1. Continuing Healthcare What it means for you NHS Sussex / ESCC

2. 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 2012 www.dh.gov.uk/ NHS Sussex / ESCC

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. Contacts • For general CHC queries, please call the duty worker on 01323 466120 • Thank you for your time, any questions? NHS Sussex / ESCC