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Continuing Healthcare Reviews

What is a Primary need for Healthcare

Healthcare or Social Care?

NHS Continuing Healthcare is arranged and funded by the NHS for individuals outside of hospital who have a primary need for healthcare. It can be received in any setting, including your own home or a care home. Unlike help from social services, for which a financial charge may be made, NHS Continuing Healthcare is free and is not means-tested.

A primary need for healthcare is not necessarily based on a patient's diagnosis, but on their overall actual day-to day care needs taken in their totality. Having Dementia, for example, does not automatically entitle a patient to fully funded Continuing Healthcare.


It is the level, type and interaction of needs that have to be considered when determining eligibility for NHS Continuing Healthcare.  


If your condition results in a primary need for healthcare the NHS may be responsible for paying for your care.  If your primary need is for social care you will likely be means-tested.

Although not a legal definition, in general terms, social care can be described as focusing on providing assistance with activities of daily living, maintaining independence, social interaction and enabling people to play a fuller part in society.


Social care could include, but is not limited to, help with washing, feeding and dressing. Social care needs are related to the type of services that a local authority has the duty, or power, to provide.


Healthcare, on the other hand, can be described as the treatment, control or prevention of a disease, illness, injury or disability. It is focused on the care and aftercare of a person with these needs. Your primary need must be for healthcare to qualify for fully funded NHS Continuing Healthcare.

Paying Care Home Fees?

Aggressive / Unpredictable Behaviour


Significant Memory Loss / Confusion / Disorientation


Unable to reliably Communicate


Immobile or High Risk of Falls


Unable to feed without intervention

If you suffer from some of the conditions below you could be eligible for free care home fees. Download the Healthcare Questionnaire for a Free Review.*

What is Continuing Healthcare?

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Our Free Review does not determine whether an individual is eligible for NHS Continung Healthcare. Eligibility and approval will only be granted by the relevant Clinical Commissioning Group.



Paid Care Home Fees?

Since April 2012

If your primary need is for healthcare you may be eligible for free care home funding.


You may also qualify for a refund of care home fees paid since 1 April 2012.  

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For a Free Review* of your care needs

Download the Questionnare below.

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Care Home Funding

If your primary need is for healthcare you could be eligible for free care home funding, regardless of financial means.

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