Common use of CONTINUING HEALTHCARE Clause in Contracts

CONTINUING HEALTHCARE. 28.1 If you become eligible for NHS funded Continuing Healthcare (NHS CHC) the responsibility for your funding will move from the local authority to the NHS and you will no longer be required to pay a Service User Contribution or a Third Party Top-Up. However, it is possible that there will be a shortfall between the amount that the NHS is willing to pay and the full amount of our fees. This is because the NHS will fix the level of fees that it considers is sufficient to pay for the care and accommodation that you require. If you choose to live in a home that charges more than the amount the NHS is willing to pay, then the NHS is not necessarily obliged to fund the excess. In this situation we may require you to pay separately for the superior accommodation, services and facilities that the home provides, which amount to “additional services” that are outside the services and accommodation that the NHS is obliged to fund (“Additional Services”). However, you will not be obliged to pay for any Additional Services that you do not use or require. We also reserve the right to move you to an alternative room at a lower charge that is more in line with the amount that the NHS will fund. If no such alternative room is available, or if you decline the alternative room offered or are unable to pay for the Additional Services you wish to use, then we reserve the right to ask you to leave the home. In this event, you will be given at least 28 days’ notice