NHS Funded Care
NHS Continuing Healthcare (CHC)
NHS Continuing Healthcare (CHC) is the name given to funding which is provided by the NHS for individuals outside of a hospital setting. Patients who receive CHC funding would be assessed as having substantial/ongoing primary healthcare needs. People can receive NHS Continuing Healthcare in any setting, including their own home or a care home. All funding would be provided by their Clinical Commissioning Group (CCG). Eligibility for NHS Continuing Healthcare funding is subject to a healthcare assessment and this funding is to allow the person’s health and social care needs to be supported.
Each Clinical Commissioning Group makes standard payments for CHC placements. CHC is not permanent funding and as a person’s eligibility can change, all CHC funded care packages are subject to routine review and assessment by CCGs, as per the National Framework. Guidance on the National framework for NHS continuing healthcare and NHS-funded nursing care can be found at this link: https://www.gov.uk/government/publications/national-framework-for-nhs-continuing-healthcare-and-nhs-funded-nursing-care.
NHS Funded Nursing Care
NHS Funded Nursing Care (FNC) may be offered when a person does not or no longer meets the CHC criteria but has nursing needs and lives in a nursing home. Nursing care is provided by a registered nurse and can include direct nursing tasks as well as planning, supervision and the monitoring of nursing to meet the person's needs. Where a local Council is part funding a care home placement the person may, depending on their income and savings, have to pay a contribution towards the cost of care or fully fund the care themselves. The CCG would however continue to pay the standard national rate for the nursing care element of a care package. This is also subject to routine review as per the National Framework.
NHS Funding without prejudice (FWP)
In September 2017, Bolton CCG introduced a Funding Without Prejudice (FWP) principle to help with prompt discharges of patients from Bolton NHS Foundation Trust to Bolton nursing homes. This is available to those individuals who are deemed to be medically stable, but still require nursing input following a full assessment for NHS Continuing Healthcare on the initial CHC checklist. Primary medical care is available to people discharged under FWP arrangements via a number of GP practices that have agreed with the CCG to support the nursing homes currently operating in the Bolton area.
Under the FWP arrangements, Bolton CCG can temporarily fund a person’s care home placement ‘without prejudice’ prior to further assessment taking place when the person is deemed to have settled sufficiently to be able to be clinically assessed for future ongoing need. At the assessment stage, it is determined by a Funded Care Team Assessor whether a person would be eligible for a full assessment for NHS Continuing Healthcare. This arrangement has helped to free up hospital bed availability and follows NHS England guidance that CHC/FNC assessments are best carried out in a community setting once a person’s care needs have stabilised.
Further information can be found on our Funding Without Prejudice leaflet.
Personal Health Budgets
A Personal Health Budget (PHB) could allow you to have more choice and control over the healthcare and support you receive. With a PHB, you decide how the funding for your care is spent (with agreement from CCG healthcare professional) so you can personalise it to your needs.
Who is eligible for a Personal Health Budget?
PHBs are available for individuals whose package of care is fully funded by Bolton CCG through a NHS Continuing Healthcare (CHC) arrangement. They may be living in their own home or a care home. Further information can be found on our website http://www.boltonccg.nhs.uk/patient-zone/personal-health-budgets
Fast Track NHS Funding
These are packages of care funded by Bolton CCG in urgent circumstances to allow a person’s care to be delivered at home or in a community setting e.g. care home. Fast Track NHS funding also supports discharge from hospital for patients who have been identified as reaching the end of their life and who wish to die at home surrounded by their loved ones.
NHS Bolton CCG Funded Care Team - Contact Information
You can get further information about NHS Continuing Healthcare from NHS Bolton CCG’s Funded Care Team which can be contacted by:
Telephone: 01204 462291
In writing: NHS Funded Care Team, NHS Bolton CCG, 3rd Floor, Lever Chambers, 27 Ashburner Street, Bolton, BL1 1SQ.