Continuing Healthcare (CHC)

Islington
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NHS Continuing Healthcare (CHC) is a package of care provided outside of hospital for adults aged 18 years and older who have significant ongoing healthcare needs.  

When a person is assessed as eligible for CHC, the NHS is responsible for funding the full care package either in their own home or in a care setting. If a person is not found eligible for CHC funding, they will be considered for NHS Funded Nursing Care (FNC).

NHS FNC is care provided by registered nurse for people who live in a care home. The NHS pays a flat rate contribution directly to the care home towards the cost of this registered nursing care.

NHS CHC in Islington

CHC service for Islington is delivered by Whittington Health CHC Team. 

Services provided:

  • Completes CHC assessments
  • Case management of individuals with complex care needs
  • Support individuals in self-management of care needs
  • Set up personal health budgets
  • Mental capacity assessments
  • Complete relevant assessments and documents in relation to application to the courts for Deprivation of Liberty in the community
  • Carry out regular reviews of care packages in and out of borough
  • Order specialist equipment which is outside of commissioned NHS care
  • Monitor the performance and quality of care delivered by commissioned care agencies and care in nursing homes
  • Work with acute hospitals in facilitating timely and safe discharges
  • Provides CHC training to relevant partners
  •  Work in collaboration with local authorities and other relevant clinicians to review individuals’ care needs
  • Holds CHC panels for consideration and ratification of CHC recommendation
  • Holds local resolution meetings to hear appeals
  • Attends independent review panel hearing when required
  • Work with safeguarding services within and outside of borough

Application for CHC assessment

The first step to CHC application is to screen if an individual requires a full CHC assessment. This is done by completing a NHS continuing healthcare checklist, which is a screening tool to help identify those people who are eligible for a full assessment for NHS continuing healthcare. This initial checklist can be completed by a variety of professionals who are knowledgeable in the checklist screening assessment, which may include:

  • GPs
  • Other health professionals
  • Social care workers

If the completed checklist shows that a CHC assessment is required by the Whittington Health CHC Team, a referral must be made to the CHC team using the completed checklist as the referral document.

How to refer for a CHC assessment

Email all positive checklists (indicate a CHC assessment is required) to the CHC team via email at continuingcare3@nhs.net

How to submit a completed DST to the CHC panel

If a CHC assessment is completed by any other MDT members, the DST and relevant papers must be submitted to the Whittington Health CHC Team.

A Continuing Healthcare Panel takes place weekly at 09:00 every Tuesday.

All DST and relevant papers must be submitted by 12:00 on the Monday before the panel.

To avoid delays, when submitting a DST for panel ratification, please ensure the following are provided:

  • Copy of signed consent for the assessment and information sharing
  • If applicable, mental capacity assessment form
  • Names of MDT members, their signatures and date of signatures
  • A clear MDT eligibility recommendation is made

Emal DST and relevant papers to continuingcare3@nhs.net

Fast track pathway

A fast track referral can be made to the CHC team for an individual who has a rapidly deteriorating condition and the condition may be entering a terminal phase.

The purpose of a fast track application is to enable an individual to receive full NHS funding for a care package to provide appropriate end-of-life support either in their own home or in a care setting. The CHC team will consider the application urgently to enable funding is approved for a relevant care package to meet the individual’s care needs.

Discharge to assess pathway 3 (D2A P3)

The Discharge to Assess Pathway 3 pathway aims to enable CHC assessments are completed in the community instead of in the hospitals.

The hospital setting is recognized as an institutional and unfamiliar place that can disable people, limiting their abilities to manage their activities of daily living independently which do not reflect a true picture of the individual’s health and care needs.

An individual is identified in the hospital as medically safe for discharge and has been screened using a NHS Checklist which indicates a CHC assessment is required.

The individual is discharged to own their own home or to an interim nursing home which is jointly funded by the local authority and the CCG.

The NHS Checklist may be re-checked two weeks after discharge to ensure their needs still trigger for a continuing healthcare assessments.

If a continuing healthcare assessment is still indicated, a CHC assessment will be undertaken by MDT in the individual’s own home or the interim nursing home.

How to refer to discharge to assess pathway 3 (D2A P3)

All completed NHS checklists and relevant papers are to be emailed to:

singlepointofaccessdischarge@islington.gcsx.gov.uk

t: 0207 527 4038

Discharge To Access
London Borough of Islington
3rd Floor 222 Upper Street
London
N1 1XR

CHC contact details 

Whittington Healthcare Continuing Healthcare Team
Hornsey Rise Health Centre
Hornsey Rise
N19 3YU

Kenneth Conroy
Continuing Healthcare Administrator
t: 0203 316 8706
e: Kenneth.conroy@nhs.net

Useful documents


Eligibility criteria

Inclusions

Individuals who are:

  • 18 years of age or older
  • Registered with an Islington GP

Exclusions

  • Individuals who are eligible for S117 whose primary care needs are mental health.
  • Individuals who are still undergoing active treatment or rehabilitation and has not reached their optimum recovery.

How to refer

The following clinicians can refer to this service: GPs

Editable PDF / Word document Download Form

Referral methods: Email