NHS Direct Payments

Who will benefit from these payments? 

These payments will be available for most individuals who have a package of community or residential care funded in whole or in part by the NHS. By way of example, direct payments can be used to fund a nursing home placement, nursing care within a person’s home or NHS funded respite care or short breaks.

 If eligible, the option of receiving payments must be given to a patient – however, it will ultimately be the patient’s or, where relevant, their representative’s decision as to whether they decide to receive their care package by way of direct payments.

There are some circumstances in which direct payments cannot be made; for example, if the patient is an excluded person under the regulations (e.g. subject to a drug rehabilitation requirement under section 209 of the Criminal Justice Act 2003), or if the services sought are excluded. These include planned surgical procedures, GP services, dental and optical treatment. 

The intention behind the decision to introduce direct payments for NHS care is to provide patients with more flexibility in how their services are provided, so that patients will have greater choice and control over the NHS care that they receive. The payments will work in much the same way as direct payments for social care, which have been available for some time.

Precedent letters 

If you need to apply for funding, you can download one of the following precedent letters below in Word format: 

• Request for NHS direct payments
• Appeal against refusal to award NHS direct payments

If you would like any further advice in relation to NHS direct payments, or if you are eligible for care and support from the NHS but you are concerned that NHS direct payments are not being offered to you, please contact get in touch.