Guidance

National framework for NHS continuing healthcare and NHS-funded nursing care

This guidance sets out the principles and processes of the national framework for NHS continuing healthcare and NHS-funded nursing care.

Documents

What is NHS continuing healthcare? Easy Read

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NHS continuing healthcare: checklist (2018)

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Details

The national framework for NHS continuing healthcare and NHS-funded nursing care sets out the principles and processes for deciding eligibility. 

The checklist, decision support tool and fast track pathway tool will help clinicians and practitioners with the decision-making process.

The delayed discharges (continuing care) directions 2013 detail the duties on NHS trusts in relation to hospital discharge and NHS continuing healthcare.

NHS continuing healthcare is an ongoing package of health and social care that is arranged and funded solely by the NHS where an individual is found to have a primary health need. Such care is provided to an individual aged 18 or over to meet needs that have arisen as a result of disability, accident or illness.

2018 revision

The 2018 version of the national framework document and the associated tools took effect on 1 October 2018. They supersede the 2012 versions, however the 2012 tool documents should still be used where appropriate.

Published 28 November 2012
Last updated 5 October 2018 + show all updates
  1. 'National framework for NHS continuing healthcare and NHS-funded nursing care (2018)' and 'NHS continuing healthcare: decision support tool (2018)' have been updated with information on the importance of consent to satisfy the common law duty of confidentiality. The equality analysis document has been removed and 'What is NHS continuing healthcare? Easy Read' has been updated to reflect the 2018 version of 'National framework for NHS continuing healthcare and NHS-funded nursing care'.
  2. The ‘NHS continuing healthcare: decision support tool (from Oct 2018)’ document has been updated. Paragraphs 31 and 32 have been corrected to match the wording of the 2016 version of the decision support tool.
  3. The delayed discharges (continuing care) directions 2013 have been added.
  4. Added the following documents, which will be implemented on 1 October 2018: 'National framework for NHS continuing healthcare and NHS funded nursing care (from Oct 2018)' 'NHS continuing healthcare: checklist (from Oct 2018)' 'NHS continuing healthcare: decision support tool (from Oct 2018)' 'NHS continuing healthcare: fast track pathway tool (from Oct 2018)'
  5. A question has been added to the decision support tool to find out if its completed while the individual concerned is in an acute hospital setting.
  6. Added delayed discharges directions
  7. National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care (Revised November 2012): Equality Analysis document added.
  8. First published.