This chapter was added to the APPP in July 2019.

If a person is not eligible for NHS Continuing Healthcare (CHC) then they may be entitled to NHS Funded Nursing Care (FNC). FNC is the funding provided by the NHS to care homes with nursing, to support the provision of nursing care by a registered nurse.

In order to be eligible for FNC the person must require input from a registered nurse and it must have been determined that their needs would be most appropriately met in a care home with nursing. Although a person may be assessed as entitled to FNC through a Decision Support Tool (DST), this can only be paid if they are living in a care home with nursing.

The registered nurse input has been defined as:

‘Services provided by a registered nurse and involving either the provision of care or the planning, supervision or delegation of the provision of care, other than any services which, having regard to their nature and the circumstances in which they are provided, do not need to be provided by a registered nurse’.

FNC will only be considered for a person who has been deemed not eligible for NHS Continuing Healthcare. There may be some circumstances such as hospital discharge and breakdown of care package where FNC payments for up to 6 weeks prior to decision being made for NHS Continuing Healthcare. There is an Urgent NHS Funded Nursing Care Process for this in Lincolnshire.

Funded nursing care eligibility is reviewed annually by the CHC team.