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Speak to a CHC Specialist
NHS Continuing Healthcare decisions can have significant financial implications for families.
Our CHC Eligibility Consultation & Action Plan provides independent advice so families understand whether NHS funding may apply before committing to private care costs.
Contact us to arrange your consultation and receive clear guidance on the next steps.
CHC Eligibility Consultation & Action Plan
Fixed Fee: £395
This service includes:
✔ Consultation with a specialist in NHS Continuing Healthcare assessments
✔ Review of the person’s current health needs and care arrangements
✔ Explanation of the CHC assessment framework
✔ Discussion of potential eligibility indicators
✔ Written CHC Action Plan outlining recommended next steps
When Families Request CHC Advice
Families commonly request advice when:
• A relative is entering or living in a care home
• Health needs have increased significantly
• The NHS or local authority has mentioned CHC eligibility
• A CHC Checklist has been suggested or completed
• Families want to understand whether the NHS should fund care
Understanding CHC eligibility early can prevent families paying care costs unnecessarily.
What Happens During the Consultation
The consultation is a structured discussion designed to explain the CHC framework clearly and practically.
During the consultation we will:
• review the person’s health needs and care requirements
• explain how the CHC Checklist assessment works
• discuss the role of the Decision Support Tool (DST)
• explain how the Primary Health Need test is applied
• identify potential indicators of CHC eligibility
• discuss realistic next steps and options
The aim is to provide families with clear understanding of the CHC process and their relative’s potential eligibility.
Your CHC Action Plan
Following the consultation, we provide a written CHC Action Plan summarising the key issues identified and the recommended next steps.
This may include:
✔ analysis of the person’s health needs in relation to CHC criteria
✔ explanation of the Primary Health Need test
✔ advice on whether a CHC Checklist assessment should be requested
✔ guidance on preparing for a Decision Support Tool (DST) assessment
✔ recommendations for further specialist support where appropriate
The purpose of the action plan is to provide clear direction before decisions are made about funding care privately.
Understanding NHS Continuing Healthcare
NHS Continuing Healthcare is a fully funded package of care arranged and funded by the NHS.
Eligibility is not based on diagnosis or where care is provided.
Instead, it depends on whether a person’s needs amount to a Primary Health Need.
The assessment process usually involves:
• a CHC Checklist screening assessment
• a Decision Support Tool (DST) completed by a multidisciplinary team
• a final decision by the Integrated Care Board (ICB)
You can learn more about the CHC assessment framework here:
Understanding the Primary Health Need Test
The central legal test in NHS Continuing Healthcare is whether a person has a Primary Health Need.
This considers four key characteristics:
• Nature of the needs
• Intensity of care required
• Complexity of needs
• Unpredictability of the condition
Where these characteristics indicate that needs are primarily health-related, responsibility for funding care rests with the NHS rather than the local authority.
You can read more about this test here:
Why Choose Nellie Supports for Your Care Funding Appeal?
We're not just another CHC Appeals provider. We’re with you every step of the way. As the UK’s largest private social work practice, we bring over 50 years of combined expertise, grounded in compassionate, person-centred care coupled with legal expertise
Yes. Our team works regularly with families navigating complex care funding situations, including NHS Continuing Healthcare assessments, local authority funding decisions and privately funded care arrangements.
This experience provides practical understanding of how health and social care systems operate in practice, including how eligibility decisions are made and how assessment processes are applied.
Our role is to help families understand the process clearly before significant financial decisions are made.
Nellie Supports is an independent social work practice. Our work is delivered by professionals registered with Social Work England or Social Care Wales and members of recognised professional bodies such as the British Association of Social Workers (BASW).
This means our work follows established professional standards, ethical practice frameworks and regulated professional conduct.
Yes. Care funding systems such as NHS Continuing Healthcare and local authority charging rules can be complicated and difficult for families to understand.
Our approach is to explain these processes clearly and without unnecessary jargon so families understand:
• how assessments work
• what decisions are based on
• what options may be availableClear understanding allows families to make informed decisions about care arrangements.
Yes. All costs are explained clearly before work begins.
You will know exactly what services are being provided and what they cost before committing to any work. If further support is required after the initial consultation, this will always be discussed and agreed in advance.
If you're acting as an attorney or deputy, you can pay for legal and financial advice using your loved one's funds—as long as it's in their best interests. Our solicitor can confirm this applies to your situation and ensure you're acting within your legal authority.
We don't work for Local Authorities, care homes, or the NHS. We work for you. Our advice is completely independent, focused on protecting your loved one's rights and interests, and delivered with the compassion and respect every family deserves.
NHS Continuing Healthcare Consultation
CHC Eligibility Consultation & Action Plan – Understand Whether the NHS Should Fund Care
When someone develops significant health needs, their care may be the responsibility of the NHS rather than the local authority.
This funding is known as NHS Continuing Healthcare (CHC).
Many families are unaware that CHC exists, or they are told their relative is not eligible without fully understanding how the assessment process works.
Our CHC Eligibility Consultation & Action Plan helps families understand whether NHS Continuing Healthcare may apply and what steps should happen next.
During the consultation we explain:
• how the NHS Continuing Healthcare assessment process works
• the purpose of the CHC Checklist and Decision Support Tool (DST)
• how the Primary Health Need test is applied
• when eligibility decisions may be incorrect or may warrant further review
The consultation provides clear guidance before families assume they must fund care privately.
Following the consultation, you will receive a written CHC Action Plan outlining the most appropriate next steps within the NHS Continuing Healthcare assessment process.