How Much Money has the NHS Set Aside for Continuing Healthcare?


NHS Continuing Healthcare Funding (CHC Funding) is a package of care provided outside of hospital that is arranged and funded solely by the NHS for individuals with significant, ongoing healthcare needs. But how much money is actually reserved for Continuing Healthcare Funding?

The Department of Health and NHS England have said that there is no cap on access and no plans to change the eligibility criteria. However, the proportion of people assessed as eligible for standard (as opposed to fast track) Continuing Healthcare Funding fell from 34% in 2012 to 29% in 2016.

Given the ageing population, one would expect this figure to increase, rather than decrease, and therefore the evidence suggests that it’s becoming more difficult to obtain funding. NHS England estimates that by 2021, around £6 billion will be spent on Continuing Healthcare Funding, up from £4.7 billion in 2017.

To find out if you’re eligible for NHS Continuing Healthcare Funding, or to claim back care home fees already paid, which should have been funded by Continuing Healthcare Funding, get in touch with our Care Home Solicitors for legal advice.

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Is Getting CHC Funding Too Complicated?

The Department of Health is responsible for the legal framework for NHS Continuing Healthcare Funding (CHC Funding), Clinical Commissioning Groups (CCGs) are responsible for assessing eligibility and NHS England is responsible for making sure the CCGs comply with the national framework. The problem is that many people are unaware that this funding exists and those that are may struggle to navigate a hugely complicated process to access funding.

A report published by the House of Commons Committee of Public Accounts in January 2017 revealed that people were waiting too long to find out if they were eligible for Continuing Healthcare Funding and that some were not receiving the funding they were entitled to.

The Committee found that 78% of health professionals believe the system is difficult for patients and their families to navigate, and that this often results in people feeling exhausted by the complexity and length of the process.

One of the main reasons given for this was that the NHS Continuing Healthcare Funding (CHC Funding) assessment tools are unclear and open to a wide range of interpretation. This may be one explanation for the variation in eligibility rates across the UK.

For more information see NHS Continuing Healthcare Funding explained.

We’ve Recovered over £12 Million in Care Home Fees for Clients

Our Care Home Lawyers have specialist expertise in continuing healthcare assessments and appeals. We can guide clients through the process, removing much of the stress involved and improving the chance of a successful outcome.

Since 2013, our Care Home Solicitors have recovered over £12 million in care fees for our clients. If you’d like to discuss how we may be able to help you, please get in touch for an informal, no obligation chat.

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