Continuing Healthcare Guides and Resource Directory
This directory brings together Nellie Supports' NHS Continuing Healthcare guides, organised by stage. It is designed for solicitors, deputies, attorneys, case managers, families and professionals who need clear guidance on the CHC process, eligibility and funding, appeals and challenges, and retrospective claims. Use the sections below to find guides on the Checklist, the Decision Support Tool, primary health need, Fast Track, appeals and the Independent Review Panel, and retrospective and PUPoC claims
How to use this directory
The guides on this page are grouped into topic clusters so you can quickly move to the area most relevant to your needs. Within each cluster, you will find detailed articles answering common questions, explaining key legal and practical issues, and helping you understand what may be required before taking the next step.
Some guides are written for individuals and families who want straightforward explanations. Others are intended to support solicitors, deputies, case managers, healthcare professionals and other practitioners who need clearer technical guidance around assessments, evidence, reporting and decision-making.
What you will find here
Our resource library is designed to make complex subjects easier to follow. Depending on the topic, guides may explain legal tests, practical steps, evidential requirements, common misunderstandings, warning signs of dispute, or the differences between similar processes and services.
As the library grows, this directory will continue to act as the main access point for all guide clusters across the website, making it easier to explore related topics in a structured way rather than searching for pages individually.
Who these guides are for
This directory is intended for a wide audience. That includes people seeking support for themselves or a relative, professionals involved in legal or care-related decision-making, and referrers who want to better understand the issues before arranging formal input.
Because many situations involve overlapping legal, health, care and evidential questions, the guides are written to be informative without losing sight of real-world use. They are intended to support better understanding, not replace decision-specific professional advice where a formal assessment, report or legal opinion is required.
Browse our continuing health care guides
Choose a category below to jump directly to the relevant guide section. Each section brings together related NHS Continuing Healthcare guides by stage, helping families, solicitors, deputies, attorneys and professionals find the right information quickly
Evidence and reports
Appeals and redress
What Makes a CHC Decision Flawed?
Challenging a CHC Checklist Outcome
CHC Local Resolution Explained
The CHC Independent Review Panel Explained
Grounds of Appeal in CHC Decisions
Can You Appeal a Fast Track Decision?
Preparing for a CHC Resolution Meeting
What Happens at a CHC IRP Hearing
Who Can Appeal a CHC Decision?
Conditions and CHC funding
Alzheimer's Disease and CHC Funding
Vascular Dementia and CHC Funding
Lewy Body Dementia and CHC Funding
Frontotemporal Dementia and CHC Funding
Parkinson's Disease and CHC Funding
Motor Neurone Disease and CHC Funding
Huntington's Disease and CHC Funding
Multiple Sclerosis and CHC Funding
Spinal Cord Injury and CHC Funding
Learning Disability and CHC Funding
Eligibility and the legal test
The Four Key Characteristics in CHC
What does a well-managed need mean for CHC?
Health Need or Social Care Need in CHC
Does a Diagnosis Decide CHC Eligibility?
Who Decides CHC Eligibility and How
Nature of Need in CHC Explained
Intensity of Need in CHC Explained
Complexity of Need in CHC Explained
Unpredictability of Need in CHC Explained
The Coughlan Judgment Explained
Does Care Setting Affect CHC Eligibility?
CHC Eligibility for Adults Under 65
The 12 care domains
How CHC Domain Scores Affect Eligibility
The CHC Breathing Domain Explained
The CHC Nutrition Domain Explained
The CHC Continence Domain Explained
The CHC Skin and Tissue Viability Domain
The CHC Mobility Domain Explained
The CHC Communication Domain Explained
The CHC Psychological Needs Domain
The CHC Cognition Domain Explained
The CHC Behaviour Domain Explained
The CHC Medication Domain Explained
The assessment process
What Happens at a CHC Checklist Meeting
The 28-Day CHC Timescale Explained
Who Can Complete a CHC Checklist?
What a CHC Checklist Outcome Means
The CHC Multidisciplinary Team
MDT Recommendation vs ICB Decision in CHC
How to Prepare for a CHC Assessment
CHC Assessment and Hospital Discharge
What to Bring to a CHC Assessment
Can Family Attend a CHC Assessment?
