Continuing Healthcare (CHC)
NHS Continuing Healthcare is the name given to a package of care that is arranged and funded by the NHS for people outside of hospital who have ongoing healthcare needs. NHS Continuing Healthcare can be provided in a variety of settings outside hospital, such as in your own home or a care home.
Such care is provided to an individual aged 18 or over, to meet needs that have arisen as a result of disability, accident or illness and who have been found to have a ‘primary healthcare need’ as set out in the National Framework for NHS Continuing Healthcare and NHS-Funded Nursing Care (revised October 2018)
The service will accept referrals for individuals who have a learning disability and/or a mental health diagnosis when a NHS Continuing Healthcare Checklist tool has been applied and the individual has positively screened in for full assessment as per the National Framework for NHS Continuing Healthcare and NHS-Funded Nursing Care.
In addition referrals will be accepted for individuals under Section 117 of the Mental Health Act (1983) where it is required that the Clinical Commissioning Group and the local authority, in cooperation with voluntary agencies to, provide or arrange for the provision of aftercare to patients detained in hospital for treatment under section 3, 37, 45A, 47 or 48 of the Act who then cease to be detained. This includes patients granted leave of absence under section 17 and patients going on community treatment orders.
Individuals will have substantial health needs which are permanent and are associated with multiple and poorly controlled health conditions and co-morbidities. Individuals are high risk, high demand service users who will require ongoing complex care case management.
This briefing is designed to summarise the recent changes that the UK Government has made to NHS Continuing Healthcare.
The Government is currently responding to Coronavirus (COVID-19). Whilst the NHS and Public Health England are extremely well prepared for outbreaks of new infectious diseases, the NHS has declared this a National Incident which means that every part of the NHS is working to reprioritise its activities.
The Coronavirus Act 2020 came into force on the 25 March 2020.There are a number of key changes under the Act which will impact the way in which we will carry out our functions in respect of NHS Continuing Healthcare for the duration of the COVID-19 emergency period. These changes cover:
•The assessment of eligibility for NHS Continuing Healthcare Funding.
•Individual requests for a review of an eligibility decisions (i.e. Local Resolution and Independent Review);
•Three-and twelve-month reviews of NHS Continuing Healthcare packages of care.
This means that:
• During this emergency period the assessment of eligibility for NHS Continuing Healthcare Funding is suspended resulting in delays for those individuals waiting assessment. We apologise that we will not be able to complete an assessment within 28 days at this time however we will endeavour to return to normal once advised to do so by Government.
• If we receive a Checklist or you are referred to us for assessment during this time we will work with you to ensure your needs are met and appropriately funded. However we will contact you to tell you that your assessment of eligibility for NHS Continuing Healthcare Funding will be delayed.
• Individual requests for a review of an eligibility decisions (i.e. Local Resolution and Independent Review) will be delayed during this period.
• Three-and twelve-month reviews of NHS Continuing Healthcare packages will take place where remote technologies and Care Providers enable them to be completed. To ensure that you receive the support that you need our staff are still available for any concerns you have and will assist with any queries. Please use your normal means of contacting us or email firstname.lastname@example.org
We will provide further information on the resumption of assessments as we are advised by the Government.
To find out more please contact your Continuing Healthcare Team
Telephone: 01244 385 063
Address: Continuing Healthcare Service, 1829 Building, Countess of Chester Health Park, Liverpool Road, Chester.
Anyone over the age of 18 who has a complex medical condition and substantial and ongoing care needs may be eligible for NHS Continuing Healthcare.
Eligibility for NHS Continuing Healthcare does not depend on:
- A specific health condition, illness or diagnosis
- Who provides the care, or
- Where the care is provided
Not everyone with a disability or long-term condition will be eligible.
The assessment process for NHS Continuing Healthcare is person-centred; this means putting you, your views about your needs and the care and support you require at the centre of the process.
For most individuals there is an initial Checklist assessment. This is the screening tool used by health and social care staff to identify those people who may be eligible to undertake a full assessment for NHS Continuing Healthcare. The Checklist does not indicate whether the individual is eligible for NHS Continuing Healthcare, only whether they require full assessment of eligibility for NHS Continuing Healthcare.
If the Checklist has been completed and indicates that there is a need to carry out a full assessment of eligibility for NHS Continuing Healthcare the Clinical Commissioning Group will arrange for a multidisciplinary team to carry out an assessment of your needs.
A multidisciplinary team is made up of two or more health or social care professionals who may already be involved in your care.
The multidisciplinary team will share the information they hold about you or your relative's care needs and jointly complete a Decision Support Tool. The team will look at all your care needs and relate them to:
- What help you need
- How complex your needs are
- How intense your needs can be
- How unpredictable they are; including any risks to your health if the right care isn’t provided at the right time
Your eligibility for NHS Continuing Healthcare depends on your assessed needs, and not on any particular diagnosis or condition.
