NHS Continuing Healthcare (NHS CHC) is a package of care for adults aged 18 or over which is arranged and funded solely by the NHS. In order to receive NHS CHC funding individuals, have to be assessed by Clinical Commissioning Groups (CCGs) according to a legally prescribed decision making process to determine whether the individual has a ‘primary health need’.
People aged over 18 years assessed as having a certain level of care needs may receive NHS continuing healthcare. If assessment of your overall care needs show that your primary need is a health need, you could be eligible for NHS continuing healthcare.
Once eligible for NHS continuing healthcare, your care will be funded by the NHS, but this is subject to review, and should your care needs change the funding arrangements may also change.
There is a screening process with a Checklist followed by a full assessment of eligibility which help determine whether or not someone is eligible for NHS Continuing Healthcare. More information on these processes is below.
The assessment process is set out in the National Framework for NHS Continuing Healthcare and NHS funded Nursing Care (Revised 2018). Details of the National Framework, associated assessment tools and further information can be found on the NHS England website.
More information is available on the NHS website and the following video provides an overview of how the Continuing Healthcare process works.
Continuing Care is the name given to care for children and young people with complex needs that cannot be met by existing services in their community. This could be as a result of a disability, accident or illness.
Resources required can vary depending on your child’s needs, but they may include:
- Specialist equipment
- Housing adaptations
- Short Break support at home
- Short Break support in the community
- Nursing support in various settings including education
We recognise that NHS Continuing Healthcare (CHC) can appear to be a complex & highly sensitive process, and often effects people at a very uncertain stage of their lives.
The CCG follow National Guidance to ensure that everyone has fair and consistent access to NHS Continuing Healthcare, regardless of where they live.
The CCG CHC team will ensure that the process of assessment of eligibility and decision-making is person-centred. This means placing you at the heart of the assessment and care-planning process. It also means making sure that you have the opportunity to play a full role in the assessment process and receive the support to do this where needed. You could do this by asking a friend or relative to act as your representative and help explain your views.
The CCG is responsible for identifying someone to co-ordinate the assessment process and this person will be your main point of contact and will be a professional from health or social care.
The assessment will, with your permission, involve contributions from a range of professionals involved in your care to build an overall picture of your needs. This is known as an ‘assessment of needs’. Your own views should be given appropriate weight alongside professional views to help achieve an accurate picture of your needs.
Our staff pride themselves on upholding the values of the NHS Constitution and as an employer we expect them to demonstrate:
- Working together for patients.
- Respect and dignity.
- Commitment to quality of care.
- Improving lives.
- Everyone counts.
NHS Halton CCG and NHS Warrington CCG would like to assure you that there is no requirement to instruct a solicitor or claim firm as NHS Continuing Healthcare is not a legal process and the CCG would like to assure you that the CHC process is applied fairly & openly to all. Professionals from Health & Social Care are bound by their own Professional Code that contains the professional standards required, that must be upheld. These standards are the standards that patients and members of the public tell the regulatory bodies what they expect from health & social care professionals.
We have also included a Public Information Leaflet regarding NHS Continuing Healthcare and NHS-funded Nursing Care.