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Specifically designed for people preparing for the NHS Continuing Healthcare process (CHC) We offer a unique, personalised CHC Advocacy service designed for those preparing for the NHS Continuing Healthcare (CHC) assessment. Connect with an experienced CHC nurse assessor via video conferencing for the guidance and support you need. Our Services Mock Decision Support Tools (DST): Practise a realistic mock DST to understand what to expect and how to present your case. CHC Checklists: Complete a checklists with professional support to ensure thorough preparation. Expert Guidance: Receive tailored advice and tips from our seasoned CHC nurse assessor. Video Conferencing Support: Engage in a interactive session from the comfort of your home. Documents: Get a copy of the checklist and/or DST domains for use as notes during the actual meeting. You can also submit the domains as evidence if planned ahead of the DST. Why Choose Us? Unique Offering: The only CHC Advocacy service providing this personalised support. Personalised Support: One-on-one sessions tailored to your needs. Convenience: Flexible scheduling, including evenings and weekends. Accuracy and Reliability: Developed in line with the latest NHS guidelines. Dedicated Support: Continuous support throughout your preparation process. Take the Next Step Equip yourself with the confidence and knowledge to excel in your NHS CHC assessment. Sign up now and begin your journey towards successfully managing the Continuing Healthcare process with my expert guidance and support as your CHC nurse assessor.

Today I saw two deer pass my garden, In nature’s calm, my heart did soften. Their graceful steps, a gentle dance, In this serene world, I found my chance. The rustling leaves, the birds in song, In this tranquil place, I truly belong. With every breath, my spirit soars, As gentle breezes sweep the shores. The stream’s soft murmur, a soothing sound, In nature’s arms, I’m truly found. Each moment here, a precious gift, My worries fade, my spirits lift. Though worries weigh on my heart and mind, For a loved one’s health, I seek to find, A moment’s peace, a brief respite, To gather strength for the ongoing fight. Taking time to sit and see, The beauty of life’s tapestry. Let nature’s magic calm your mind, And leave your worries far behind. So step outside, breathe in the air, Feel the peace that’s everywhere. It ’s okay to take time for oneself, To nurture your heart and restore your health. In nature’s embrace, find your release, And let your heart be filled with peace. For taking time out makes you stronger, To face the challenges and care for longer.

To ensure that documents are suitable for a DST meeting regarding NHS Continuing Healthcare, care providers should follow these guidelines: Accuracy and Completeness : Ensure all documents are up-to-date and accurately reflect the individual’s current health status and care needs. Include all relevant details without omissions. Clarity and Readability : Use clear, concise language and avoid jargon. Documents should be easy to read and understand. Consistency : Ensure that information is consistent across all documents. For example, care plans, medical records, and personal statements should all align in terms of the individual’s needs and the care provided. Detailed Descriptions : Especially in care plans and risk assessements . Provide detailed descriptions of the individual’s needs, challenges, and the level of care required. Include specific examples and observations to support the information. Regular Updates : Regularly update documents to reflect any changes in the individual’s condition or care needs. This is particularly important for care plans, risk assessments, and daily care logs. Professional Input : Include reports and assessments from relevant healthcare professionals, such as doctors, nurses, physiotherapists, and occupational therapists. Their expert opinions are crucial for a comprehensive assessment. Factual Daily Logs: Check and ensure carers are recording WHAT they did, WHY they did it, HOW they did it, WHEN they did it. They should also include discussions and information from the individual and relatives Daily logs can significantly impact on the DST When documenting daily care activities, it’s important to be specific and factual. Here are some examples: DON’T : Client drank well today. DO : Client required the assistance of 1 carer to drink from a beaker with a spout. This took a long time as the carer had to stop and return: drank 1 small glass of juice over a period of 2 hours. Fluid was thickened as prescribed. DON’T : Assisted with personal care. Pads changed today. DO : Client required the full support of 2 carers to change continence pads for bladder incontinence. Intervention was completed in best interests as Client lacked capacity to understand and was unable to follow instructions. Client was physically unable to assist and shouted out in distress and attempted to scratch carers during the intervention. Time taken was longer than usual as carers needed to take breaks. By following these guidelines, care providers can ensure that their documents are thorough, accurate, and suitable for a DST meeting, ultimately aiding in a fair and comprehensive assessment for the individual’s they care for and their eligibility for NHS Continuing Healthcare.

