Continuing Healthcare

Continuing healthcare (CHC) is a package of care that is arranged and funded by the NHS.

It may be provided to an individual aged 18 or over to meet their needs following disability, accident or illness. Care may be given in an individual’s own home, residential or nursing home, or another specialist care setting.

Eligibility depends on an individual’s assessed needs, not on any particular diagnosis or condition, so if your needs change, your eligibility for CHC may also change.

A team of healthcare professionals will assess if an individual has a ‘primary health need’ by looking at all of their care needs including the intensity, complexity and unpredictability.  The individual being assessed will be involved in the process and their views will be taken into account. Where appropriate, carers and/or family members may also be consulted.

Eligibility for CHC and how we work locally is guided by the


Contact the CHC team for your area

Bath and North East Somerset ↓

Address: Continuing Health Care Team, Milward House, 1 Bristol Road, Keynsham BS31 2BA

Telephone: 01225 831534


Swindon area ↓

Address: Continuing Healthcare Team, Swindon Clinical Commissioning Group, The Pierre Simonet Building, North Swindon Gateway, North Latham Road, Swindon, SN25 4DL

Telephone: 01793 683748


Wiltshire area ↓

Address: Continuing Healthcare Team, NHS Wiltshire Clinical Commissioning Group, Southgate House, Pans Lane, Devizes, Wiltshire, SN10 5EQ

Telephone: 01380 733865


Who are these services for?

CHC services are for people who, because of a primary health need, are eligible for NHS CHC. This includes all adults 18 and over who may have complex physical disabilities, learning disabilities and/or complex emotional and psychological needs.

CHC is not based on a particular diagnosis but on the needs which arise from a diagnosis. To determine a person’s needs a comprehensive health needs assessment is completed by multi-disciplinary health and social care professionals, using the national tools set out by the Department of Health.

Tools used in a CHC assessment:


Fast-track funding

In certain situations, a clinician may decide a person should be fast-tracked for CHC. During fast-tracking, a person avoids the full assessment process. A person may receive fast-tracked CHC if:

  • they have a rapidly deteriorating condition that may be terminal
  • their needs to be urgently met, for example to provide appropriate end of life support in their own home or care setting


NHS-funded Nursing Care

If your are not eligible for CHC, but are assessed as requiring nursing care in a care home, your may be eligible for NHS-funded nursing care. This means that the NHS will pay a contribution towards the cost of your registered nursing care.


Personal Health Budgets

From April 2014 anyone eligible for CHC wanting to have their care provided outside of a care home setting, will be able to receive the money they need to pay for their services as a Personal Health Budget (PHB), in the form of a Direct Payment.

This will give people a greater choice over how, when and who provides their care and support. A PHB can be discussed in detail with the Nurse Assessor responsible for your assessment.


Integrated Personalised Commissioning

The CCG is committed to the NHS Five Year Forward View, which sets out a vision for the future that includes greater control for patients and communities over their own health and care services.

Key to supporting the visions set out in the Five Year Forward View is the development of Integrated Personalised Commissioning (IPC). IPC is a new approach to joining up health, social care and other services, which builds on lessons learned from personal budgets in social care and PHBs.

Social care teams are working together to develop what will be offered to the local population by way of IPC and PHBs. Updates and further information will soon be published here.

Read here about two local case studies that highlight the opportunities PBHs and IPCs can offer patients.


Refreshed Redress Guidance

On 1st April 2015, NHS England published the refreshed NHS Continuing Healthcare – Redress Guidance.

This guidance is to be used by the CCG when considering NHS Continuing Healthcare redress payments for individuals. The document has been updated to reflect the ‘Principles for Remedy’ from the Parliamentary and Health Service Ombudsman (PHSO) for all public bodies. The guidance retains the principle of returning the individual to the financial position they would have been in had they been assessed as eligible and the need for redress identified.