Continuing healthcare placements policy consultation

In line with other CCGs across England, we have introduced a written NHS continuing healthcare (CHC) placements policy to support how decisions are made as to where patients receive their individual packages of care (e.g. at home or in a care or nursing home).

We have developed a policy that enables us to balance the personal choice of individuals alongside safety, clinical effectiveness and appropriate use of finite resources. We hope that this policy will help support decisions that are consistent and fair for all patients and their families. In addition, the policy explains how patients and their families or carers can appeal decisions made about the location of their care.

We expect the policy will only affect a small number of current patients, and only if their care needs are assessed to have changed considerably following an annual review.

The policy came into effect from 17 February 2020. Follow this link to download a copy of the policy.

Please note, following the Joint Committee of Barking and Dagenham, Havering and Redbridge CCGs meeting on 30 January 2020 where the policy was agreed, the CCGs have received further information on local advocacy services from Healthwatch Redbridge and VoiceAbility. This information is currently being reviewed by the CCGs.

From July – September 2019, we ran a 12-week public consultation asking people what they thought about the content of our proposed CHC placements policy. To find out more, read the consultation document or the easy read version, and the consultation report

The engagement on this closed on Monday 30 September 2019. Thank you to everyone who took the time to read our proposed policy and give us their feedback.

Find out more about the evidence used to inform the decision at the meeting of the Joint Committee of BHR CCGs on 30 January 2020.

You said, we did

During the consultation people raised a number of issues and concerns about the policy and the CHC process. To see what they said and how we responded read the You said, we did document. 

Equality impact assessment (EIA)

Follow this link to read our final EIA.

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Who does the policy apply to?

The CHC placements policy applies to all new patients who are eligible for CHC, and in a few cases to existing patients whose care needs have changed considerably since their last CHC review. This could be, for example, if a person’s condition has deteriorated and they require significant extra care.

The eligibility to receive CHC will not change as a result of this policy and all new and existing patients will continue to receive the most clinically appropriate care for their assessed needs. There will be a discussion about where the care is provided, although it may not always be possible for this to be with a person’s preferred provider or at their preferred location.

The policy does not apply to:

  • Children under the age of 18 years.
  • Individuals who are assessed as needing ‘fast-track’ CHC (in other words, care which is provided to people who have a rapidly deteriorating condition and may be approaching the end of life).
  • Individuals receiving CHC who are assessed as having a rapidly deteriorating condition and may be approaching the end of life.
  • Individuals receiving Section 117 aftercare following a period in hospital under the Mental Health Act 1983.

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Page last updated 27 February 2020