Health Insurance Question on Fairdeal max agreed price (NTPF)

Buffet

Registered User
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15
Hi,

Do the "max agreed" prices as per the National Treatment Purchase Fund (NTPF) imply that this the maximum price that can be charged to a resident that enters a nursing home under the Fairdeal scheme?
A contract of care that I am currently reading states that the fees may be reviewed where there is a change in the dependency needs of the resident; so does this mean that if a resident's health declines and the nursing home wants more money for the care of that resident that the Fairdeal would increase their portion? Given that the resident's portion has been assessed and is considered a fixed amount and that the Fairdeal scheme makes up the balance etc...?

Second question for a different circumstances, regarding a resident that is not eligible for the Fairdeal scheme and is paying privately. As savings diminish, house gets excluded the resident will eventually be eligible.
When the resident first entered the home just over 2 years ago, he was given a small reduction on the Fairdeal max agreed price because he was considered an easy patient to look after. However, at the beginning of the second & third years the nursing home has increased the weekly fee, despite the Fairdeal rate for the home being reduced each of the two years. The home gave the following as the reason These changes are in line with the rates agreed with the National Treatment Purchase Fund (NTPF).
So while the Fairdeal max rate goes down, the resident's private rate goes up - which is a strange take on "in line", is it not?

Thanks.
 
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