I am currently reading the superb article on CHC which SueBatt placed in a post.
One of the things that stands out for me is that a key criterion for qualifying for CHC is:
"The nature or complexity or intensity or unpredictability of the individual’s health care needs (and any combination of these needs) requires regular supervision by a member of the NHS multidisciplinary team, such as the consultant, palliative care, therapy or other NHS member of the team."
We are now going to seek input from whatever department we need as and when it is needed rather than our usual muddling through.
We will log all phone calls for advice, all clinic attendances and all home visits. This in itself provides evidence. Secondly we will pay attention and list all of those nursing duties we undertake ourselves. Such as PRN medication. That is medication taken as and when required. Despite Liz having capacity the general failure of her ability to initiate and her poor ability to sequence ("I need to get rid of pain, so I call Kevin and he will give me a pill." is a sequence put together to get the desired outcome), puts this into the nursing mien. A carer cannot make those decisions. Similarly a social carer cannot monitor symptom changes and make decisions as to what additional services or assessments are required. This too is nursing.
Anyone got thoughts on this?
What else was I going to do on a Saturday afternoon?