What is NHS-funded nursing care?

NHS-funded nursing care is care provided by a registered nurse, paid for by the NHS, for people who live in a care home.

Who is eligible for NHS-funded nursing care?

You should receive NHS-funded nursing care if:

  • you live in a care home registered to provide nursing care, and
  • you don’t qualify for NHS continuing healthcare but have been assessed as needing care from a registered nurse

The NHS will make a payment directly to the care home to fund care from registered nurses who are usually employed by the care home.

How will my needs be assessed?

You will be assessed for NHS continuing healthcare before a decision is made about whether you need 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 clinical commissioning group (CCG) will 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 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, you can ask your CCG to review the decision.

What is the rate of payment for NHS-funded nursing care?

NHS-funded nursing care is paid at the same rate across England. For 2013/14, the rate is £109.79 a week (standard rate).

Before October 1 2007, there were three different levels or bands of payment for NHS-funded nursing care – low, medium and high.

If you moved into a care home before October 1 2007, and you were on the low or medium bands, you would have been transferred to the standard rate from that date.

If you moved into a care home before October 1 2007, and you were on the high band, NHS-funded nursing care is paid at a higher rate. For 2013/14, the higher rate is £151.10 a week. 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 £109.79 a week, or
  • you become entitled to NHS continuing healthcare instead

Read the answers to more questions about caring, carers and long-term conditions.

Further information:

 

Coping with a long-term condition: the care plan

In this video, find out how a care plan helps patients take control of their condition by setting out goals that cater to their individual needs.

Media last reviewed: 14/05/2013

Next review due: 14/05/2015

Page last reviewed: 01/05/2013

Next review due: 30/04/2015