provided call 01302 570729