NHS Continuing Healthcare is the name given to a package of services which is arranged and funded by the NHS for people outside hospital with ongoing health needs. You can get continuing healthcare in any setting, including your own home or in a care home.
Since November 2017 Norfolk Continuing Care Partnership (NCCP) has been managing continuing care services on behalf of NHS Clinical Commissioning Groups for Norwich, North Norfolk, South Norfolk and West Norfolk.
NCCP provides comprehensive “end to end” services covering all aspects of the management of Continuing Healthcare (CHC) and NHS Funded Nursing Care (FNC) and continuing care for children.
NHS continuing healthcare is free, unlike help from social services for which a charge may be made depending on your income and savings. If you do not qualify for NHS Continuing healthcare you will still receive mainstream services free of charge i.e. GP, District Nursing Services, Specialist therapy. – this is not to say that if you are awarded CHC you are still not entitled to NHS services free at the point of delivery.
If NHS continuing healthcare is provided in a care home, it will cover the care home fees, including the cost of accommodation, personal care and healthcare costs.
Who is eligible for NHS Continuing Healthcare?
Anyone assessed as requiring a certain level of care need, can get NHS continuing healthcare. It is not dependent on a particular disease, diagnosis or condition, or on who provides the care or where that care is provided. The circumstances can include:
- Older people with chronic illness or disabilities
- Older people suffering from mental illness or dementia
- People suffering from mental illness
- Physically disabled adults
- People with learning disabilities
- People who are terminally ill
If your overall care needs show that your primary need is a health one, you should qualify for continuing healthcare. The primary health needs should be assessed by looking at all your care needs and relating them to four key indicators.
- Nature – the type of condition or treatment required (quality and quantity)
- Complexity – symptoms that interact, therefore difficult to manage or control
- Intensity – one or more health needs, so severe they require regular intervention
- Unpredictability- unexpected changes in condition that are difficult to manage and present a risk to you or others.
Personal Health Budgets
Some people who are eligible for CHC choose to have a personal health budget so they can organise and manage their care themselves. Read more about PHBs here.
What if I am not eligible for NHS Continuing Healthcare
If you do not qualify for NHS continuing healthcare then you may have to pay for some or all of your care, although the NHS will still provide for your medical needs. You may have to take a local authority means test to decide how much you should pay towards your personal care and accommodation if you are in a care home.
How do I appeal against a decision?
If following assessment for NHS Continuing Healthcare you remain unsatisfied with the outcome you can contact Norfolk Continuing Care Partnership to appeal the decision. This leaflet tells you more about how to appeal (268 KB) Norfolk Continuing Care Partnership also offer a service to retrospectively assess individuals for Continuing Healthcare if they were not appropriately considered for NHS Continuing Healthcare at the time. This is known as Previously Unassessed Periods of Care (PUPoC). This leaflet tells you more about PUPoC assessments, (322 KB).
Getting in touch
You can phone the CHC team on 01603 257243. Complaints can be made either in writing to The Complaints Officer, Norfolk Continuing Care Partnership, Lakeside 400, Old Chapel Way, Broadland Business Park, Norwich, NR7 0WG, or by email to norwichccg.nccpchccomplaints [at] nhs.net.
Local documents you can read:
- Continuing healthcare easyread (NCCP version November 2017) (833 KB)
- Central and West Norfolk Guide to NHS Adult Continuing Healthcare for patients and their carers (408 KB)
- pdf Continuing Healthcare Central and West Norfolk Procedures for Staff (4.19 MB)
- NHS CHC Contracts Nursing & Residential (354 KB)
- CHC+PHB Fair Processing Notice - February 2018 (371 KB)
Further information - click or tap the words in colour to access the documents you would like to read
Department of Health guidance can be consulted for a fuller account of the rules and duties of NHS bodies to provide NHS continuing healthcare.
- National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care: October 2018 (Revised) (published in March 2018): This is the version of the National Framework which will be in operation from October 2018.
- NHS continuing healthcare: checklist from October 2018, (published March 2018)
- NHS Continuing Healthcare Decision Support Tool from October 2018 (published March 2018)
- Fast Track Pathway Tool for NHS Continuing Healthcare from October 2018, (published March 2018)
- NHS-funded nursing care best practice guidance (revised) (July 2013)
- National framework for NHS continuing healthcare and NHS-funded nursing care: equality analysis (March 2013)
- National Framework for Children and Young Peoples Continuing Healthcare
- Delayed discharges directions (continuing care) directions (November 2013)
- Department of Health Public Information Leaflet: NHS Continuing Healthcare and NHS Funded Nursing Care (April 2013)
- NHS website: NHS Continuing Healthcare
- Beacon, Independent advice on the CHC process
- Age UK, Factsheet 20, NHS continuing healthcare and NHS-funded nursing care (October 2018)
- Alzheimer’s Society, When does the NHS pay for care? Guidance on eligibility for NHS continuing healthcare funding in England, (revised October 2017)
Some important facts about CHC
Before the process starts
The full assessment
Planning your support
Fast track pathway