Your health & local services

NHS continuing healthcare assessment for adults

If you are an adult (age 18 or over), nurse assessors will establish whether you are, or someone you care for is, eligible for NHS continuing healthcare (CHC) funding.

They do this using a checklist and a decision support tool, as provided in the Department of Health National Framework, which helps them to work out whether you have a ‘primary health need’. 

Cover for Department of Health National Framework

Department of Health National Framework

This revised framework sets out the principles and processes of the National Framework for NHS continuing healthcare and NHS-funded nursing care. 

The assessment process has two stages

1. NHS continuing healthcare checklist

The checklist helps to identify whether or not you are eligible for a full assessment. It must be completed by a practitioner who has suitable training. This could be a social worker or a healthcare professional.

If the checklist shows that you require a full assessment for continuing healthcare funding, then you will be referred to the Bristol Community Health, Health Assessment and Review Team to conduct the second stage of the assessment.

Cover for NHS continuing healthcare checklist November 2012

NHS continuing healthcare checklist November 2012

This checklist is a tool to help practitioners identify people who need a full assessment for NHS continuing healthcare. 

Cover for What is NHS Continuing Healthcare? - Easy Read Guide

What is NHS Continuing Healthcare? - Easy Read Guide

This book is about money from the NHS to pay for help and care. This is called NHS Continuing Healthcare.

2. NHS continuing healthcare decision support tool

If you are eligible for a full assessment for NHS continuing healthcare, your needs will be assessed using the decision support tool.

The decision support tool sets out 12 areas to examine, that will be graded in accordance with your assessed level of need. The nature, complexity, intensity and unpredictability of your overall needs are also considered.

We will send our decision on eligibility for NHS continuing healthcare funding to you within 28 days of receiving a positive checklist. 

Cover for Decision support tool for NHS continuing healthcare November 2012

Decision support tool for NHS continuing healthcare November 2012

The decision support tool (DST) supports practitioners in the application of the National Framework for NHS continuing healthcare and NHS-funded nursing care to ensure consistent decision making.

What happens if I need urgent care?

If you need an urgent package of care because of a rapidly deteriorating condition, which may be entering a terminal phase, we will use the fast-track tool instead of the two-stage process outlined above.

An appropriate clinician will complete the assessment and arrangements will be made to provide care as quickly as possible.

NHS Continuing Healthcare Fast Track Pathway Tool

 

 

NHS-funded nursing care (FNC)

Where an individual is in a nursing home, but is not eligible for NHS continuing healthcare funding, residents are usually eligible for payment of NHS funded nursing care. This is because the nursing fee includes an additional cost for the employment of Registered Nurses.

This leaflet will give you more information on NHS continuing healthcare and NHS-funded nursing care:

Cover for NHS continuing healthcare and NHS-funded nursing care

NHS continuing healthcare and NHS-funded nursing care

Public Information Leaflet

This leaflet is a guide for individuals who may be in need of ongoing care and support from health and social care professionals as a result of disability, accident or illness.

Or visit the continuing care section on the NHS Choices website:

NHS Choices (continuing care)

More information

For more information about NHS continuing healthcare or NHS-funded nursing care in Bristol, please contact:

Continuing Healthcare Team
6th Floor, South Plaza
Marlborough Street
Bristol
BS1 3NX

Tel: 0117 984 1501 
Fax: 0117 984 1551
Email: hart.admin@nhs.net

What is NHS Continuing Healthcare?

NHS Continuing Healthcare Information and NHS England Advice service pilot

NHS England has provided an NHS Continuing Healthcare Information and Advice service pilot with Beacon for the South region.

Under the pilot, information and advice is accessible in the form of free and comprehensive written guidance, and individuals are also able to access up to 90 minutes of free advice with a trained NHS Continuing Healthcare adviser. You can access more information about this service by visiting their website Beacon CHC.