What is ‘Continuing Care’?
NHS Continuing Healthcare and NHS Funded Nursing Care is a package of care arranged and funded solely by the NHS, provided over an extended period of time to meet physical or mental health needs that are a result of disability, accident or illness. Anyone can qualify for Continuing Healthcare regardless of location or diagnosis provided they have a certain level of care. It is not dependent on the individual’s disease, diagnosis or condition, or on who provides the care or where it is provided. Eligibility is not dependent upon finances or budgets.
Who provides NHS Continuing Care?
If you require Continuing Healthcare you may need health services from the NHS which are given through Community Health Services, NHS Trusts and Mental Health Trusts. These services are provided in various places e.g. care home, nursing home, your own home or a hospice. If provided in a care home the funding covers the care home fees. If NHS Continuing Healthcare is provided in the home of the person you are looking after it will cover personal care and health care costs.
To be eligible your primary need must relate to your health. Your needs will be assessed by your local Continuing Care Team on behalf of NHS Blackpool’s Clinical Commissioning Group to decide if you are eligible.
Key Indicators of a Primary Health Need
- Nature – the type of condition or treatment required, and the quality and quantity of condition or treatment
- Complexity – one or more needs or symptoms which interact, making overall needs difficult to manage or control
- Intensity – needs which are so severe that they require regular interventions to manage risk
- Unpredictability – unexpected changes in condition that are difficult to manage and cause significant risk
The National Framework for NHS Continuing Healthcare and NHS Funded Nursing Care
In June 2007 the Department of Health published the National Framework for NHS Continuing Healthcare and NHS Funded Nursing Care, following public consultation during 2006. This was revised in October 2007 and again in November 2012. The guidance is part of the Department of Health’s continuing care policy in England. The National Framework has 2 main purposes:
- It is a single policy on who should receive NHS funding
- It proposes a standard process for assessing eligibility
The National Framework provides guidance for Clinical Commissioning Grou7ps about how assessments are carried out. A checklist is used to decide whether a full assessment is required.
The healthcare needs considered in a CHC assessment are:
- Psychological/emotional needs
For each of these needs a decision is made about the level required. The levels are:
Your views and those of the person being assessed will also be taken into account.
For more information and a copy of the National Framework for NHS Continuing Healthcare and NHS-Funded Nursing Care please visit the Department of Health website.
If you have a disability, or have been diagnosed with a long term condition, it does not necessarily mean that you will be eligible for NHS Continuing Healthcare.
An assessment should be carried out by NHS Blackpool Clinical Commissioning Group when:
Patients are discharged from hospital, carried out before referring the patient to social services for help with social care needs
The health of the person you are caring for deteriorates significantly
A decision is to be made by the NHS to contribute to Registered Nursing Care when someone goes into a care home that provides nursing care
Family and Patient Communication
NHS Blackpool Clinical Commissioning Group are responsible for ensuring that all patients and their carers are kept informed throughout the assessment process.
All decisions should be communicated in writing, with a clear rationale of why the decision was made
CCG’s are responsible for promoting national rules and access to the NHS funding and should give details of what the NHS can and cannot provide.
If you are unhappy with a Continuing Healthcare eligibility decision you can write to the Clinical Lead for Continuing Healthcare at the address below, outlining your concerns.
Alison Small (Clinical Lead – Continuing Healthcare and Funded Nursing Care)
NHS Blackpool Clinical Commissioning Group
If you wish to complain about any aspect of the service you may write to:
The Patient Experience and Customer Care Manager
Commissioning Support Unit
Lancashire Business Park
The Continuing Health Care Team at NHS Blackpool CCG can be contacted on Tel: 01253 951230 Fax: 01253 956545
- Decision Support Tool for NHS Continuing Healthcare
- Continuing Healthcare Information Booklet
- National Framework for NHS Continuing Healthcare
- NHS Continuing Healthcare Checklist
- NHS Continuing Healthcare Checklist 2
- NHS Continuing Healthcare Checklist 3
If you would like to receive this information in an alternative format such as large print, braille, audio or sign language please contact the CCG on 01253 951200 or via email: firstname.lastname@example.org.