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Continuing healthcare

NHS continuing healthcare is for children, young people and adults if they have care needs caused by: 

  • Disability 
  • Accident 
  • Illness 

These needs can't be met by existing universal or specialist services alone. 

To be eligible for NHS continuing healthcare, the child, young person or adult must be assessed by a team of healthcare professionals (a multidisciplinary team). 

The team will look at all the care needs and relate them to:

  • What help is needed 
  • How complex the needs are 
  • How intense the needs can be 
  • How unpredictable they are. This includes any risks to health, if the right care isn't provided at the right time

For most people, there's an initial checklist assessment. This is used to decide if the child, young person or adult needs a full assessment. Depending on the outcome of the checklist, the child, young person or adult will either be told: 

  • They do not meet the criteria for a full assessment of NHS continuing healthcare. Therefore, they are not eligible 
  • They will be referred for a full assessment of eligibility 

The assessment will consider needs under the following headings:

  • Breathing
  • Nutrition (food and drink)
  • Continence
  • Skin (including wounds and ulcers)
  • Mobility
  • Communication
  • Psychological and emotional needs
  • Cognition (understanding)
  • Behaviour
  • Drug therapies and medication
  • Altered states of consciousness
  • Other significant care needs 

These needs are given a weighting marked: 

  • Priority 
  • Severe 
  • High 
  • Moderate
  • Low 
  • No needs 

Depending on the situation, different options could be suitable. This could include support in the child, young person or adult’s own home, and the option of a personal health budget. 

Referral information: A health professional that knows the child/young person well, and has identified the child/young person as having an increased health need can contact the Continuing Care team who will ask the professional to complete a pre-assessment checklist and gain consent from the parent/carer to refer.

Norfolk services that support children with continuing healthcare:

Norfolk services that support young adults with continuing healthcare:

  • Continuing Healthcare - Adults
 
 

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