NHS Continuing Healthcare – are you entitled?

NHS Continuing Healthcare (CHC) is a complete package of on-going care provided to adults aged 18 or over, who have physical or mental health needs which have arisen as the result of disability, accident or illness. The package of care is arranged and funded solely by the NHS, and is therefore free at the point of delivery.

Care need not be provided in a nursing or residential care home, it can be provided in any appropriate setting including the person’s own home.

Where an individual is eligible for NHS Continuing Healthcare, the NHS is responsible for care planning and commissioning services to meet the assessed needs of that individual.

The services commissioned must include on-going case management for all those entitled to CHC funding, as well as the NHS elements of joint packages, including review and / or reassessment of the individual’s needs. Of course, this is opposed to the means tested services provided by the Local Authority.

At present, approximately 45,000 are receiving CHC funding in England. All of these people will have been assessed using eligibility criteria set out in the National Framework for NHS Continuing Healthcare and NHS Funded Nursing Care, which relates to England only.

Assessment Tools are used to ensure that there is a structured decision making process to determine whether the patient has care and support needs that are intense, complex and / or unpredictable, or have needs that are clearly of a nature beyond the remit of local authority social services to provide.

The individual and their representative, where appropriate, should be enabled to play a central role in the assessment process and emphasis is placed on the same being open, transparent and ‘person-centred’. We therefore work closely with individuals, families and carers to ensure that all of the needs of the individual are recognised and recorded within the assessment documents.

At WBW, Advocacy services are provided with the best interests of the individuals at the forefront of concern. If you or a loved one has been affected by the issue raised herein, please contact Portia Woodhouse or Natalie Bray, who would be pleased to assist you.