NHS Continuing Healthcare, known as CHC funded care is ‘an ongoing package of health and/or social care that is arranged and funded solely by the NHS.
Where an individual is aged 18 years or older and is found to have a ‘primary health need’ as a result of disability, accident or illness, they can be considered for CHC funding. The care can be provided in the person’s own home, residential or nursing home or other specialist care setting.
Eligibility for NHS Continuing Healthcare and how we work locally is guided by the National Framework for NHS Continuing Healthcare NHS –funded Nursing Care Nov 2012 revised
North East Lincolnshire Clinical Commissioning group (NELCCG) are responsible for the provision of a nursing assessment team, they deliver assessment and review functions for individuals either awaiting assessment or in receipt of CHC funding
CHC services are for people who, because of a primary health need, are eligible for NHS CHC. This includes all adults 18 and over who may have complex physical disabilities, learning disabilities and/or complex emotional and psychological needs. Continuing Healthcare is not based on a particular diagnosis but on the needs which arise from a diagnosis. To determine a person’s needs a comprehensive health needs assessment is completed by multi-disciplinary health and social care professionals, using the national tools set out by the Department of Health.
This is funding provided by the NHS to care homes that are providing care by a registered nurse. Since 2007 NHS-funded nursing care has been based on a single band rate. In all cases individuals should be considered for NHS Continuing Healthcare before a decision is reached about the need for NHS-funded Nursing Care. This is paid directly to the care home.
From October 2014 anyone eligible for CHC wanting to have their care provided outside of a care home setting, will be able to apply for a Personal Health Budget. This is money paid in the form of a direct payment to pay for CHC eligible needs. Personal Health Budgets enable individuals greater choice and flexibility and control about who provides their care and support and how it is delivered. A Personal Health Care Budget can be discussed in detail with the Nurse Assessor responsible for your assessment.
If you are eligible, you can receive NHS continuing healthcare in any setting, for example:
NHS continuing healthcare is free, unlike social and community care services provided by local authorities. You may be charged for these depending on your income and savings.
To be eligible for NHS continuing healthcare you must be over 18 and have a complex medical condition and substantial and ongoing care needs. You must have a “primary health need”, which means that your main or primary need for care must relate to your health.
Eligibility for NHS continuing healthcare does not depend on:
If you have a disability or if you’ve been diagnosed with a long-term illness or condition, this doesn’t necessarily mean that you’ll be eligible for NHS continuing healthcare.
To find out whether you are eligible for NHS continuing healthcare, your care needs will be assessed. For more information, see How will my eligibility for NHS continuing healthcare be assessed?
Your eligibility for NHS continuing healthcare will be reviewed regularly. If your care needs change, the funding arrangements may also change. For more information, see When will my needs for continuing care be reviewed?
Read the answers to more questions about caring, carers and long-term conditions.