NHS continuing healthcare assessment for adults

Find out how NHS continuing healthcare funding works for adults.

If you are an adult (age 18 or over), nurse assessors will establish whether you are, or someone you care for is, eligible for NHS continuing healthcare (CHC) funding.

They do this using a checklist and a decision support tool, as provided in the Department of Health National Framework, which helps them to work out whether you have a ‘primary health need’. 

The assessment process has two stages

1. NHS continuing healthcare checklist

The checklist helps 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.

If the Checklist shows that you require a full assessment for Continuing Healthcare, then you will be referred on to a Nurse Assessor to conduct the second stage of the assessment.

If you are registered with a Bristol GP 

You will be referred to a Nurse Assessor from Bristol Community Health. 

For more information about NHS continuing healthcare or NHS-funded nursing care in Bristol, please contact:

Continuing Healthcare Team
6th Floor, South Plaza
Marlborough Street
Bristol
BS1 3NX

Tel: 0117 4409040
Email: hart.admin@nhs.net

If you are registered with a South Gloucestershire GP 

You will be referred to a Nurse Assessor from Bristol Community Health. 

For more information about NHS continuing healthcare or NHS-funded nursing care in South Gloucestershire, please contact:

The Continuing Healthcare Team
Bristol Community Health 
Patchway Clinic
Thirlmere Rd
Patchway
South Gloucestershire
BS34 5PD

Tel: 0117 330 0201
Email: chcteam@nhs.net

If you are registered with a North Somerset GP 

You will be referred to a Nurse Assessor from North Somerset Community Partnership. 

For more information about NHS continuing healthcare or NHS-funded nursing care in North Somerset, please contact:

Funded Healthcare Team
North Somerset Community Partnership
Castlewood 
PO Box 237 
Tickenham Road 
Clevedon 
North Somerset 
BS21 9AX

Tel: 01275 546818 
Email: NSCPC.FundedHealthCare@nhs.net

The relevant CHC Nurse Assessor will work with you, your family or representative and all relevant professionals to collect the information they need to complete the assessment.

2. NHS continuing healthcare decision support tool

If you are eligible for a full assessment for NHS continuing healthcare, your needs will be assessed using the decision support tool.

The decision support tool sets out 12 areas to examine, that will be graded in accordance with your assessed level of need. The nature, complexity, intensity and unpredictability of your overall needs are also considered.

We will send our decision on eligibility for NHS continuing healthcare funding to you within 28 days of receiving a positive checklist. 

What happens if I need urgent care?

The Fast Track Pathway tool is used where an appropriate clinician considers that a person should be fast tracked for NHS CHC because that person has a rapidly deteriorating condition which may be entering a terminal phase. Appropriate clinicians are those who are responsible for an individual’s diagnosis, treatment or care and are registered medical practitioners such as consultants, registrars, GPs or registered nurses. 

The person may need NHS CHC funding to enable their care needs to be urgently met. The purpose of the Fast Track Pathway Tool is to ensure that individuals with a rapidly deteriorating condition, which may be entering a terminal phase, are supported in their preferred place of care as quickly as possible, either in their own home or in a care setting.

Referrals for Fast track need to be completed by an appropriate clinician and sent according to GP registration.

For more information about Fast Track in Bristol, please contact:

Tel: 0117 4409040
Email: chcprogrammenhsbristol@nhs.net

For more information about Fast Track in North Somerset, please contact:

Tel: 01275 546818 
Email: NSCPC.FundedHealthCare@nhs.net

For more information about Fast Track in South Gloucestershire, please contact:

Tel: 0117 330 0201
Email: chcteam@nhs.net

NHS continuing care for children

Children and young people with complex health needs may be eligible for NHS continuing care.

NHS Funded Nursing Care

Information about NHS Funded Nursing Care.