When does the NHS pay for care?

This booklet explains what NHS continuing healthcare is, who can get it, how assessments are carried out, and what to do if it is not awarded.

This booklet aims to help people affected by dementia understand NHS continuing healthcare. This includes how to apply for it and how to appeal if it is not awarded. 

We also have information about this online - see our page What is NHS continuing healthcare? which includes top tips on preparing your case for the NHS.

The booklet contains the sections listed below:

  • Introduction    
  • Glossary of terms and resources used in this booklet    
  • What is NHS continuing healthcare and who can get it?    
  • Chapter 2 Assessments for NHS continuing healthcare    
  • Chapter 3 Appealing against decisions and the complaints procedure  
  • Appendix 1 Common questions    
  • Appendix 2 Getting access to a person’s notes    
  • Appendix 3 Examples of case law    
  • Appendix 4 Further information and support    
  • References    
  • Further reading    
  • Notes

The information in this booklet applies to people living in England. People in Wales and Northern Ireland should look at Appendix 4 for a list of organisations that can provide information about the NHS continuing healthcare rules in these countries.

Please note: This booklet is currently under review. From July 2022 Integrated Care Boards replaced Clinical Commissioning Groups which are mentioned throughout the publication. If you wish to contact your ICB regarding NHS Continuing Healthcare, you can find their details by postcode search on the NHS Organisation Data Service website. The name of the ICB appears under ‘Higher Health Authority.’

Code 813

2019, 58 pages, A4

  • Page last reviewed: