How does the process work?
A Checklist is completed by a social worker or NHS professional and sent to CHC.
The lead nurse for children and young people, transition nurse or duty nurse if the patient is over the age of 18 will screen the Checklist.
A positive Checklist is progressed to having an MDT assessment via a Decision Support Tool (DST).
A negative Checklist is logged on the system to evidence that the individual has had consideration for CHC.
For children’s and young people, the Lead nurse will organise a DST date. For adults the admin team will arrange this.
The allocated lead nurse will facilitate the MDT assessment of the individual. They will utilise the Decision Support Tool. The Decision Support Tool is a Department of Health and Social Care document. It is mandated for use in the assessment process alongside the social worker.
The lead nurse will collate evidence from all health and social care records, care providers and professionals
The evidence is saved on the DST template.
There will be a meeting between
- the individual
- their family
- the nurse
- the social worker
- MDT members
They will all contribute to the evidence contained in the DST which is completed by the lead nurse.
The nurse will write the DST up and discuss the recommendation with the social worker.
If the recommendation is agreed both parties sign the DST.
A copy of the DST and outcome letter is sent to the individual.
If the individual is not happy with the eligibility outcome, they can appeal the outcome of the MDT assessment.
If the individual is found to have a primary healthcare need, they will be eligible for CHC funding. If they have unmet health needs they will be eligible for a jointly funded package of care.
The CHC Lead nurse will work with the individual. They will complete a personalised care plan and set up a personal health budget or assist in the set-up of a domiciliary care package.