NHS Continuing Healthcare is free, unlike support provided by local authorities, no financial charge is made regardless of any income or savings the individual has.
If an assessment of an individual shows that there is a ‘primary health need’, then they should be eligible for NHS Continuing Healthcare. Once eligible for NHS Continuing Healthcare, your care will be funded by the NHS, this is however, subject to regular reviews, and, should your care needs change, the funding arrangements may also change.
Whether someone has a ‘primary health need’ is assessed by looking at all of their care needs and relating them to four key indicators:
Nature – this describes the characteristics and type of the individual’s needs and the overall effect these needs have on the individual, including the type of interventions required to manage those needs.
Complexity – this is about how the individual’s needs present and interact and the level of skill required to monitor the symptoms, treat the condition and/or manage the care.
Intensity – this is the extent and severity of the individual’s needs and the support needed to meet them, which includes the need for sustained/ongoing care.
Unpredictability – this is about how hard it is to predict changes in a individual’s needs that might create challenges in managing them, including the risks to the individual’s health if adequate and timely care is not provided