Continuing Healthcare (CHC) Funding Advocacy in Dorset

Continuing Healthcare (CHC) funding is NHS funded social care for people with serious, long-term health problems. Our free CHC advocacy service supports people in Dorset who want to get, or who have, CHC funding.


What is CHC funding?

NHS continuing healthcare funding is free to everyone regardless of income.

CHC funding supports people with long-term, significant and complex health problems:

  • In their own home. CHC funding covers health care, such as services from a community nurse or specialist therapist, and personal care, such as help with bathing, dressing and laundry.
  • In a care home. As well as healthcare and personal care, the NHS will pay for their care home fees. Most people getting CHC funding will be in a nursing home where there is medical support.

In Dorset, the Dorset Clinical Commissioning Group (CCG) is responsible for managing CHC funding.


What happens when I apply for CHC funding?

Stage 1: Checklist

Firstly, a social worker or nurse will complete a checklist. This is a series of questions about the person’s health condition and care needs and it will take about 20 minutes to complete. A team of medical professionals, social work and care staff, called a multi-disciplinary team will assess the checklist and decide if the person should have a full assessment.

Stage 2 Decision Support Tool (DST)

This is an in depth assessment of the person’s physical and mental health, their medical needs and their care needs. There will often be a big meeting (5-10 people) who will assess the person. The person if they are well enough and their relatives and carers will be invited to the meeting. Your Dorset Advocacy advocate can come along too if you want them to.
It may be helpful for the person’s relatives to could bring along notes about the person’s health problems and their care needs as these could be evidence to support their claim.
After the Decision Support Tool is completed, the professionals involved will make a recommendation to the CCG. Then the CCG will write to the person and their family with a recommendation.

CHC Fast Track

If the person’s health condition is deteriorating fast or they are terminally ill, their doctor can recommend they have CHC Fast Track funding. This is a faster way of getting funding than going through the Decision Support Tool process.


What happen if my application is successful?

The CCG is responsible for arranging CHC funded care for the person. Our advocates can support the person and their family with the process of care planning and delivery.


What happens if application is not successful?

You have the right to appeal. If you’ve been turned down:

  • At the checklist stage,  you can ask for a full assessment.
  • After the Decision Support Tool assessment, you’ve got 6 months to appeal against the decision.

You can also appeal if the person was turned down for Fast Track funding. Dorset Advocacy can support with the appeal.

If the person doesn’t have an advocate yet, you can start the appeal to get the ball rolling while you make a referral for an advocate. There is no need for a lot of detail in your initial letter, you just need to let the CCG know that you want to appeal.  We can support you with the detail later.

Throughout the process, it may be helpful to make notes about how the person’s health condition or disability affects them and what their care needs are.


Who can get help from Dorset Advocacy?

Our Continuing Healthcare Funding advocacy service is for people claiming or applying for CHC funding from Dorset Clinical Commissioning Group.

We can support with:

  • Applying for CHC funding.
  • Appealing a CHC funding decision.
  • Planning, delivery and review of care for someone already receiving CHC funding.

How do I get a Dorset Advocacy CHC advocate?

  • In many cases, the person needing the funding will be too unwell to make a referral, so their family, carers or professionals can do it on their behalf
  • If the person is able to make decisions for themselves, please make sure the they have given their permission for you to make the referral.

Download our referral form:

Dorset Advocacy referral form

Your personal information

When you make a referral, we take personal information from you which we are responsible for keeping safe.
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