Somerset Clinical Commissioning Group
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continuing healthcare

What is 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 people who are not in hospital and who have complex ongoing healthcare needs.

Care arranged as part of NHS continuing healthcare can be provided in a variety of different settings including care homes, hospices or an individual’s home.

Who is eligible for NHS Continuing Healthcare?

To be eligible for NHS continuing healthcare, your main or primary need for care must relate to your health. For example, people who are eligible are likely to:

  • ·Have a complex medical condition that requires a lot of care and support
  • ·Need highly specialised nursing support

Someone nearing the end of their life is also likely to be eligible if they have a condition that is rapidly getting worse and may be terminal.

Find out more about eligibility for NHS continuing healthcare on the NHS Choices website

What is NHS Funded Nursing Care?

NHS funded nursing care is a payment made by the clinical commissioning group for the qualified nursing input provided for residents in a care home with nursing, who are not eligible for continuing healthcare funding.

Who is eligible for NHS Funded Nursing Care?

You are eligible for NHS-funded nursing care if:

  • you don’t qualify for NHS continuing healthcare care, and
  • you’ve been assessed as needing help from a registered nurse in a nursing home.

By law, local authorities cannot provide registered nursing care. For individuals in care homes with nursing, registered nurses are usually employed by the care home itself and, in order to fund their nursing care, the NHS makes a payment direct to the care home. This is called 'NHS Funded Nursing Care' and is a standard rate contribution towards the cost of providing registered nursing care to those individuals who are eligible.

How to apply for NHS continuing healthcare

The NHS carries out assessments, called a screening checklist, to determine whether a patient is eligible for continuing healthcare. This may be NHS staff who are involved in the patient’s care or who may have particular expertise in the patient’s condition.

If you would like an NHS fully funded continuing healthcare assessment for yourself, a family member or a person you care for you can speak to:

  • A member of the clinical team involved in your care
  • Your social worker (if applicable)

You can also contact the NHS Somerset CCG continuing healthcare team directly on 01935 384024 or email somccg.chc.fasttracks@nhs.net

You will be informed in writing whether you will be referred for a full assessment or whether you are not eligible for NHS continuing healthcare.

Find out more about assessments for NHS continuing care on the NHS Choices NHS Choices website

Personal Health Budgets

If you’re eligible for NHS continuing healthcare, you have the right to a personal health budget. These allow more choice and control over the services and care you receive and can be used to pay for a wider range of items and services, including therapies, personal care and equipment.

Find out more about personal health budgets on the NHS Choices website 

You can view or download our Personal Health Budgets leaflet  

See also our Integrated Personal Commissioning and Personal Health Budget Local Offer    

Appeals

If you are not eligible for NHS continuing healthcare, we will work with you and those assisting you, to ensure your care is delivered in the most appropriate way for you.

If you do not agree with the decision, you can raise your concerns with the NHS Somerset CCG Patient Advice and Liaison Service (PALS). They will pass your concerns on to the continuing healthcare team.

You can write to PALS at: PALS, NHS Somerset Clinical Commissioning Group, Freepost RRKL-XKSC-ACSG, Yeovil, Somerset BA22 8HR. Or phone them on 0800 0851 067, or email somccg.pals@nhs.net 

Continuing Healthcare Redress Guidance

Individuals can be reimbursed for care during periods they were eligible for, but did not receive, continuing healthcare support. This is known as a redress payment.

Please follow this link to access the refreshed NHS Continuing Healthcare Redress Guidance for clinical commissioning groups (CCGs). The purpose of this guidance is to assist CCGs when settling claims around NHS continuing healthcare.

If you think you are eligible for a redress payment please contact us in writing – The Continuing Healthcare Team, NHS Somerset Clinical Commissioning Group, Wynford House, Lufton Way, Yeovil BA22 8HR.NHS continuing healthcare is the name given to a package of care that is arranged and funded solely by the NHS for people who are not in hospital and who have complex ongoing healthcare needs.

Care arranged as part of NHS continuing healthcare can be provided in a variety of different settings including care homes, hospices or an individual’s home.


Further Information

Contact details for CHC Team

Useful documents and links



CONTACT US

Contact Somerset CCG by phone or email:

01935 384000

somccg.enquiries@nhs.net

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