A smiling carer chats with an elderly lady

Complexity, intensity and unpredictability of needs

There is almost a stock answer that has developed for refusing NHS Continuing Care amongst the Primary Care Trusts all over the country.

After acres of paper, visits, months if not years waiting the letter drops through the door simply stating that the complexity, intensity or unpredictability are not sufficient to warrant the provision of NHS Continuing Care.  Full stop.

It is perhaps even more shocking that this seems to be the answer when the muti-disciplinary team have filled in the Decision Support Tool and recommended NHS Continuing Care be given.  The level and threshold set by the Primary Care Trusts is such that few seem to succeed first time around.

There is no doubt that a well planned response can increase the prospects of success.  When a recommendation has been given for NHS Continuing Care by the muli-disciplinary team the failure to follow that advice should only be in “exceptional circumstances”.  The reasons need to be clearly articulated and can only be on limited grounds.

The PCT Panels too often appear to be acting as financial gatekeepers.  The guidance says that is one role they should not be taking on.