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Who undertakes a full assessment for NHS Continuing Healthcare?
What is the assessment process for NHS Continuing Healthcare?
How do I assess eligibility for NHS Continuing Healthcare?
What is the NHS Continuing healthcare screening tool?
What is NHS Continuing healthcare and NHS-funded nursing care?
Can I reassess my eligibility for NHS Continuing Healthcare?
Apr 11, 2023 · Full assessments for NHS continuing healthcare are undertaken by a multidisciplinary team (MDT) made up of a minimum of 2 professionals from different healthcare professions. The MDT should usually include both health and social care professionals who are already involved in your care.
- Funded Nursing Care
You should be assessed for NHS continuing healthcare before...
- Self-Funding
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- Benefits for Over-65S
NHS continuing healthcare NHS-funded nursing care Benefits...
- Personal Health Budget
A carer's assessment is free and anyone over 18 can ask for...
- Benefits If You're Under State Pension Age
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- Funded Nursing Care
- Introduction
- NHS Continuing Healthcare
- Primary Health Need
- Assessments
- Fast Track Pathway Tool
- Next Steps
- Reviews
- Individual Requests For A Review of An Eligibility Decision
- NHS-funded Nursing Care
This is a guide for people who may be in need of ongoing care and support from health and social care professionals as a result of disability, accident or illness. It explains the process used to determine whether someone is eligible for NHS continuing healthcare (often referred to as NHS CHC, or just CHC). We recognise that the funding arrangement...
What is NHS continuing healthcare?
NHS continuing healthcare means a package of ongoing care that is arranged and funded solely by the National Health Service (NHS) specifically for the relatively small number of individuals (with high levels of need) who are found to have a ‘primary health need’ (see more in the ‘Primary health need’ section below). Such care is provided to an individual aged 18 or over to meet health and associated social care needs that have arisen as a result of disability, accident or illness. NHS continu...
Who is eligible for NHS continuing healthcare?
People over 18 years of age who have been assessed as having a ’primary health need’ are entitled to NHS continuing healthcare. Eligibility for NHS continuing healthcare is not dependent on a particular disease, diagnosis or condition, nor on who provides the care or where that care is provided.
How do you become eligible for NHS continuing healthcare?
Eligibility for NHS continuing healthcare is assessed in 2 stages, in most cases: 1. a screening process using the ‘checklist’ is used 2. where the checklist is positive, the next stage of assessment involves a multidisciplinary team (MDT) undertaking a comprehensive assessment and evaluation of an individual’s health and social care needs and reviewing evidence such as medical records, examinations, assessments and so on to make an assessment of eligibility for CHC using a standardised tool...
The concept of a ‘primary health need’ helps determine which health services it is appropriate for the NHS to provide to meet your needs, and which services local authorities may provide. We recognise that this concept is not straightforward. However, in order to decide whether or not you have a primary health need, there will be an assessment of e...
Making decisions about who is eligible for NHS continuing healthcare
The process of assessment of eligibility and decision-making should be person-centred. This means placing you at the centre of the assessment and care-planning process and involving you throughout. 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 full assessment process for NHS cont...
Screening using the checklist tool
The first step in the assessment process for most individuals is screening using the checklist tool. The checklist can be used in a variety of settings to help practitioners identify people who may need a full assessment of eligibility for NHS continuing healthcare. The checklist does not indicate whether you are eligible for NHS continuing healthcare, only whether you require a full assessment of eligibility. It is important to be aware that the majority of people who ‘screen in’ (have a ‘po...
The full assessment of eligibility for NHS continuing healthcare
For the full assessment of eligibility, a multidisciplinary team of professionals (usually referred to as the MDT) will assess whether or not you have a primary health need using the decision support tool (often referred to as the DST). An MDTis made up of 2 or more professionals, and will usually include both health and social care professionals who are knowledgeable about your health and social care needs, and, where possible, have recently been involved in your assessment, treatment or car...
If you have a rapidly deteriorating condition and the condition may be entering a terminal phase, then you may be eligible to receive urgent access to NHS continuing healthcare via fast track. In the fast track pathway there is no requirement to complete a checklist or the decision support tool. Instead, an appropriate clinician will complete the f...
What if you are not eligible for NHS continuing healthcare?
If you are not eligible for NHS continuing healthcare, the ICBcan (with your permission) refer you to your local authority who can discuss with you whether you may be eligible for support from them. If you are not eligible for NHS continuing healthcare but still have some health needs, then the NHS may still pay for part of your package of support. This is known as a ‘joint package of care’. One way in which this is provided is through NHS-funded nursing care (see ‘NHS-funded nursing care’ se...
Services provided if you are entitled to NHS continuing healthcare
If you are eligible for NHS continuing healthcare, your ICB will be responsible for your care planning, commissioning services and your case management. The ICBwill discuss options with you as to how your care and support needs will be best provided for and managed. When deciding on how your needs will be met, your wishes and preferred outcomes should be taken into account. This should include discussions about your preferred setting in which to receive care (for example, at home or in a care...
You should normally have a review of your care package within 3 months of a positive eligibility decision being made. After this you should have further reviews as required and at least on an annual basis. The focus of these reviews should be on whether your care plan or arrangements remain appropriate to meet your needs. Any adjustment to your car...
If you disagree with a decision not to proceed to full assessment of eligibility for NHS continuing healthcare following screening using the checklist, you can ask the ICBto reconsider the decision. If you disagree with the eligibility decision made by the ICB (after a full assessment of eligibility including the completion of the decision support ...
For individuals in care homes with nursing, registered nurses are usually employed by the care home itself. In order to fund the provision of such nursing care by a registered nurse, the NHS makes a payment direct to the care home. This is called ‘NHS-funded nursing care’ and is a standard rate contribution towards the cost of providing registered ...
Apr 8, 2024 · This identifies whether you need to have a full NHS continuing healthcare assessment. In some situations listed above, it'll be clear to health and social care staff that your needs don't qualify for NHS continuing healthcare at this time.
The full assessment process for NHS Continuing Healthcare usually involves two steps: screening using the Checklist Tool, and a full assessment of eligibility using the Decision...
Nov 28, 2012 · This guidance sets out the principles and processes of the national framework for NHS continuing healthcare and NHS-funded nursing care.
- Department of Health And Social Care
Mar 1, 2018 · Screening tool to help identify individuals who may need a referral for a full assessment of eligibility for NHS continuing healthcare.
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 integrated commissioning boards (ICBs) according to a legally prescribed decision making process to determine whether the individual has a ...
