Understanding CHC Funding

Continuing Healthcare (CHC) funding is a package of care arranged and funded entirely by the NHS for individuals who have primary healthcare needs.

It is designed to support people whose primary need is related to health rather than social care, ensuring they receive the appropriate level of care without having to fund it themselves.

CHC funding can cover the full cost of care in a residential care home, nursing home, hospice or even within an individual’s own home. Unlike means-tested social care funding provided by local authorities, eligibility for NHS Continuing Healthcare is based solely on a person’s health needs rather than their financial circumstances.

The process of applying for CHC funding can be complex and challenging. Many families find it difficult to understand the eligibility criteria, navigate the assessment process, and challenge decisions that they believe are incorrect. As a result, some individuals who may be entitled to funding are unsuccessful in their applications or fail to receive the support they need.

Eligibility for CHC funding is determined through a detailed assessment process. Initially, an individual will undergo a Checklist Assessment, which determines whether a full assessment is required. This can be requested for any individual with care needs

If they progress to the next stage, a multidisciplinary team will assess their needs using the Decision Support Tool (DST). This assessment considers various factors, including the nature, intensity, complexity, and unpredictability of the individual’s healthcare needs under specific healthcare need areas such as continence, nutrition or mobility.

Given the complexity of the assessment criteria, obtaining professional legal advice can be invaluable. At Wilson Browne Solicitors, we can assist individuals and families with NHS Continuing Healthcare funding applications and appeals. Our specialist team understands the legal framework surrounding CHC funding and can provide clear, practical guidance throughout the process.

We can assist and support families in reviewing CHC eligibility and assessment and also signpost and guide families through appeals processes where necessary.

We can be all the help you need. Contact us on 0800 088 6004 for any enquiries.