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NHS Continuing Healthcare
NHS Continuing Healthcare is a package of care for adults aged 18 or over which is arranged and funded solely by the NHS. In order to receive NHS funding individuals have to be assessed by Clinical Commissioning Groups according to a legally prescribed decision making process to determine whether the individual has a ‘primary health need’.
Whether someone has a ‘primary health need’ is assessed by looking at all of their care needs and relating them to four key indicators:
• Nature – the characteristics and type of the individual’s needs and the overall effect these needs have on the individual, including the type of interventions required to manage those needs
• Complexity – This is about how the individual’s needs present and interact and the level of skill required to monitor the symptoms, treat the condition and/or manage the care.
• Intensity – The extent and severity of the individual’s needs and the support needed to meet them, which includes the need for sustained/ongoing care
• Unpredictability – this is about how hard it is to predict changes in a individual’s needs that might create challenges in managing them, including the risks to the individual’s health if adequate and timely care is not provided