Your health & local services

NHS continuing healthcare

NHS continuing healthcare (CHC) is a package of care arranged and funded solely by the NHS for individuals who are not in hospital, but who have on-going complex, intense, or unpredictable healthcare needs. You can receive CHC services in any setting, including your own home or a care home.

If you are eligible for NHS continuing healthcare, we will fund the care required to meet your identified care needs.

CHC assessment for adults

See the the Department of Health’s NHS continuing healthcare and NHS-funded nursing care leaflet for more general information about 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.

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.

NHS Choices (continuing care)

Who is eligible for NHS continuing healthcare?

Eligibility is not dependent on a particular disease, diagnosis or condition, or on who provides the care or where it’s provided. If your overall assessment of care shows that you have a ‘primary health need’, you may be eligible.

Anyone over 18 years old who has been assessed as having a certain level of care need is entitled to NHS continuing healthcare. Assessments for adults are made according to the Department of Health National Framework.

CHC assessment for adults

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. 

Continuing healthcare for children and young adults

Children and young people (aged under 18) with complex health needs, may be eligible for NHS continuing care funding. This is different from NHS continuing healthcare which is for eligible adults. Assessments for children and young people are made according to the Department of Health National Framework.

Continuing healthcare for children

Cover for National Framework for Children and Young People's Continuing Care

National Framework for Children and Young People's Continuing Care

This Framework provides guidance for Clinical Commissioning Groups (CCGs) when assessing the needs of children and young people whose needs cannot be met by universal or specialist health services.

What does an assessment involve?

Nurse assessors will establish whether someone has a ‘primary care need’ using a checklist and a decision support tool. They will look at the nature, complexity, intensity and unpredictability of your health needs.

The package of care and your ongoing eligibility for funding will be reviewed after three months, and then at least every year. 

CHC assessment for adults

What if I am assessed as not eligible for continuing healthcare?

If the result of your assessment is that you are not eligible for NHS continuing healthcare, and you are not happy with this decision, then you can request a review. In the first instance we would encourage you to speak to the continuing healthcare team. Alternatively, please write to:

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

Tel: 0117 984 1501

If you live in a care home registered to provide nursing care and you do not qualify for NHS continuing healthcare, you may be eligible for NHS-funded nursing care.

Read the Department of Health’s NHS continuing healthcare and NHS-funded nursing care leaflet for more information (see above).

Previously unassessed periods of care (2004 – 2012)

The Department of Health introduced deadlines for people who did not have a continuing healthcare assessment, but who think they may have been eligible for funding for periods of care between 1 April 2004 and 31 March 2012. The deadline to register for this period has now passed.

You can find out more about the assessment process by visiting the Previous unassessed periods of care page on this site:

Previous unassessed periods of care

Personal health budgets

As of 1 October 2014, all service users in receipt of domiciliary care (delivery of personal care and support services to individuals in their own homes) who receive NHS continuing healthcare in Bristol are eligible to have a personal health budget.

Find out more: 

Personal health budgets

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