What is NHS continuing care?

Continuing care is care which is arranged and funded by the NHS for people outside of hospital who have ongoing healthcare needs. You can receive continuing healthcare in any setting, including your own home or a care home. It is free, unlike help from social services for which a contribution may be asked for depending on circumstances.

In your own home, this means that the NHS will pay for healthcare (for example, services from a community nurse or specialist therapist) and personal care (for example, help with bathing, dressing and laundry). In a care home, the NHS also pays for your care home fees, including board and accommodation.

Who is eligible for NHS continuing healthcare?

Anyone assessed as having a certain level of care needs may receive NHS continuing healthcare. It is not dependent on a particular disease, diagnosis or condition, nor on who provides the care or where that care is provided. If eligible, your care will be funded by the NHS. This is subject to review, and should your care needs change the funding arrangements may also change.

The assessment looks at all your care needs and relates them to four factors:

  • nature – this is how your particular needs affect you, including the type of help you need
  • complexity – this is about how your health needs affect each other and the level of skill required to manage them
  • intensity – this is the extent and severity of your needs and the support needed to meet them
  • unpredictability – this is about how hard it is to predict changes in your needs that might create challenges in managing them

If you are receiving an assessment for care whilst you are in hospital or in your own home, then your eligibility for continuing healthcare will be considered if your needs appear to be high.

NHS funded nursing care

This is different to continuing care. This applies if you live in a care home and are not eligible for continuing care but you do need nursing care. The NHS will pay for carers in your care home to provide the help you need. The NHS pays the home direct.

More information: NHS Continuing Care