NHS Sussex / ESCC

Continuing Healthcare

What it means for you

NHS Sussex / ESCC

Policy and Process

• National Framework for NHS Continuing Healthcare and NHS Funded Nursing Care, Revised November 2012

• NHS Continuing Healthcare Checklist, Revised November 2012

• Decision Support Tool for NHS Continuing Healthcare, Revised November 2012

• Fast track Pathway Tool for NHS Continuing Healthcare, Revised November 2012

• Practice Guidance, Frequently Asked Questions, Refunds Guidance, revised November 2012

www.dh.gov.uk/

NHS Sussex / ESCC

What is Continuing Healthcare?

• “Where a person’s primary need is a health need, they are eligible for NHS continuing healthcare. Deciding whether this is the case involves looking at the totality of the relevant needs.”

• “NHS continuing healthcare means a package of care that is arranged and funded solely by the NHS”

-National Framework definition

NHS Sussex / ESCC

Checklist

• Means for referral for a full CHC assessment

• Important to consider mental capacity and ensure that consent is obtained

• Involvement of service user/representative

• Completed by independent professional (Social Worker/ District Nurse/Com. Matron/GP etc)

NHS Sussex / ESCC

Decision Support Tool

• Decision Making Tool, rather than as assessment

• Importance of a multi-disciplinary approach (MDT)

• DST exists to support the MDT to consider if the person has a primary healthcare need

• The MDT includes a PCT and LA representative, and any other relevant professional

• Provider services are integral in providing information and evidence.

Practice Guidance

NHS Sussex / ESCC

Fast Track Tool

• “a rapidly deteriorating condition, which may be in a terminal phase”

• A means for ensuring that the persons care is not delayed unnecessarily

• Short term authorisation, until a full CHC assessment can take place

NHS Sussex / ESCC

Integrated CHC team

• Established April 2011

• PCT joined ASC in St Mary’s House, Eastbourne

• Purpose; to improve CHC process for the person, ensure an MDT compliant process, political change

• Team is growing rapidly with further PCT and ASC recruitment

NHS Sussex / ESCC

Role of the Integrated CHC team

• To carry out all CHC assessments and reviews with an MDT approach*

• To ensure effective case management for those funded under CHC

• ASC staff will also have additional responsibilities relating to Safeguarding Adults At Risk (SAAR) and Carers needs for those funded under CHC

* except for ASC Hospital Teams

NHS Sussex / ESCC

Your role in CHC

• Alert the professional to the need for a Checklist

• Support the MDT with gathering information for CHC assessment

• Liaise with Specialist Placement Team (SPT) (if appropriate)

• Return signed Contract to SPT or ICHT (if appropriate)

NHS Sussex / ESCC

Contacts

• For general CHC queries, please call the duty worker on 01323 466120

• Thank you for your time, any questions?