Certification - Continuing Healthcare
NHS continuing healthcare (CHC) is a package of care provided outside of hospital. It is arranged and funded by Clinical Commissioning Groups (CCGs) for people aged 18 years and over who have significant ongoing healthcare needs and have been assessed as having a ‘primary health need’.
People who are assessed for CHC include those who need a very high level of support.
Some people may be reaching the end of their lives, or have long-term conditions as a result of a disability, accident or illness. When someone is assessed as eligible for CHC, their local CCG is responsible for funding their full package of health and social care.
This means that the CCG will find suitable care to meet someone's assessed needs. The CCG will always try to meet the patient and family’s preferences for the type and place of care provided and, where possible, will give options and choices that best match what people and their carers want.
GPs are often asked to provide Continuing Healthcare Reports. A GP is required to always act in the patient's best interests, and this information should only be provided with the patient's consent.
It is not obligatory to provide any report if it is:
- not part of the essential services as detailed in the GMS/PMS contract;
- not included in the Schedule 4 List of Prescribed Certificates under GMS regulations.
Where a simple statement of fact regarding major diagnoses and current medication is requested in order to assist a placement decision, we would confirm this falls within essential services and no fee should be charged i.e. for palliative care or to provide confirmation that will enable a clinical practitioner to make an individual decision about treatment or support concerning any patient.
We have developed a Continuing Healthcare Assessment Form form which practices may wish to use when you receiving requests.
Part 1 of this form clarifies information what should be provided free of charge as this is considered to form part of essential services. We believe this IS obligatory
Part 2 allows the GP to provide additional information that would be helpful. This is NOT obligatory but will not attract a fee. (i.e. do this bit out of good will if you wish but you don't have to.)
NB: We would suggest that where a full clinical assessment is required as part of a comprehensive care record, a consultant or other clinician in the multidisciplinary team should be asked to prepare this.