What is NHS-funded Nursing Care?
NHS-funded Nursing Care (FNC) is nursing care provided in a care home or nursing home, funded by the NHS in England and Wales or by Health and Social Care (HSC) Trusts in Northern Ireland. This is sometimes known as registered nursing care contribution (RNCC).
In Scotland the equivalent form of support is provided by way of free personal care and nursing care payments, which can be claimed by anyone living in a care home who has been assessed as needing those types of care. These payments are made by the local authority.
Nursing homes (care homes with nursing care) usually employ their own registered nurses, but if you have been assessed as needing nursing care, the NHS will pay the home a standard rate for the nursing element of care. It won’t pay for the other care home costs, such as the accommodation.
Registered nursing care can include direct nursing tasks as well as the planning, supervision and monitoring of nursing and healthcare tasks to meet your needs.
How much is FNC?
The NHS-funded Nursing Care payments per week are:
- England: £165.56 (2019-20)
- Scotland: £80* (2019-20)
- Wales: £149.67 (2018-19)
- Northern Ireland: £100 (2018-19)
*In Scotland: in addition to the £80 free nursing care payment, you may also be eligible for free personal care payment at £177 per week.
The nursing care contribution is paid directly to the care home by the NHS. If you pay your own care fees, this amount should be deducted from the bill. Although it might be the case that the care home will quote you a fee that doesn’t include nursing costs, in which case they are unlikely to pass on the FNC.
Before 1 October 2007 FNC was paid at three different levels – low, medium and high. If you qualified for FNC before 1 October 2007 and continue to qualify in 2019-20, you will receive the higher rate of £227.77 per week in England.
Who can get NHS-funded Nursing Care?
A person should be eligible for NHS funding for nursing care (FNC) if:
- they are a resident within a care home that is registered to provide nursing care; and
they do not qualify for NHS Continuing Healthcare, but have been assessed as requiring the services of a registered nurse.
How are people assessed for NHS-funded Nursing Care?
In all cases, a person’s eligibility for NHS Continuing Healthcare should be considered before a decision to give nursing care contribution is reached. Your nursing needs should therefore have been assessed during the assessment for Continuing Healthcare.
Read our article for more information about the assessment process for Continuing Healthcare.
If you or someone you care for is in a nursing home and you think you/they should qualify for NHS-funded Nursing Care payments, ask the manager for advice on your next steps.
Under some circumstances the NHS will fund care for someone with complex needs. Find out about the assessment process.
NHS Intermediate Care provides free care for up to six weeks. Find out what support is available and who qualifies.
Read about the benefits available in later life: Attendance Allowance, PIP, Winter Fuel Payment and more.