NHS Continuing Healthcare explained - Relative Matters Ltd, West Sussex

Older woman smiles at a friend

NHS Continuing Healthcare (CHC) is a package of care arranged and funded solely by NHS England for a person (aged 18 or over) with a ‘primary health need’ that has arisen because of disability, accident, or illness.

Continuing Healthcare can be used to pay for care in any setting including: care at home, residential or nursing homes and the accommodation.

The Clinical Commissioning Group (CCG) that holds the contract with the GP practice responsible for care at the time of application is responsible for deciding eligibility to Continuing Healthcare.

The National Screening Continuing Healthcare Checklist helps trained health/social care professionals to identify people who should have a full assessment to determine their eligibility.

Following the checklist, if appropriate, a full assessment will be carried out by a Multi-Disciplinary Team (MDT), and the Decision Support Tool (DST) used to establish eligibility to Continuing Health Care.

The checklist is based on 11 out of 12 care domains (areas of care need) used in the decision support tool. The domain ‘other significant needs’ is not used in a checklist Decision Support Tool (or by use of the Fast Track Pathway Tool), a decision has been reached, challenging that decision should be addressed through the local resolution procedure, initially.

(Can add the tool in here – this will be an mono image – I will ask Chris if she wants it included.)

The Fast Track Pathway Tool is used when a person has a rapidly deteriorating condition and may be entering a terminal phase. It can only be completed by an ‘appropriate clinician’ and contains sufficient evidence to establish eligibility. Where it is appropriate to use the Fast Track Pathway Tool, this replaces the need for a Checklist and Decision Support Tool to be completed.

Funded Nursing Care Payment

NHS continuing healthcare is considered and a decision made before any consideration of eligibility for NHS funded nursing care.

Funded Nursing Care Payment is a weekly payment currently £158.16 per week (2018/19), this is reviewed annually and provided by the NHS to homes providing nursing care, to support the provision of nursing care by a registered nurse.

FNC (Funded Nursing Care Payment) is another name for the RNCC which was paid at three different rates, and for those who received the higher rate in 2007, this will increase from £213.32 (2017/18) to £217.59 per week for 2018/19. This is only relevant for people who were already on the higher rate in 2007 when the single band was introduced.