GP Zone

Assessment for CHC Eligibility

What does an assessment involve?

The assessment for continuing healthcare eligibility has two stages:

Stage one: Continuing healthcare checklist

A checklist will help to identify whether or not you are eligible for a full assessment. It must be completed by a practitioner who has suitable training. This could be a social worker or a healthcare professional such as a district nurse.

If the checklist indicates that you require a full assessment then your case will be looked at by the continuing healthcare team who will ensure that the second stage in the process is undertaken.

Stage two: Completion of decision support tool

A continuing healthcare nurse assessor will undertake the second stage of the process by undertaking a detailed assessment and completing a decision support tool (DST). This tool is designed to look at the nature, complexity, intensity and unpredictability of your health needs by examining 12 areas including mobility, cognition and communication. You and your relatives will be invited to attend the assessment and you will be given the opportunity to review the completed DST ahead of the CHC team making the decision whether you are eligible for NHS continuing healthcare funding.

From receiving the completed checklist, the CHC team has 28 days in which to reach a decision regarding your eligibility for NHS CHC funding.

If you are deemed as being eligible for continuing healthcare funding, then your on-going eligibility will be reviewed after three months and then, at least, annually.

Urgent care

If you need an urgent package of care because of a rapidly deteriorating condition which may be entering an end of life stage, we will use the fast-track tool instead of the two stage process outlined above.