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Continuing Healthcare (CHC) fast-track application

Understanding the fast-track NHS Continuing Healthcare process

Information for patients, relatives and carers

This leaflet answers some of the questions you may have about the fast-track NHS continuing healthcare application process from hospital.

What is NHS fast-track Continuing Healthcare?

Continuing healthcare (sometimes called CHC) is for adults. It is a funding programme for care arranged by your local NHS Integrated Care Board (ICB). If you are eligible for NHS continuing healthcare, it pays for care home fees or carers in your own home. This care is not means-tested, and you do not have to pay for it.

If you are very ill and rapidly getting worse, or nearing the end of your life, you may be able to receive NHS continuing healthcare more quickly through the fast-track pathway.

How do I get fast-track Continuing Healthcare?

To receive fast-track NHS Continuing Healthcare, a healthcare professional must assess your care needs. They will need to be trained in completing fast-track assessments. Our hospital teams will carry out these assessments and send the application forms to your local ICB. Please speak to the doctors or nurses looking after you if you have any questions or concerns.

The ICB will process your fast-track NHS Continuing Healthcare application. If they accept the application, they will arrange care for you as soon as possible using the resources available. This may be care in a care home or carers coming to your home. The ICB will take your care preferences into account but cannot guarantee a specific care provider.

Why do I have to share my personal information?

To make sure you receive the right care, doctors, nurses and care teams need to collect and share your personal information. This includes sharing information with nominated family members, friends and other named representatives.

You will be asked to give consent to share your personal information at the beginning of the application process.

If someone does not have mental capacity to give consent, a decision will be made in their best interests. This will follow the principles of the Mental Capacity Act.

Will my needs and care be reviewed?

Yes. If you receive fast-track NHS continuing healthcare, the ICB will carry out regular reviews of your needs and care package. The first review usually takes place within 6 to 12 weeks.

Independent advice and support

The process for NHS continuing healthcare can be complex. An organisation called Beacon offers free independent advice about NHS continuing healthcare.