Using care plans as CHC evidence
A care plan records assessed needs and how care should be provided. It can help explain the support a person requires for CHC assessment, but its date, detail and consistency with daily…
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Care assessment
Browse guidance and practitioner perspectives on Care assessment. The articles below explain the relevant questions, evidence and practical considerations; check each article's date, sources and jurisdiction.
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Care records as CHC evidence
Daily care records can provide valuable evidence about what happened, what support was required and how needs varied. Read them alongside care plans, professional assessments and the pe…
Read moreCHC assessment and hospital discharge
Hospital discharge can involve quick decisions about care while a person’s longer-term needs are still becoming clear. Ask how CHC will be considered, who will fund interim support and …
Read moreThe other significant care needs domain in the CHC Decision Support Tool
This is the catch-all domain, intended for significant needs that do not fit within the other eleven. It is frequently left blank, and that omission can cost a genuine need its place in…
Read moreOrgan failure and NHS Continuing Healthcare funding
Advanced heart, kidney, liver or respiratory disease can involve continuing care needs, episodes of deterioration and complex treatment. The CHC assessment should describe the individua…
Read morePEG feeding and NHS Continuing Healthcare funding
Tube feeding can create nutrition, medication and related care needs, but it does not automatically establish CHC eligibility. The assessment should describe the actual feeding regime, …
Read moreSpinal cord injury and NHS Continuing Healthcare funding
Following spinal cord injury, a stable routine can still require substantial care and skilled support. CHC assessment should record the actual current needs, prescribed routines and ris…
Read moreStroke and NHS Continuing Healthcare funding
Stroke assessments are dominated by timing. Assess too early and needs reflect acute illness rather than the settled picture. Assess after a deferral that drifts, and the person may hav…
Read moreTracheostomy and NHS Continuing Healthcare funding
Tracheostomy care varies considerably. A CHC assessment should describe breathing independence, suction and other care, monitoring and emergency support required, using the exact breath…
Read moreCHC reviews: the 3-month and annual review
CHC reviews check whether a person's current needs are being met and whether the care plan remains suitable. In England, the first review should be within three months of the eligibilit…
Read moreWhat complexity of need means in a CHC assessment
Complexity in a CHC assessment concerns the way needs present and interact, and the skill required to monitor and manage care. Explain the actual interaction: which needs affect one ano…
Read moreWhy a diagnosis alone does not decide CHC eligibility
In England, CHC eligibility depends on assessed needs rather than a diagnosis, care setting or current funder. This guide explains how to describe the effects of a condition, the suppor…
Read moreDischarge to Assess and how it affects CHC
Discharge to assess means assessing longer-term care needs after a person leaves an acute hospital setting, once recovery and rehabilitation have been considered. In England, funding an…
Read moreThe four key characteristics: nature, intensity, complexity and unpredictability
In England, CHC assessment considers the nature, intensity, complexity and unpredictability of needs. One characteristic alone, or several together, may show a primary health need. This…
Read moreWhat an Integrated Care Board does in NHS Continuing Healthcare
The Integrated Care Board is the body responsible for NHS Continuing Healthcare in an area. It arranges the assessment, makes the eligibility decision, commissions the care and handles …
Read moreThe NHS England Independent Review Panel explained
NHS England can independently review an ICB's full CHC eligibility decision after local resolution. It considers the assessment process and the application of eligibility criteria. An i…
Read moreWhat intensity of need means in a CHC assessment
Intensity is often reduced to hours of care, which understates it. It covers quantity, severity and continuity together, and a need that is brief but overwhelming when it occurs can be …
Read moreLocal authority charging versus NHS funding
In England, CHC funds an agreed package without a means test, while councils may charge for Care Act support following a financial assessment. Other free-care rules and joint packages c…
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