NHS continuing healthcare

NHS continuing healthcare (CHC) is a package of care funded solely by the NHS for individuals who have significant ongoing healthcare needs or have a rapidly deteriorating condition that maybe entering a terminal phase, (fast track).

The process to determine eligibility is nationally defined and we follow a standard process to determine if an individual is eligible.

How to access continuing healthcare

A continuing healthcare checklist is a tool to help practitioners identify people who need a full continuing healthcare assessment. Please note that a referral for a full continuing healthcare assessment is not an indication of the outcome of the eligibility decision.

Fast track tool relates to individuals with a rapidly deteriorating condition that may be entering a terminal phase may require “fast tracking”  which entitles individuals for immediate package of care, either at home or in residential care.

Services we commission

For individuals that meet the eligibility criteria for NHS continuing healthcare, the CCG commissions domiciliary packages of care along with residential home placements.

From April 2014, anyone eligible for NHS continuing healthcare funding receiving a domiciliary package of care will also be able to receive an indicative budget in the form of a direct payment. This will give individuals greater choice and control over their care and support.

Policies the CCG operates under 

Personal Health Budgets (PHBs)

From April 2016 CCGs have been required to consider PHBs for those in receipt of Continuing Healthcare (CHC). PHBs will be discussed during the initial CHC eligibility assessment. They will not be formally offered until the three month eligibility review has taken place.

If the CCG is satisfied that cases are suitable to be transferred to PHBs, it will discuss options with individuals and set out indicative budgets and a Health and Wellbeing Support Plan will be agreed that will include agreed health and wellbeing outcomes.

Individuals and their families are able to have some flexibility in determining the delivery of care within a PHB, so long as the individual’s assessed care needs and outcomes are approved by the CHC risk panel.

For further information on CHC and PHBs please contact us via the details below.

Contact us

Integrated Continuing Healthcare Team 
Limousin House 
Limousin House Eastbourne 
East Sussex 
BN23 6TE 
T: 01323 466120 
F: 01323 466149 


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For more information 

These 12 documents from the Department of Health set out the principles and processes of the National Framework for NHS continuing healthcare and NHS funded nursing care. 

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