For a Decision Support Tool (DST) meeting regarding NHS Continuing Healthcare, it’s important to gather comprehensive documentation to ensure a thorough assessment. Here’s a list of documents to be considered: Consent Forms : Signed consent forms from the individual or their legal representative, allowing the sharing of personal and medical information. Legal Documents : Copies of any legal documents such as Power of Attorney or Advance Directives. Comprehensive Assessment of Needs : This includes recent assessments of the individual’s health and social care needs. Medical Records : Detailed medical history, including diagnoses, treatments, and current medications. Care Plans : Existing care plans from healthcare providers or social services. Include any reviews to show if things have changed or have remained the same. Personal Statements : Detailed accounts of the individual’s daily needs, challenges, and the level of care required. Specialist Assessments : Reports from specialists such as physiotherapists, occupational therapists, mental health professionals, tissue viability nurse, dietician, Speech and Language Therapist and the palliative care team including prognosis. Risk Assessments : Any risk assessments that have been conducted, particularly those related to falls, pressure sores, or other health risks. Daily Care Logs : Records of daily care activities, including personal care, mobility assistance, and nutritional support, including times and types of assistance provided. Hospital Discharge Summaries : Summaries from recent hospital stays, including discharge plans and follow-up care instructions. Social Care Assessments : Assessments conducted by social workers or care managers. Advocacy Reports : If the individual has an advocate, any reports or statements from them. Family and Carer Statements : Input from family members or carers who have direct knowledge of the individual’s needs and circumstances and also provide care and support. Appointment Records : Dates and details of medical appointments, including outcomes and follow-up actions. Incident Reports/safeguarding events : Documentation of any incidents such as falls, infections, or other health-related events. Behavioural Observations : Notes on any behavioural changes or patterns, especially those related to mental health or cognitive function. Medication Records : Information on medications administered at home, including dosages and schedules, and any changes to the medication. Previous DSTs : If applicable, any previous DSTs or related documentation. These documents will help the multidisciplinary team make a well-informed decision regarding eligibility for NHS Continuing Healthcare.

I founded my limited company in 2019, practicing as an Independent Nurse Practitioner with a focus on NHS Continuing Healthcare. My extensive experience of working as a CHC assessor and in supporting my own family through navigating the whole CHC process motivated me to specialize my services in helping others through this complex pathway by providing a dedicated advocacy service. I have a special interest in helping football players and their family’s and my father was the inspiration behind my drive to deliver a service to meet their needs.  My father was an outstanding footballer, playing at both professional and semi-professional levels for many years. He was also a Desert Rat in the army and played nationally and internationally for the Armed Forces Team, representing the England squad, which on one occasion took him to Paris where he played in a televised match in front of Charles De Gaulle in Paris. British Veterans and Football players can now enjoy a discount on all services   (My lovely dad was both and in the photo) Visit our home page Just send us an email or message us on facebook for more details

H ave you gone through the Continuing Healthcare (CHC) process, had a Decision Support Tool (DST) assessment, and made an appeal that is still outstanding? If so, you might have recently received a letter or email from your local Continuing Healthcare lead regarding your CHC appeal. The suggestion may read ‘the most appropriate way forward, which would be most beneficial to your relative ,  would be for a current  assessment of her needs to be completed via a new checklist and DST (if the criteria for DST is met) with the caveat that if your relative  meets the criteria now, we will look back to see from what date CHC criteria was met. I recommend that you do not agree to this. Here’s why: Focus on the Relevant Period:  Your appeal is based on a specific period. It is crucial that the needs during that time are accurately assessed, and the focus remains on the relevant period. Everyone’s needs change over time, and a current assessment may not reflect the situation during the period in question. Backlog of Appeals:   The Integrated Care Board (ICB) has a backlog of appeals and needs to report data to NHS England. This suggestion might be a way for the organization to quickly clear their backlog of outstanding appeals and improve the data they give to NHS England. Appeals ideally should be completed within 3 months and it is not uncommon for more complex cases to take years. Within ‘NHS North East and North Cumbria Integrated Care Board’  In one case, I am aware of a delay of nearly two years, which has been attributed to several factors, the most recent being an organizational restructure.  It is also evident that valuable evidence has gone astray during this period, which is unfortunately not uncommon. If you feel that your concerns are not being addressed, you may need to escalate the issue through the NHS complaints procedure

