You will need to be assessed to find out if you can get NHS Continuing Healthcare. For most people, there are usually two steps involved:
- Step 1: an initial screening
- Step 2: a full assessment of eligibility
You are welcome to bring along a member of your family, a friend, carer or advocate to these assessments. Do also let the CHC team know if you need a signer or an interpreter.
This is usually carried out by a health or social care professional who knows you. You can be seen at a GP surgery, in a hospital, in a care home or your own home.
Staff will use a checklist to help assess your healthcare needs. They will look at your healthcare needs across 11 areas of need (domains) so they can complete this initial checklist.
They send this checklist to the CHC team at the CCG who decide if you are eligible to go onto the next step: the full assessment.
Please be aware that going on to have a full assessment does not mean that you will get funding. This is just the next step. Less than one in three people who pass the initial screening will be assessed as eligible for funding.
At the full assessment you will be seen by a multidisciplinary team of health and social care staff, such as doctors, nurses, therapists and social workers, who have been involved in your care.
During this detailed assessment the team will look at all aspects of your health and social care needs across 12 areas of need (domains). They will use something called a ‘Decision Support Tool (DST)’ to help them decide whether you have a ‘primary health need’. In particular, the team will look at:
- The type of condition or treatment needed
- How complex your condition is – for example, do you have symptoms that interact which make it difficult for you to manage or control them
- How intense your condition is – do you have one or more health needs so severe you need regular care and support
- How unpredictable your condition is – are there any unexpected changes that are difficult to manage and put you or others at risk.
The team assessing you will put forward their recommendations to the CHC team at your local CCG. The CCG will make a final decision.
You should be fully involved in the assessment process and kept informed throughout. Your views about your needs and support will be taken into account. Local authorities will also be able to contribute to the assessment process if you want them to.
You can view the NHS England video below to find out more about how the assessment process works.