Appealing after a CHC decision has been accepted
Families frequently accept a decision because they did not know it could be challenged, or because they had no capacity to fight it at the time. Accepting a decision does not sign away …
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CHC
Browse guidance and practitioner perspectives on CHC. The articles below explain the relevant questions, evidence and practical considerations; check each article's date, sources and jurisdiction.
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Attendance Allowance and NHS Continuing Healthcare
Attendance Allowance can be affected when NHS Continuing Healthcare funds a care home placement. It can usually continue where CHC care is provided in the person’s own home. Tell the be…
Read moreCare home managers and CHC referral
Care home managers can provide valuable evidence about residents’ day-to-day needs and changes in their care. Raising possible NHS Continuing Healthcare eligibility helps ensure that th…
Read moreUsing 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…
Read moreCare 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 moreDoes the care setting affect CHC eligibility
CHC eligibility in England depends on assessed needs, rather than whether care is delivered at home, in a residential home or in a nursing home. The setting is relevant when planning ho…
Read moreHow to challenge a CHC Checklist that scored too low
A negative Checklist can be reconsidered by the ICB. Read the actual descriptors, identify factual errors and explain the relevant evidence. Because it is a screening tool, a positive r…
Read moreThe 28-day CHC timescale and what to do when it is missed
In England, the CHC eligibility decision should normally be made within 28 calendar days of the ICB receiving a positive Checklist or other notice of potential eligibility. This guide e…
Read moreNHS Continuing Healthcare and hospice care
Hospice services include inpatient care, care at home and specialist community support. When someone changes setting or needs a wider care package, clarify who will provide and fund eac…
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 moreNHS Continuing Healthcare and mental capacity
Mental capacity matters for particular decisions within the CHC process, such as an examination, sharing information with family and deciding care arrangements. The person should be sup…
Read moreNHS Continuing Healthcare and safeguarding
Safeguarding and CHC address different questions. If a funding dispute leaves someone without safe care, seek action on the care gap immediately and consider an adult safeguarding refer…
Read moreNHS Continuing Healthcare and supported living
Supported living separates housing from care, which is exactly why NHS Continuing Healthcare works differently there. The tenancy is the person's own, and the funding question concerns …
Read morePursuing a CHC appeal after the person has died
An NHS Continuing Healthcare challenge does not end when the person dies. It changes character, becoming a financial claim on behalf of the estate rather than a question about future ca…
Read moreTime limits for an NHS Continuing Healthcare appeal
There are time limits on challenging an NHS Continuing Healthcare decision, and missing one makes the process considerably harder. They are not absolute, but they are the starting point…
Read moreCHC funding at home versus in a care home
Eligibility for NHS Continuing Healthcare does not depend on where someone lives, but what the funding covers differs considerably between a care home and a person's own home. Both poin…
Read moreWhat happens at a CHC Checklist meeting
The CHC Checklist screens whether an adult in England needs a full eligibility assessment. This guide explains participation, the A, B and C descriptors, the referral threshold and how …
Read moreWhat a CHC Checklist outcome actually means
A Checklist outcome is frequently misread in both directions. Families are told they have been turned down when they have only been screened out, or told they have qualified when they h…
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