Do you need to apply for NHS continuing healthcare?

NHS Continuing Healthcare

In October 2007 the Government implemented a National Framework for NHS Continuing Healthcare which was previously used by NHS Primary Care Trusts to identify those individuals who are eligible to have their care packages fully funded by the NHS. This document superseded any local eligibility criteria (previously the Greater Manchester Strategic Health Authority eligibility criteria for Continuing Health Care).

The revised 2018 National Framework sets out the principles and processes of NHS Continuing Healthcare and NHS-funded Nursing Care. This guidance replaces the previous version of the National Framework, published in November 2012, and will be implemented on 1 October 2018.  This revised 2018 National Framework follows an extensive period of external engagement with stakeholders, across the NHS, Local Authorities, and patient representative groups. The 2018 National Framework has been collaboratively written by the Department, NHS-England and Local Authorities.

The 2018 National Framework is intended to provide greater clarity to individuals and staff, through a new structure and style. There are no legislative changes since the 2012 National Framework was published, however changes made reflect the implementation of the Care Act 2014 and provide clarity in a number of policy areas to promote an open and transparent process of assessment and decision making in respect of an individual’s eligibility for NHS funding.

The National Framework relates to all adults over the age of 18.

Eligibility Criteria

National Framework [pdf] 884KB

Choice Policy [pdf] 119KB

Documentation

Public Information Leaflet [pdf] 607KB

Checklist [docx] 207KB

Decision Support Tool [docx] 238KB

Fast Track Tool [docx] 144KB

Flowchart [pdf] 38KB

Delayed Discharges [pdf] 48KB

Funded Care Local Resolution Process [pdf] 44KB

 

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