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PAYING FOR CARE · NHS-FUNDED NURSING CARE

NHS-funded Nursing Care: the NHS payment most nursing home residents are owed, and the door to something bigger

If the person is in a nursing home, the NHS should be paying a fixed weekly amount towards the nursing element of the fee. It is not means-tested, it is paid to the home, and it should reduce what you pay. It also means someone has looked at the needs – and if they are high, the question is whether the NHS should be paying for everything.

Written by Francis, co-founder · registered mental health nurseReviewed by Samantha, co-founderLast reviewed 11 September 2026Sources: National Framework, our editorial standards
Book a free 20-minute callShould the NHS be paying more?
A fixed weekly rateSet nationally each April, paid to the home. Ask the home to show it on the invoice.
Only nursing homesResidential homes without a registered nurse cannot receive it – if nursing needs exist there, that is a placement question.
Assessed after CHCFNC is what you get when a CHC assessment says ‘not eligible for full funding but there are nursing needs’. Both are assessed together.
HOW IT WORKS

Three things to check this week

1

Is it being paid?

Ask the home for the invoice breakdown. If the resident has a registered nurse’s input and FNC is not shown, ask the ICB for an assessment.

2

Is it being passed on?

The fee you pay should be reduced by the FNC amount, or the contract should say the fee is net of it. Some contracts quietly keep it.

3

Should it be CHC instead?

FNC is the consolation prize. Two High domains or one Severe on the Decision Support Tool and the question is full funding.

The numberThe standard FNC rate is set each April by the Department of Health and Social Care; we quote the current figure on the call. A higher rate exists for a small group assessed before 2007.
Free CHC checkIs a full assessment due?
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Check the invoice. Then check the needs.

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