Continuing Healthcare

NHS Stockport CCG is responsible for NHS Continuing Healthcare and NHS-funded Nursing Care

What is NHS Continuing Healthcare?

NHS Continuing Healthcare in the name given to a package of services which is arranged and funded by the NHS for people outside hospital with ongoing health needs.  Continuing Healthcare can be provided in any setting, in a care home, or at home.

If the person is in their own home, this means that the NHS will pay for healthcare (eg services from a community nurse or specialist therapist and personal care (eg help with bathing, dressing and laundry).  In a care home, the NHS pays for the care home fees.

Anyone assessed as requiring a certain level of care need can get NHS Continuing Healthcare.  If the person’s overall care needs show that your primary need is health, the person should qualify for NHS Continuing Healthcare.

The primary health need is assessed by looking at all of the person’s care needs and relating them to four key indicators:

  • Nature– the type of condition or treatment required and its quality and quantity
  • Complexity– symptoms that interact, making them difficult to manage or control.
  • Intensity – one or more needs which are so severe that they require regular interventions
  • Unpredictability – unexpected changes in condition that are difficult to manage and present a risk to you or to others.

Personal health budgets

A personal health budget is an amount of money to support a person’s identified health and wellbeing needs, planned and agreed between the person and their local NHS team.

Our vision is to enable people with long term conditions and disabilities to have greater choice, flexibility and control over the health care and support they receive.

In October 2013 the Minister of State for Care & Support announced plans to strengthen Personal health budgets for people eligible for NHS Continuing Healthcare (NHS CHC).

In October 2014 the ‘right to have’ a personal health budget was introduced. This means that a ‘right to have’ will guarantee that people in receipt of NHS CHC and those transitioning in from social care or children’s services will have continuity of care in the services they receive.

Those people already eligible for NHS CHC are able to continue to access the services they are familiar with as they have more control and choice as to how their budget is spent and have the confidence to make decisions.

There may be some people for whom a personal health budget is not appropriate because, for example, their existing package of care is the best way of managing their needs. Equally the’ right to have’ doesn’t mean ‘must have’.  No one will be pressured to have a personal budget if they would prefer not to. Further guidance on the “right to have” will be published in the spring. NHS England will also be publishing guidance on direct payments in the NHS in the next few months.

If you or a family member would like to consider a personal health budget visit Personal Health Budgets for more information or contact the Continuing and Complex Healthcare Team – 0161 426 9906.