NHS Sussex / ESCC Continuing Healthcare What it means for you

NHS Sussex / ESCC Policy and Process National Framework for NHS Continuing Healthcare and NHS Funded Nursing Care, Revised November 2012 NHS Continuing Healthcare Checklist, Revised November 2012 Decision Support Tool for NHS Continuing Healthcare, Revised November 2012 Fast track Pathway Tool for NHS Continuing Healthcare, Revised November 2012 Practice Guidance, Frequently Asked Questions, Refunds Guidance, revised November

NHS Sussex / ESCC What is Continuing Healthcare? “Where a person’s primary need is a health need, they are eligible for NHS continuing healthcare. Deciding whether this is the case involves looking at the totality of the relevant needs.” “NHS continuing healthcare means a package of care that is arranged and funded solely by the NHS” -National Framework definition

NHS Sussex / ESCC Checklist Means for referral for a full CHC assessment Important to consider mental capacity and ensure that consent is obtained Involvement of service user/representative Completed by independent professional (Social Worker/ District Nurse/Com. Matron/GP etc)

NHS Sussex / ESCC Decision Support Tool Decision Making Tool, rather than as assessment Importance of a multi-disciplinary approach (MDT) DST exists to support the MDT to consider if the person has a primary healthcare need The MDT includes a PCT and LA representative, and any other relevant professional Provider services are integral in providing information and evidence. Practice Guidance

NHS Sussex / ESCC Fast Track Tool “a rapidly deteriorating condition, which may be in a terminal phase” A means for ensuring that the persons care is not delayed unnecessarily Short term authorisation, until a full CHC assessment can take place

NHS Sussex / ESCC Integrated CHC team Established April 2011 PCT joined ASC in St Mary’s House, Eastbourne Purpose; to improve CHC process for the person, ensure an MDT compliant process, political change Team is growing rapidly with further PCT and ASC recruitment

NHS Sussex / ESCC Role of the Integrated CHC team To carry out all CHC assessments and reviews with an MDT approach* To ensure effective case management for those funded under CHC ASC staff will also have additional responsibilities relating to Safeguarding Adults At Risk (SAAR) and Carers needs for those funded under CHC * except for ASC Hospital Teams

NHS Sussex / ESCC Your role in CHC Alert the professional to the need for a Checklist Support the MDT with gathering information for CHC assessment Liaise with Specialist Placement Team (SPT) (if appropriate) Return signed Contract to SPT or ICHT (if appropriate)

NHS Sussex / ESCC Contacts For general CHC queries, please call the duty worker on Thank you for your time, any questions?