NHS Continuing Healthcare

Continuing Healthcare Team
Cavanna House
Nicholson Road
Riviera Park
Torquay
TQ2 7TD

If you live in Torbay

To request a Continuing Healthcare assessment, please contact the Customer Service Centre:

Tel: 01803 219700
Email: Customer Service Centre

To discuss a NHS Continuing Healthcare eligibility decision, please contact the Continuing Healthcare Team:

Tel: 01803 210738
Fax: 01803 210659
Email: Continuing Healthcare Team
Or write to us at the address above.

If you live in Bovey Tracey / Buckfastleigh / Chudleigh / Dartmouth / Dawlish / Newton Abbot / Teignmouth or Totnes

To request a Continuing Healthcare assessment or to discuss a NHS Continuing Healthcare eligibility decision, please contact our Continuing Healthcare Team:

Tel: 01803 210630
Fax: 01803 210659
Email: Continuing Healthcare Southern Team
Or write to us at the address above.

Torbay and South Devon NHS Foundation Trust deliver the NHS Continuing Healthcare service on behalf of South Devon and Torbay Clinical Commissioning Group.

NHS Continuing Healthcare

NHS Continuing Healthcare is the name given to a package of care that is arranged and funded solely by the NHS for individuals who are not in hospital and have complex ongoing healthcare needs.

Who is eligible for NHS Continuing Healthcare?

To find out whether you are eligible for NHS Continuing Healthcare, your care needs will be assessed.

To be eligible for NHS Continuing Healthcare you must be over 18 and have a complex medical condition and substantial and ongoing care needs. You must have a ‘primary health need’, which means that your main or primary need for care must relate to your health.

Eligibility for NHS Continuing Healthcare does not depend on:

  • a specific health condition, illness or diagnosis
  • who provides the care, or
  • where the care is provided

If you have a disability, or if you’ve been diagnosed with a long-term illness or condition, this doesn’t necessarily mean that you’ll be eligible for NHS Continuing Healthcare.

How do I apply for NHS Continuing Healthcare

The first step in the process for most people will be a screening using the NHS Continuing Healthcare checklist. Please see the National framework for NHS continuing healthcare and NHS funded nursing care for more information.

The checklist may be undertaken in hospital when considering your care needs prior to discharge, or could be completed by community nursing staff if it was felt that you required consideration for NHS Continuing Healthcare.

If the checklist indicates that further consideration is required a full assessment on your health needs will be undertaken. The information from this assessment will inform the completion of a Decision Support Tool. This tool is designed to ensure that all factors that have a bearing on an individual’s eligibility are taken into account.

The consideration for eligibility will be undertaken by a multidisciplinary team. This is a team of people who have different roles related to an individual’s care. With permission, the assessment will include contributions from all the health and social care professionals involved in an individual’s care, to build an overall picture of their needs. In some cases, more detailed specialist assessments may be required from these professionals.

The decision will be notified to the individual or nominated representative in writing.

Previously unassessed periods of care

There may be circumstances where an individual not previously awarded NHS CHC funding believes that they were wrongly denied the funding. In these circumstances, the appropriate individual can request an assessment of an unassessed period of care of the individual’s care needs and eligibility for NHS CHC Funding.

The Department of Health advertised the close down period of April 2004 – April 2012. Therefore, applications for unassessed periods of care can only be made after this date. Individuals should contact the CHC team if they wish to request a retrospective review.

Where is NHS Continuing Healthcare provided?

If you are eligible, you can receive NHS Continuing Healthcare in any setting, for example:

  • In your own home – the NHS will pay for healthcare, such as services from a community nurse or specialist therapist, as well as personal care, such as help with bathing, dressing and laundry.
  • In a care home – as well as healthcare and personal care, the NHS will pay for your care home fees, including board and accommodation.

NHS Continuing Healthcare is free, unlike social and community care services provided by local authorities for which a charge may be made, depending on your income and savings.

What if my care needs change?

Your eligibility for NHS Continuing Healthcare will be reviewed regularly. If your care needs change, the funding arrangements may also change.

Advocacy and support

If you require assistance or advice relating to the process, the following organisations can offer support:

  • Healthwatch
  • Age UK
  • SEAP – can provide you with support if you wish to make a complaint regarding the Continuing Healthcare process.

Consent and authority to act

Before we can undertake the Continuing Healthcare assessment we have to gain your consent to access your health and social care records. If you are a family member or representative acting on behalf of an individual, we will also need to establish that you have the authority to act on the patient’s behalf.

Appeals

When a decision is sent to the client or representative, details of how to request an appeal are provided.

Appeal reasons should be submitted within six months of the date of the decision letter. The Continuing Healthcare team can support you with making an appeal and are happy to meet with you to discuss the Decision Support Tool domains, the level of need agreed and the rationale for the decision. The appeal information page details the appeal process for current assessments. The appeal process for previously unassessed periods of care is provided with the decision letter.

If you are unhappy with any part of the process relating to your Continuing Healthcare process please contact:

Continuing Healthcare Team
Email: Continuing Healthcare Team
Tel: 01803 210738

If they are unable to resolve your concerns they will signpost you to the Feedback and Engagement Team where you can raise a formal complaint.

If you are unhappy with a decision relating to Continuing Healthcare eligibility then this would be considered under the appeal’s process.

Useful links

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