Are you feeling overwhelmed by the complexities of NHS Continuing Healthcare? Fear not! We've got you covered with tips to guide you through this process. Let's navigate this journey together with confidence! Understand the Basics : Familiarize yourself with the fundamentals of NHS Continuing Healthcare. Knowing the criteria and eligibility requirements will empower you to make informed decisions. Preparation : Ensure you receive a date for the assessment in advance and have enough time to prepare. You can request an alternative date. Gather Documentation : No professional knows your relative as well as you do. Gather information about their health and care needs : Keep a diary of relevant events and issues. Your word can serve as evidence . Documentation is key in the assessment process, ensure all medical records, care plans, and notes are upto date AND CORRECT. Seek Professional Advice : Don't hesitate to consult advisors specializing in NHS Continuing Healthcare. Their expertise can provide invaluable insights and support. Appeal if Necessary : In case of disagreements or unsatisfactory outcomes, remember that you have the right to appeal decisions. Don't hesitate to challenge assessments that you believe are incorrect. You can also appeal if the process has not been followed REVIEWS WILL HAPPEN : Maintain a detailed record of all correspondence, assessments, and decisions made throughout the process. Staying organized will help you track progress and address any discrepancies. Ensure care provider records give a true picture of care needs, example: what has happend, what they have done, how long interventions take. Self-Care is Key : Remember to prioritize your well-being throughout this journey. Managing stress and seeking support from loved ones can make a significant difference in navigating NHS Continuing Healthcare. Navigating NHS Continuing Healthcare can be daunting, but remember, you dont have to be alone in this! Let's navigate NHS Continuing Healthcare together, ensuring your well-being remains a top priority. Stay informed, stay empowered, and prioritize your health and well-being above all else.

Have you ever wondered what goes on behind the scenes in the lives of football players once they hang up their boots and retire from the sport they love? The roar of the crowds fades, the floodlights dim, and the adrenaline rush of the game is replaced by a quiet void. But what if there's a darker side to this transition that many are unaware of? Football players face dementia risk due to head injuries. Calls for better player protection and health checks are taking place and efforts are now underway to safeguard players' well-being on and off the field. Let's support players and advocate for better healthchecks after they retire. Football is more than a game; it's a legacy worth preserving. Support players' health worldwide and champion a future where every player can retire peacefully. The game isn't over when it comes to caring for our players. As the final whistle blows on this article, remember, the game is never over when it comes to caring for those who play it with heart, dedication, and a love that knows no bounds.

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In today’s world, many families are spread across different locations, making it challenging to provide emotional support and hands-on care. Ensuring the safety, and health of a loved one can be particularly difficult when you don’t live nearby, especially if your family member is elderly, isolated, or has a mental health or learning disability. Cooper Care Consultancy offers a Continuing Healthcare Advocacy service at affordable rates. In addition our Registered Nurse, can help you support your family from afar by providing tailored support for your specific situation and needs, whether for one-off events or multiple occasions. Feel free to drop us an email to discuss your needs Here are some examples: Planning Ahead: Helping with finding a suitable care home. Advocacy and Representation: Representing you at care plan meetings and advocating for your loved one’s needs. Trusted Oversight: Providing a trusted presence to ensure care needs are being met. Staying Connected, virtual Calls: Organizing virtual calls to see your relative, whether they live independently or in a care home, for general catch-ups or special occasions.

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Lasting Powers of Attorney (LPAs) are often considered more important than wills due to their distinct purposes and the protection they offer. Why?   An LPA allows you to appoint someone (an “attorney”) to make decisions on your behalf while you’re alive but unable to do so yourself. This could be due to illness, mental incapacity, or physical disability.   In contrast, a will only takes effect after your death and deals with the distribution of your assets.   LPAs cover both financial affairs (Property and Financial Affairs LPA) and healthcare decisions (Health and Welfare LPA). With a Property and Financial Affairs LPA, your attorney can manage your finances, pay bills, and make decisions related to property. A Health and Welfare LPA allows your attorney to make choices about medical treatment, care, and other personal matters.   A video briefing from ITV's  The Martin Lewis Money Show Live –  Tuesday 14 March 2023 discusses the ‘Property and Finances’ LPA https://youtu.be/DvGR7N2kqAo