Documents relating to how we will make provision for the care of people who have been assessed as eligible for fully funded NHS continuing healthcare (CHC)
Your health & local services
Continuing Healthcare (CHC)
If you’re living with a significant or complex health need which means you require care over an extended period of time, you may be eligible to receive NHS continuing healthcare or NHS-funded nursing care.
This funding is available to adults over the age of 18 who have been assessed using the Department of Health’s National Framework for NHS Continuing Healthcare (CHC) and NHS-funded nursing care (FNC) and deemed eligible.
For children under the age of 18 it is referred to as Continuing Care. More information about funding criteria can be found on the Department of Health’s website
Bristol Community Health has detailed information about NHS Continuing Healthcare.
The Department of Health has information about the National framework for NHS continuing healthcare and NHS funded nursing care.
How do I know if I’m eligible for CHC?
The funding takes into account the nature, complexity, unpredictability and intensity of a person’s care needs. This is considered within a comprehensive assessment process including an initial screening to establish whether you’re eligible.
If you pass that screening, a CHC assessor will work with your family and primary healthcare team to collect the information they need to establish your eligibility for funding.
How is funding provided?
If you are eligible for funding it may be provided in one of two ways:
Continuing healthcare (CHC)
Under CHC, the NHS arranges and fully funds a package of health and social care to meet your needs. This can be provided in a number of settings including hospital, your own home, and care home environments.
The decision about where care is provided depends upon your wishes and/or the practicalities of providing adequate and appropriate care.
Funded Nursing Care (FNC)
If you’re living in a nursing care home, and are found eligible for funded nursing care, the NHS will provide a contribution towards the funding of registered nurse care.
For more information on NHS Continuing Healthcare and NHS funded nursing care in South Gloucestershire please contact:
The Continuing Healthcare Team
Bristol Community Health
Tel: 0117 330 0201
Commissioning Policy for Continuing Healthcare
This policy sets out the process Bristol, North Somerset and South Gloucestershire (BNSSG) CCGs will follow to commission and make provision for equitable, safe and effective care, for individuals who have been assessed as eligible for fully funded NHS Continuing Healthcare.
Previously un-assessed periods of care (PUPC) application
Please note that the deadline for submitting PUPCs is now closed, and that any applications we have received for previously assessed periods will be rejected, as instructed by the Department of Health.
If you’ve applied for a PUPC our initial aim was to complete these before April 2015, however, due to the unexpected demand and level of detailed work required for each case this date was extended to April 2017.
The factors influencing timescales for reviewing PUPCs include:
- the length of period to be considered
- the individual’s specific needs
- the availability of records from external organisations, e.g. care home or other services
- whether preliminary checks confirm that no assessment was needed, or
- the case is to be progressed to the next assessment stage
We feel it’s appropriate to prioritise PUPCs affecting our current patients. That’s why we’ll only consider applications on behalf of deceased people once applications for those still requiring care have been processed. We will then assess those other applications in the order that we’ve received them.
Once preliminary checks have been completed, we’ll contact you about the next stage.
To find out how your application is progressing, please contact Anne Pickford, Head of Continuing Healthcare at South Gloucestershire CCG, on 0117 947 4409 or via firstname.lastname@example.org. Please remember to put ‘PUPC update request’ in the email subject line.
Refreshed redress guidance
NHS England has published a refreshed NHS Continuing Healthcare (NHS CHC) Redress Guidance for CCGs, to be used when considering NHS CHC redress payments for individuals.
The purpose of this guidance is to assist CCGs when settling claims arising from NHS Continuing Healthcare eligibility decisions or where an eligibility decision has been reached on a previously un-assessed period of care in respect of NHS Continuing Healthcare.
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.
Once introduced, CCGs will continue to consider the specific circumstances of individual cases, as they do now, to ensure that all individuals are returned to the financial position they should have been in, if redress is considered appropriate.