The multidisciplinary team will also take into account your views and together with all of this information a recommendation is then put forward to your local Clinical Commissioning Group who ultimately decides whether or not you or your relative is eligible for funding.
If your needs change then your eligibility for NHS Continuing Healthcare may also change.
Fast Track Tool
There are times when a person is in need of an urgent package of care due to a rapidly deteriorating condition which may be entering a terminal phase; in these situations an appropriate clinician will complete the Fast Track Tool. Your local NHS Continuing Healthcare Team will then process this and arrange for a package of care as quickly as possible.
A review of your care needs will be undertaken at regular intervals.
If following any review it is decided that you no longer meet the eligibility criteria for NHS Continuing Healthcare, social services may carry out an assessment to determine if you are eligible for support from them.
If you are not eligible for NHS Continuing Healthcare, the local authority will discuss with you whether you may be eligible for support from them.
If you are not eligible for NHS Continuing Healthcare but are assessed as having healthcare or nursing needs, you still may receive some care from the NHS.
If you live in your own home, this could be provided as part of a joint package of care, where some services come from the NHS and some from social services.
If you live in a care home with nursing you may be eligible for NHS Funded Nursing Care (FNC).This type of funding is available for people that have registered nursing needs and are receiving their care in a care home with nursing. Please note however, that being a resident in a care home with nursing does not automatically indicate eligibility for FNC
If you think this affects you or someone you care for and you are already receiving care services from health or social care e.g. GP, Community Nurse or Social Worker you may wish to discuss this with them in the first instance.
If you are in hospital and have been assessed as requiring care on discharge then the hospital discharge team will discuss this with you.
Some children and young people may have very complex health needs requiring additional health support that is not routinely available. This additional health support is called continuing care. The Clinical Commissioning Group is responsible for assessing children and young people to see if they are eligible for continuing care.
A continuing care package of support may be required when a child or young person has needs arising from disability, accident or illness that cannot be met by existing universal or specialist services alone (GP practices, hospitals or in the community). The Cheshire and Wirral children’s complex care service is guided by the National Framework for Children and Young People’s Continuing Care (Department of Health 2016) and will work alongside social care and education to provide the most appropriate support at home, in school and in the community.
Who is Eligible?
Any child or young person up to their 18th birthday who has a complex health need or disability may be eligible.
When a child reaches 18, adult NHS Continuing Healthcare arrangements may apply however there are significant differences between Children and Young People’s Continuing Care and NHS Continuing Healthcare for adults. Although a child or young person may be in receipt of Children’s Continuing Care they may not be eligible for NHS Continuing Healthcare as an adult.
All children and young people in receipt of children’s continuing care will be assessed aged 17 to see if they are likely to be eligible for NHS Continuing Healthcare.
How can you access Continuing Care for Children and Young People?
A referral can be made by any healthcare, social care professional or carer who feels a continuing care package may be required. A referral form should be submitted to email@example.com along with signed consent from the child, young person or person with parental responsibility.
- National Framework for Children and Young People’s Continuing Care (Department of Health, 2016)
- National Framework for NHS Continuing Healthcare and NHS Funded Nursing Care (Department of Health & Social Care, revised 2018)
- Children and Young People’s Continuing Care Pre Assessment Checklist
- Decision Support Tool
- Children and Young People’s Continuing Care: guide for young people and parents
What is a personal health budget?
A personal health budget is an amount of money to support someone’s health and wellbeing needs, which is planned and agreed between the individual or their representative, and the local clinical commissioning group (CCG). It isn’t new money, but a different way of spending health funding to meet the needs of an individual.
Personal health budgets are a way of personalising care, based around what matters to people and their individual strengths and needs. They give people more choice, control and flexibility over the care and support they receive.
A personal health budget may be used for a range of things to meet agreed health and wellbeing outcomes. This can include therapies, personal care and equipment. There are some restrictions in how the budget can be spent.
Who is entitled to a personal health budget?
Adults eligible for NHS Continuing Healthcare and children in receipt of continuing care have had a right to have a personal health budget since October 2014 and personal health budgets should be the default option for these groups.
People who become eligible for NHS Continuing Healthcare funding under the Fast Track Pathway also have a legal right to have a personal health budget. People may choose to receive their end of life care and support as a personal health budget, however there is no expectation from NHS England and NHS Improvement that this should be the case for everyone in receipt of Fast Track funding.
For further information on personal health budgets please click here: Personal health budgets in Continuing Healthcare
NHS England has published guidance on issues CCGs should consider when determining claims from individuals for retrospective funding of Continuing Healthcare needs. For more information on this please visit https://www.england.nhs.uk/wp-content/uploads/2015/04/nhs-cont-hlthcr-rdress-guid-fin.pdf
The following links provide further information on NHS Continuing Healthcare:
- Department of Health, NHS Continuing Healthcare and NHS-funded Nursing Care Public Information Leaflet
- http://www.beaconchc.co.uk or telephone 0345 548 0300 for free and independent advice
- Age UK
- NHS Choices