Continuing Healthcare

What is continuing healthcare?

NHS continuing healthcare (CHC) 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.

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. Find out more on this page.

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 appeal the decision by contacting the Retrospective and Appeals Team on 01603 257064 or writing to them at NHS Norfolk and Waveney CCG, Lakeside 400, Old Chapel Way, Broadland Business Park, Thorpe St Andrew, Norwich, NR7 0WG

Further information

The CCGs latest news and events

No events

In The News