What is NHS Continuing Healthcare
NHS Continuing Healthcare means a package of ongoing care that is arranged and funded solely by the NHS where the individual has been found to have a 'primary health need'. Such care is provided to an individual aged 18 or over, to meet needs that have arisen as a result of disability, accident or illness. The actual services provided as part of the package should be seen in the wider context of best practice and service development for each client group. Eligibility for NHS continuing healthcare places no limits on the settings in which the package of support can be offered or on the type of service delivery.
Where an individual has a primary health need and is therefore eligible for NHS continuing healthcare, the NHS is responsible for providing all of that individual's assessed health and social care needs.
This information, and further details, come from the National Framework for NHS Continuing Healthcare and NHS-Funded Nursing Care (available in the documents section of this website).
Clinical Commissioning Groups
In accordance with regulations, CCGs are responsible for assessing, reviewing and paying for Continuing Healthcare for residents within their area. This must be done in accordance with the National Framework for NHS Continuing Healthcare and NHS-Funded Nursing Care. Local operating procedures must adhere to the framework.
In Hampshire, there is an agreement between five CCGs to have one Continuing Healthcare Team. This is hosted by West Hampshire CCG. The other CCGs involved are:
Fareham and Gosport CCG
North East Hampshire and Farnham CCG
North Hampshire CCG
South Eastern Hampshire CCG
Whilst West Hampshire CCG performs the role for the other four CCGs, including the complaints procedure, it must be remembered that the local CCG has ultimate responsibility for the commissioning. As a result, it is possible to refer matters to them if needed. It is their decision whether to review matters for themselves as they are accountable for the actions of West Hampshire CCG.
This website focuses on the processes within this group. However, the policies of all CCGs will be broadly similar, including those of the other Hampshire CCGs (Isle of Wight CCG, Portsmouth CCG and Southampton CCG).
Appeals against decisions can be made to the CCG as part of the local resolution process. If required, appeals can be taken further to an Independent Review Board and the Parliamentary Health Service Ombudsman. Details of these processes can be found in the framework document.