NHS continuing

healthcare funding

What is NHS Continuing Healthcare?

NHS Continuing Healthcare provides comprehensive support for those with ongoing physical or mental health needs as a result of disability, injury or illness.

NHS Continuing Healthcare is fully funded by the NHS and is wholly free of charge to the person receiving care. It is possible to receive NHS Continuing Healthcare even if you have a large amount of wealth or have received a compensation award towards the future cost of your care.

NHS Continuing Healthcare is available in various settings, including in an individual’s own home, or in a care home. The NHS will either provide services direct or a payment to cover the cost of the services required to meet your care needs.

Everyone who is eligible for NHS Continuing Healthcare has a right to request a direct payment to cover the cost of their care so that they can secure their own care services.

The assessment Process

The assessment process for NHS Continuing Healthcare is both lengthy and complex. Those who qualify as being eligible for NHS Continuing Healthcare tend to be people with a very high level of healthcare needs requiring support and assistance on an ongoing basis.

An initial checklist tool is completed to decide whether you should be referred for a full assessment.
This is usually undertaken by a nurse, social worker or other qualified individual when assessing your needs.

If you are assessed as a possible candidate, you will be referred to your local NHS Clinical Commissioning Group (CCG) who will then arrange a full ‘Decision Tool’ assessment to be carried out.

We would advise you to seek advice about the processes involved so that you can be sure that all the assessments are carried out correctly and that your case has been put forward clearly demonstrating the impact of your care needs on your day to day life.

A ‘Decision Tool’ assessment requires input from other professionals such as your GP, who will provide evidence in relation to your care needs. A multi-disciplinary team meeting (MDT) will be arranged to provide the various people involved in your care with an opportunity to review and assess your care needs before a final decision is made by your local NHS CCG.

How SFE members can help you

Our SFE specialist members can help you through the entire process and help you gather the evidence you need to put your case forward, attend meetings to ensure the decision tool is completed correctly, challenge decisions you do not agree with and act as a liaison for you.

If successful, our members can help you through the process so that everything is implemented properly and can also assist you with the finances.

Helping to connect you with the right legal help when you need it