After your initial screening you will be sent a letter explaining if you qualify or not for a full assessment. If you don’t, we will send you a letter giving the reasons why within 28 days. If you are unhappy about this, or have any concerns, you can contact the CHC team on 0300 123 4448. You also have the option to appeal – please see our How to appeal page [link] to find out more.
If you do go on to have a full assessment, the multidisciplinary team will make a recommendation to the CCG afterwards about whether or not they think you are eligible for funding. You should hear back within 28 calendar days of your assessment.
If you are eligible
If you are eligible for NHS Continuing Healthcare, the next step is to arrange a care and support package for you that meets your assessed needs. We will choose someone to work with you called a specialist practitioner. They will talk to you about the care and help you need and what we can do to meet your wishes. The specialist practitioner will be your main point of contact for any questions you may have. They will do everything to sort out the best package of care for you, including planning your care and paying for the services and support you need.
If you are eligible for CHC in your own home, the CCG will pay for:
- your healthcare costs, such as services from a community nurse or specialist therapist
- any associated social care costs, such as personal care and help with bathing.
If you are eligible for CHC in a care home, the CCG will pay for:
- Your care home fees, including accommodation and meals
Will my care be reviewed?
Yes. Normally, you will have a review three months after your successful assessment. After that it will be every year. This is to make sure that you are getting the right support and the care you are receiving still meets your needs. We can also make sure that you still need Continuing Healthcare.
If you aren’t eligible
We understand that it will be disappointing to find out you do not qualify for NHS Continuing Healthcare.
If you feel that your needs have been misrepresented or the outcome is unfair in any way you can appeal and ask for a review. You must do this within six months of receiving your decision letter. For more information, see our How to appeal [link to page] page.