Continuing healthcare

What is continuing healthcare?

NHS continuing healthcare, also known as fully funded NHS care, is free care outside of hospital that is arranged and funded by the NHS. If you are eligible for NHS continuing healthcare, NHS Cornwall and Isles of Scilly will fund the care needed to meet your identified care needs.

Who is eligible for continuing healthcare?

Eligibility does not depend on a particular disease, condition, or diagnosis. Nor does it depend on where the care is provided, or by whom. If an assessment determines that you have a primary health need, you may be eligible.

You need to be aged 18 or older, and be assessed as having a certain level of care need to be entitled to NHS continuing healthcare. Assessments for eligibility will be made in accordance with the national framework for NHS continuing healthcare and NHS-funded nursing care.

Children and young people aged under 18 with complex health needs may be eligible for NHS continuing care funding.

What happens if I don’t meet the criteria?

Funded nursing care

For people in a nursing home who do not meet the funding criteria, they may be eligible for NHS funded nursing care. This is because the nursing fee includes an additional cost for the employment of registered nurses. The decision on whether you are eligible will be provided at the same time that a decision is made regarding your eligibility for NHS continuing healthcare.

Other health and social care services

If you have a medical need, you will continue to get health support through your GP or the community health team. If you have social needs, you can apply for help from Cornwall Council or the Council of the Isles of Scilly. The Cornwall Care Services directory can direct you to services that could help you more.

Continuing healthcare appeals

In order to receive funding for NHS continuing healthcare, you will have to be assessed. When the assessment results in a decision that you are not eligible, there is an appeal process.

If you are not happy with the decision, get in contact the team manager within 6 months of receipt of the written decision about your eligibility.

If they are unable to help you with your concerns, they will pass your details on to our appeals team. This will begin our local resolution process.

Independent review panel

If we have been unable to resolve your appeal, you can apply for a review of our decision. The NHS England independent review panel process is co-ordinated by the NHS continuing healthcare teams in each of the 4 regions of NHS England.

Broadcare

Broadcare is our database for continuing healthcare and funded nursing care information.

It is a database developed through our experience of working within the continuing healthcare sector.

Through this, we can:

  • understand what functions are needed
  • how to integrate them together
  • consider the issues for IT systems within primary care

With Broadcare, we can capture important patient data in a single place. Then, we can look at trends and create reports measuring our performance.

Freedom of information

The Freedom of Information Act 2000 gives a right of access to all types of recorded information held by public bodies, like the NHS. This includes information held by our continuing healthcare team. Find out more about our freedom of information process.

Before making a request, you may find the information you are looking for in the national benchmarking data.

The act does not give people access to their own personal data, such as their health records. If you want to see information that we hold about you, please make a subject access request.

Contact the team

If you would like to get in contact with the continuing healthcare team you can do so by using the following details.

Core team north and east

This team covers Restormel, Cardon and north and east Cornwall.

Daromaba House
Clemo Road
Liskeard
PL14 3XA

Call 01579 373838 or email the north team

Core team west

This team covers Carrick, Kerrier and Penwith.

Praze-an-Beeble Surgery
School Road
Praze-an-Beeble
Camborne
TR14 OLB

Call 01209 832400 or email the west team

Non-core team

Room 210 Cornwall Council offices
39 Penwinnick Road
St Austell
PL25 5DR

Call 01726 627962 or email the non-core team

Review and appeals team

Praze-an-Beeble Surgery
School Road
Praze-an-Beeble
Camborne
TR14 OLB

Call 01209 832406 or email the review and appeals team

Continuing healthcare useful links and websites

Previously unassessed periods of care

The previously unassessed periods of care group of clients were based on Department of Health and Social Care guidelines for periods between 1 April 2004 and 31 March 2012.

NHS Kernow met the deadline imposed by NHS England of giving yes or no answers to the 574 cases that they investigated. There are cohorts of patients who are appealing these decisions.

If you think you may have had a period of unassessed care after 31 March 2012, email the continuing health appeals team.

Frequently asked questions

Find answers to frequently asked questions about NHS continuing healthcare in Cornwall and the Isles of Scilly.

Multidisciplinary teams

Yes, Cornwall Council are invited to send a representative to all decision support tool (DST) assessments.

Continuing healthcare data

The data provided is counting all new DST decision events recorded, so is just continuing healthcare and not fast track:

  • 2018 to 2019: 868
  • 2019 to 2020: 558
  • 2020 to 2021: 300
  • 2021 to 2022: 529

The data provided relates to DST decisions for continuing healthcare referrals that had an outcome of yes:

  • 2018 to 2019: 593
  • 2019 to 2020: 380
  • 2020 to 2021: 240
  • 2021 to 2022: 349

The data provided is the number of adults that had at least 1 day of continuing healthcare fully funded care in the calendar year:

  • 2018 to 2019: 862
  • 2019 to 2020: 731
  • 2020 to 2021: 485
  • 2021 to 2022: 394

The data provided is a mean average. We take the total spend on NHS continuing healthcare fully funded packages in the year and divide by the number of packages that contribute to that spend:

  • 2018 to 2019: £19,610
  • 2019 to 2020: £23,675
  • 2020 to 2021: £37,154
  • 2021 to 2022: £39,659

The data provided is a mean average and filtered to only show information for personal health budgets:

  • 2018 to 2019: £25,312
  • 2019 to 2020: £26,411
  • 2020 to 2021: £41,334
  • 2021 to 2022: £40,556

Continuing healthcare

Continuing healthcare nurse assessors have employment contracts with NHS Cornwall and Isles of Scilly in line with Agenda for Change terms and conditions.

We use Broadcare, which is a patient database and SBS Oracle for invoicing.

Page last reviewed: 28 July, 2022

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