Continuing Healthcare (CHC)

NHS Continuing Healthcare (CHC) is an ongoing package of health and social care that is arranged and funded solely by the NHS where an individual is found to have a ‘primary health need’.

Care is provided to an individual aged 18 or over to meet needs that have arisen as a result of disability, accident or illness. Care can be provided in the person’s own home, residential or nursing home or other specialist care setting.

Eligibility for CHC and how we work locally is guided by the

National Framework for CHC and FNC October 2018 Revised

Easy Read Guide – 2018 National Framework for NHS Continuing Healthcare

The CCG and the Council have commissioned Virgin Care to provide a nursing team to assess, review and provide ongoing case management of individuals in receipt of CHC:

Continuing Health Care Team, Milward House, 1 Bristol Road, Keynsham BS31 2BA

Telephone: 01225 831534

CCG Commissioned Services include:

  • Individual packages of care and support in people’s own homes
  • Nursing or residential placements, including specialist care settings

The CCG has a statutory responsibility for ensuring the quality and safety of care provided through 24 hour placement or domiciliary care, also ensuring Virgin Care follow the National NHS Continuing Healthcare Framework and guidance.

Who are these services for?

CHC services are for people who, because of a primary health need, are eligible for NHS CHC. This includes all adults 18 and over who may have complex physical disabilities, learning disabilities and/or complex emotional and psychological needs. CHC is not based on a particular diagnosis but on the needs which arise from a diagnosis. To determine a person’s needs a comprehensive health needs assessment is completed by multi-disciplinary health and social care professionals, using the national tools set out by the Department of Health.

Tools used in a CHC assessment:

NHS-funded Nursing Care

This is funding provided by the NHS to care homes that are providing care by a registered nurse. Since 2007 NHS-funded nursing care has been based on a single band rate. In all cases individuals should be considered for NHS Continuing Healthcare before a decision is reached about the need for NHS-funded Nursing Care. This is paid directly to the care home.

Personal Health Budgets

From April 2014 anyone eligible for CHC wanting to have their care provided outside of a care home setting, will be able to receive the money they need to pay for their services as a Personal Health Budget (PHB), in the form of a Direct Payment.

This will give people a greater choice over how, when and who provides their care and support. A PHB can be discussed in detail with the Nurse Assessor responsible for your assessment.

CCG Continuing Health Care contact details:

Bath & North East Somerset CCG, Quality & Nursing Directorate, St Martin’s Hospital, Clara Cross Lane, Bath BA2 5RP

Telephone: 01225 831800

Personal Health Budget Policy

Integrated Personalised Commissioning

The CCG is committed to the NHS Five Year Forward View, which sets out a vision for the future that includes greater control for patients and communities over their own health and care services.

Key to supporting the visions set out in the Five Year Forward View is the development of Integrated Personalised Commissioning (IPC). IPC is a new approach to joining up health, social care and other services, which builds on lessons learned from personal budgets in social care and PHBs.

Social care teams are working together to develop what will be offered to the local population by way of IPC and PHBs. Updates and further information will soon be published here.

Read here about two local case studies that highlight the opportunities PBHs and IPCs can offer patients.

Refreshed Redress Guidance

On 1st April 2015, NHS England published the refreshed NHS Continuing Healthcare – Redress Guidance. This guidance is to be used by the CCG when considering NHS Continuing Healthcare redress payments for individuals. The document has been updated to reflect the ‘Principles for Remedy’ from the Parliamentary and Health Service Ombudsman (PHSO) for all public bodies. The guidance retains the principle of returning the individual to the financial position they would have been in had they been assessed as eligible and the need for redress identified.