Continuing healthcare placements policy consultation

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

We have analysed the feedback received and this will shape the final policy, which, along with other supporting information including an equalities impact assessment, will be recommended to our BHR joint committee of governing bodies to consider and make a decision.

The decision on the final content of the policy will be made at a meeting of the BHR joint governing bodies on Thursday 30 January 2020. For more information visit the Governing Body section of the website.


In line with other CCGs across England, we intend to introduce a written 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).

The proposed policy will ensure that CHC packages meet the reasonable requirements of individuals and take into account patient choice where possible, whilst also ensuring decisions balance the CCGs’ duties to the individual and to the wider population that it commissions services for. This will help to ensure consistency, fairness and transparency in the decision-making and appeals processes.

Who will the proposed policy apply to?

The proposed policy will apply 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 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 will not apply to anyone under the age of 18 years or those 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).

The development of the policy is being led by our GP clinical leads and our BHR joint committee of governing bodies will make the final decision on the policy’s content.

Tell us what you think

We want to hear what you think of our proposed policy - your views will help us shape the final policy. Please read our consultation document or easy read version, and draft policy, and fill in our online questionnaire by 5pm, Monday 30 September 2019.

If you need these documents as a hard copy or in large print, easy read or a different format or language please email or call 020 3688 1615.

Please share this widely across your networks – we want to hear from as many people as possible. 

Equality impact assessment (EIA)

Follow this link to read our initial EIA. We are developing a final EIA, which we will upload to this page.







Page last updated 18 November 2019