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Writer's pictureMartyn Dawes

Understanding Continuing Health Care (CHC) Funding

Understanding Continuing Health Care (CHC) funding can be challenging, particularly when it comes to navigating the intricacies of health and social care funding. This blog post seeks to clarify CHC funding by explaining its definition, eligibility criteria, and its implications on care expenses for individuals in need of home care services in Cambridgeshire.


Private hospital bed

What is CHC funding?


Continuing Health Care (CHC) funding is a programme established by the government in England to offer financial assistance to individuals with substantial and continuous healthcare requirements. It caters to expenses related to healthcare services rather than social care. Therefore, if your main care needs stem from a medical condition, you could qualify for CHC funding.

One important aspect of CHC funding is that it is not subject to means testing. Unlike certain other types of financial assistance, qualification is not based on your income or savings but rather on the extent of your healthcare requirements.


Who Is Eligible for CHC Funding?


CHC funding eligibility depends on an assessment process that reviews your health requirements. The evaluation takes into account different factors such as:

  • Nature of Needs: Your health conditions and how they affect your daily life.

  • Intensity: The severity of your needs and how much support you require.

  • Complexity: Whether your needs are complicated by multiple conditions.

  • Unpredictability: How often your needs change or fluctuate.


To determine eligibility, a multidisciplinary team will conduct an assessment based on these criteria. If deemed eligible, you will receive full funding for your care costs—whether in a care home or through home care services.


The Assessment Process

The assessment process typically involves several steps:

  1. Initial Screening: A healthcare professional will conduct an initial screening to determine if a full assessment is necessary.

  2. Full Assessment: If required, a detailed evaluation will take place involving various professionals such as nurses and social workers.

  3. Decision Making: After the assessment, a decision will be made regarding eligibility based on the criteria mentioned earlier.

It's important to note that you have the right to appeal if you disagree with the outcome of the assessment.


How Does CHC Funding Affect Care Costs?


One of the most significant advantages of being awarded CHC funding is its impact on care costs. If you're eligible, all costs associated with your ongoing healthcare needs will be covered by the NHS. This includes:

  • Care Home Fees: If you require residential care in a nursing home or similar facility, CHC funding will cover these expenses entirely.

  • Home Care Services: For those who prefer to stay at home but need assistance with daily tasks due to health issues, CHC can fund home care services tailored to individual requirements.

This financial support can alleviate considerable stress for both individuals and their families as they navigate the often high costs associated with long-term care.


Common Misconceptions About CHC Funding


Despite its benefits, there are several misconceptions surrounding Continuing Health Care funding:


1. "I Need to Be Bedbound"

There is a common misconception that only individuals who are confined to their beds are eligible for CHC funding, but this is not accurate. Qualification is determined by the level of complexity and intensity of healthcare requirements rather than just physical mobility.

2. "It’s Only Available in Care Homes"

Although a large number of CHC recipients reside in settings such as nursing homes, some individuals are provided with personalised home care services funded by CHC in their own homes.

3. "I’ll Lose My Benefits"

Receiving CHC funding will not impact eligibility for other benefits like Personal Independence Payment (PIP) or Attendance Allowance; individuals can still apply for these benefits while receiving NHS-funded support.


Next Steps if You Think You Might Be Eligible


If you believe you may qualify for Continuing Health Care funding based on your health condition or that of a loved one, here are some steps to take:

  1. Contact Your Integrated Care Board (ICB): They can provide information about the assessment process and answer any questions regarding eligibility.

  2. Gather Medical Evidence: Collect relevant medical records and documentation that outline ongoing healthcare needs.

  3. Prepare for Assessment: Ensure that all necessary information about daily living activities and healthcare requirements is ready before undergoing an assessment.



CHC funding is essential for providing financial support to individuals with substantial healthcare needs, covering necessary expenses for their continuous treatment, whether in a care facility or receiving personalised home care services.

Determining your eligibility can greatly alleviate the financial challenges linked to chronic health issues and guarantee access to essential medical assistance. If you believe you meet the criteria for this beneficial aid, do not delay in contacting us to begin investigating your possibilities today!

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