NHS Continuing Care Funding

NHS Continuing Care Funding

NHS continuing healthcare is a package of care which is arranged and funded solely by the NHS to meet physical and/or mental health needs that have arisen because of disability, accident or illness. You can receive continuing healthcare in any setting, including your own home or a care home.

NHS continuing healthcare is free, unlike social care help from the Directorate for Adults, Health and Wellbeing, for which a financial charge may be made depending on your income and savings. Anyone assessed as having a certain level of care needs may receive NHS continuing care. It is not dependent on a particular disease, diagnosis or condition, or on who provides the care or where that care is provided.

If your overall care needs show that your primary need is a health need, you should be eligible for NHS continuing healthcare. Our social workers and care managers will be able to advise you further on this area.

Not everyone with ongoing health needs is likely to be eligible but there are times when it could appear you may have a need for such care:

  • when you are ready to be discharged from hospital and your long term needs are clear
  • once a period of intermediate care or rehabilitation or other NHS-funded services, offered at the end of a period of acute hospital treatment, has finished and it is agreed no further improvement in your condition can be expected
  • your eligibility must be considered before a decision to find a permanent place in a nursing home is made
  • whenever your health and social care needs are being reviewed as part of a community care assessment
  • if your physical or mental health deteriorates significantly and your current level of care – at home or in a care home – seems inadequate
  • when, as a resident of a nursing home, your nursing care needs are being reviewed. This should be undertaken at least annually if you have a rapidly deteriorating condition with an increasing level of dependency and may be approaching the end of your life.

In these circumstances you should raise the issue of NHS continuing care eligibility and possible application of the checklist tool with discharge staff, staff co-ordinating your intermediate care, your GP or social services.