What is NHS Continuing Healthcare?
NHS Continuing Healthcare is a package of care arranged and fully funded by the NHS. It is for people who are not in hospital and have been assessed as having a primary health need.
How is eligibility assessed?
There are two stages in the assessment process:
- Checklist Tool – an initial screening carried out by a health or social care professional
- Decision Support Tool (DST) – a full assessment if the checklist suggests you may be eligible
You will be fully involved in the assessment process. Your views will be considered, and you can ask a friend, relative or advocate to support you.
Stage 1: The Checklist Tool
The Checklist Tool helps professionals decide if you should be referred for a full assessment.
It is usually completed by a:
- social Worker
- nurse
- doctor
- other qualified healthcare professional
If the checklist shows you may be eligible, the professional will contact your local Clinical Commissioning Group (CCG). The CCG will write to you to confirm whether you will be referred for a full assessment.
Stage 2: The Decision Support Tool (DST)
If a full assessment is needed, it will be carried out by a multi-disciplinary team. This team includes at least two health or care professionals who are already involved in the individuals care so that can build an overall picture of need.
The assessment usually takes place in a meeting. You and your advocate can attend.
The DST looks at the following areas of care:
- behaviour
- cognition - understanding
- communication
- psychological/emotional needs
- mobility - ability to move around
- nutrition - food and drink
- continence
- skin - including wounds and ulcers
- breathing
- symptom control through drug therapies and medication
- altered states of consciousness
- other significant needs
Fast Track Tool
If your condition is getting worse quickly and you need urgent care, the Fast Track Tool may be used. This allows the CCG to arrange care as soon as possible.