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NHS Continuing Healthcare
CHC EXPLAINED:
Everything Your Family Needs to Know
This page explains NHS Continuing Healthcare - what it is, who qualifies, how the assessment process works, and what you can do if your family has been turned down.
Not sure where to start?
That's exactly what the free consultation is for.
45 minutes with a Senior Registered Nurse who has been through this system for 40 years.
Or read more about CHC Funding here
Can Someone With Dementia Qualify for NHS Continuing Healthcare at Any Stage?
People with dementia can qualify for NHS Continuing Healthcare at any stage, but most do so when needs become clinically complex. Find out what triggers a referral and when to ask for an assessment.
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How Much Does Care Cost Without NHS Continuing Healthcare Funding?
Care home fees in England can exceed £100,000 per year. NHS Continuing Healthcare removes that cost entirely, with no means test. Find out what care costs without it, and how to get the funding in place.
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NHS Continuing Healthcare Funding for Mental Health Needs: Is It Possible?
NHS Continuing Healthcare is not just for physical conditions. Find out when mental health needs qualify, how the assessment works differently, and what Section 117 means for your situation.
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What Medical Conditions Qualify for NHS Continuing Healthcare Funding?
NHS Continuing Healthcare is not based on diagnosis, but certain conditions frequently meet the threshold. Find out which conditions qualify and what the assessment actually looks at.
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Can You Claim Back Care Home Fees After a Family Member Has Died?
Retrospective NHS Continuing Healthcare claims can be made after a person has died, and can go back up to 14 years. Find out who can make a claim and how the process works.
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NHS Continuing Healthcare Funding for End-of-Life Care: What You Should Know
When time matters most, NHS Continuing Healthcare Fast Track can put funding in place within days. Find out how to access it, what it covers, and what to do if the application is refused.
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NHS Continuing Healthcare Funding for Care Homes: What Families Need to Know
NHS Continuing Healthcare covers the full cost of care home fees with no means test. Find out how to access it, what it covers, and how to reclaim fees already paid privately.
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Common NHS Continuing Healthcare Application Mistakes to Avoid
Most NHS Continuing Healthcare refusals share the same avoidable mistakes. Find out what they are, why they happen, and how to make sure none of them affect your outcome.
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What Questions Will the NHS Continuing Healthcare Assessor Ask?
NHS Continuing Healthcare assessors work through 12 specific domains. Find out what they ask in each one, what they are really looking for, and how to give answers that accurately reflect your loved one's needs.
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How to Prepare for an NHS Continuing Healthcare Assessment Visit
Find out how to prepare for an NHS Continuing Healthcare assessment, what the assessors are looking for, and the mistakes that cost families their funding.
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What Documents Do You Need for an NHS Continuing Healthcare Application?
Preparation is one of the most powerful things a family can do before an NHS Continuing Healthcare assessment. Having the right documents and evidence ready, and knowing how to present them within the assessment framework, can significantly improve the outcome. Why does documentation matter? The NHS Continuing Healthcare assessment is based on a structured clinical framework. The assessors score the person's needs across 12 domains using the Decision Support Tool (DST). Each
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NHS Continuing Healthcare Funding for Dementia: Does It Cover Care Home Costs?
Dementia frequently qualifies for NHS Continuing Healthcare, yet many families are wrongly refused. Find out what is assessed, whether care home costs are covered, and what to do if you have been turned down.
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How Hard Is It to Get NHS Continuing Healthcare?
NHS Continuing Healthcare is a legal entitlement, but getting it recognised is harder than it should be. Find out why so many applications are refused and what genuinely improves the outcome.
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What Are the 4 Criteria for NHS Continuing Healthcare?
Nature, intensity, complexity, unpredictability: the four criteria that determine whether a primary health need exists for NHS Continuing Healthcare. Find out what each one means for your case.
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What Is the NHS Continuing Healthcare Checklist and How Does It Work?
The NHS Continuing Healthcare Checklist is the first and most important gate in the assessment process. Understand how it works, what is assessed, and what to do if the outcome is wrong.
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Why Use a Nurse Advocate Instead of a Solicitor?
CHC is not a legal claim. It is an NHS health entitlement (determined through a clinical assessment process). The grounds for challenging a refusal are clinical (not legal): incorrect scoring of needs, failure to apply the nature/intensity/complexity/unpredictability framework, clinical evidence not considered. A registered nurse with specialist CHC experience is better placed to make those arguments than a solicitor (because they speak the same language as the assessors, und
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What Does a CHC Nurse Advocate Do?
A CHC nurse advocate provides specialist support throughout the CHC process (from the initial Checklist through to appeals and retrospective claims). Unlike a solicitor or a general advocate, a nurse advocate understands the clinical framework of CHC from the inside. The CHC assessment is a clinical process, evaluated against clinical criteria, by clinical professionals. The strongest advocacy is clinical advocacy (presenting evidence in the framework and language that assess
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Can You Make a CHC Claim After Someone Has Died?
Yes. Retrospective CHC claims can be made after a person has passed away. This is one of the most important (and least widely known) aspects of the CHC system. Many families who funded care privately for a deceased parent or spouse are unaware that they may be entitled to reclaim a significant portion of those costs. SG67 handles retrospective CHC claims on a no-win no-fee basis. There is no upfront cost, and no fee if the claim is unsuccessful.
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Can You Claim Back Care Home Fees Paid Privately?
Yes (in many cases, yes). If a person was paying for care during a period when they should have qualified for CHC funding (and an NHS assessment either did not take place, or was carried out incorrectly) a retrospective claim can be made to recover those costs. Retrospective claims can go back up to 14 years in some circumstances. The claim requires a review of the person's medical and care records from the relevant period, to establish whether their needs at the time would h
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How Often Is NHS Continuing Healthcare Funding Reviewed and Can It Be Withdrawn?
Yes. CHC funding is not permanent. NHS Continuing Healthcare (CHC) funding is officially reviewed within 3 months of the initial approval and at least every year thereafter. The primary purpose of these regular reviews is to ensure that the current care package is still appropriate and continues to meet the individual's assessed needs. If the ICB believes needs have reduced below the CHC threshold, funding can be withdrawn. Withdrawals can be challenged in the same way as re
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