What is FNC in care homes and how does it work?
The core principles of NHS-funded Nursing Care
NHS-funded Nursing Care (FNC) is a flat-rate weekly payment from the NHS in England, Wales, and Northern Ireland for individuals who require care from a registered nurse in a care home setting. This payment covers the nursing element of their care. Key principles of FNC include that it is provided free at the point of need and is not means-tested, meaning an individual's financial situation does not affect eligibility. The FNC payment is made directly to the care home, which should then deduct it from the resident's fees. It is important to note that FNC is distinct from NHS Continuing Healthcare (CHC) and is intended for those with nursing needs who do not meet the criteria for CHC.
The FNC assessment process
The FNC assessment process typically occurs after an individual is found ineligible for NHS Continuing Healthcare. It usually involves an initial CHC screening, followed by a referral for an FNC assessment if the individual is in a care home with nursing or being discharged to one. A registered nurse assesses the individual's needs to determine if they require registered nursing care. The Integrated Care Board (ICB) then reviews the assessment and makes a decision on eligibility. If eligible, payments are backdated.
What services are covered by FNC?
FNC specifically covers the nursing component of care provided by a registered nurse. This includes the planning, supervision, and direct provision of nursing tasks such as wound management, injections, and health monitoring. It also contributes to associated activities like paid breaks. FNC does not cover residential care costs like accommodation, food, or assistance with daily living activities.
Comparison: FNC vs. NHS Continuing Healthcare (CHC)
| Feature | FNC (Funded Nursing Care) | CHC (Continuing Healthcare) |
|---|---|---|
| Funding Level | A fixed, national flat-rate contribution towards nursing costs. | Covers 100% of care costs, including accommodation, nursing, and social care. |
| Means-Tested | No, it is a non-means-tested benefit. | No, it is not means-tested. |
| Eligibility | For those assessed as needing registered nursing care but not eligible for CHC. | For individuals with a 'primary health need' due to severe, complex, or unpredictable health issues. |
| Care Setting | Only available for residents in a care home with nursing. | Can be received in any appropriate setting, including a nursing home or the individual's own home. |
| Review Period | Eligibility is reviewed at least annually. | Needs and eligibility are regularly reviewed, but the process is more intensive. |
FNC rates and how they impact care home fees
FNC rates are reviewed annually by the Department of Health and Social Care. The payment is intended to be a transparent reduction in a resident's overall care home fees. It is important for families to check that the care home's invoicing reflects this deduction accurately. Individuals who were on a higher FNC band before October 2007 in England may remain on that rate until their circumstances change.
Understanding care home contracts and FNC
When reviewing care home contracts, it's essential to understand how the FNC payment is handled. Some homes include FNC in their quoted fees, while others state it separately. Transparency is key, and families should confirm that the FNC payment is being used to reduce the resident's bill. If FNC is not mentioned in the contract, it's crucial to clarify with the care home to ensure the payment is not being withheld without reducing fees.
Conclusion: Ensuring fair funding for nursing care
Understanding what is FNC in care homes is crucial for navigating elder care funding. It's a significant, non-means-tested NHS contribution towards nursing care in residential nursing homes. By understanding FNC and how it differs from NHS Continuing Healthcare, families can ensure they are not unfairly paying for registered nursing care that the NHS should cover. Checking care home invoices to confirm FNC is applied correctly is vital. Families should engage with care providers and their local Integrated Care Boards to understand their entitlements. You can find more information on the {Link: NHS website https://www.nhs.uk/social-care-and-support/money-work-and-benefits/nhs-funded-nursing-care/}.
