Adults continuing healthcare
NHS Great Yarmouth and Waveney Clinical Commissioning Group
Who is the service for?
The service is for any individual who is registered with a GP within the NHS Great Yarmouth and Waveney CCG.
The service assesses individuals over the age of 18 for their eligibility to receive NHS Continuing Healthcare. The criteria applied are the National Framework for NHS Continuing Healthcare which is revised and updated periodically by the Department of Health.
Individuals clinically judged to be eligible to receive NHS Continuing Healthcare have a package of care commissioned for them by the CCG.
Care commissioned can be in any setting and may be a formally arranged package of care in an individual’s own home or care provided in a residential setting. Alternatively, individuals in receipt of NHS Continuing Healthcare have a right to have a Personal Health Budget.
How to contact us
NHS Continuing Healthcare Team
NHS Great Yarmouth & Waveney CCG
1 Beccles House
1 Common Lane North
For further information please go to Great Yarmouth and Waveney CCG.
How to refer to us
Referrals are accepted from patients and their representatives, health and social care professionals and care providers.
How to ask for a review of a decision if an individual is found not to be eligible to receive NHS Continuing Healthcare?
If it is decided that the individual is not eligible to receive NHS Continuing Healthcare after a full consideration that includes the completion of the Checklist for NHS Continuing Healthcare and the completion of a Decision Support Tool, written information will be sent to the individual or their representative to inform them and of how to request a review of the decision.
If you would like this decision to be reconsidered then please contact the PALs team via email - GYWCCG.Complaints@nhs.net.
The review will be completed by an independent organisation who have suitably qualified nurses to consider the process that has been followed and the decision. A peer review will be completed as part of the local resolution process and then if the individual remains dissatisfied with the outcome, they may be offered a ‘face to face’ meeting with the health professional who is co-ordinating the appeal process.
The next step is for the case to be heard by NHS England at an Independent Review Panel in Cambridge to which the individual/representative would be invited.
The final stage of the appeal process if the patient or their representative remains unhappy is to take your appeal to the Parliamentary Health Service Ombudsman (PHSO).
Complaints about the NHS Continuing Healthcare team/services commissioned by NHS Continuing Healthcare
The NHS Continuing Healthcare team welcomes feedback. If you would like to provide feedback please use the following email address:
How does the service change between Children’s Services and Adult Services?
The National Framework for NHS Continuing Healthcare is applicable once a child reaches their 18th birthday. There is a Framework for NHS Continuing Healthcare for adults and also a stand-alone one for children.
For children in transition to adult services, a consideration for NHS Continuing Healthcare will commence once the NHS Continuing Healthcare team for adults is alerted to the need for the consideration. This happens in most cases before the 18th birthday of the child. In most cases the consideration for NHS Continuing Healthcare will take place between the child’s 17th and 18th birthday to ensure that commissioning of care is efficient and effective throughout the transition.