All Age Continuing Care

The Integrated Care Board (ICB), amongst other functions, fulfils the role previously held by Clinical Commissioning Groups (CCGs) and is responsible for the provision of relevant NHS services, which includes NHS All Age Continuing Care (AACC).

Services are provided in separate teams across the ICB based on the previous geography of the CCGs – Isle of Wight, Portsmouth, Southampton and Hampshire. 

Isle of Wight

If you are registered with a GP practice in the Isle of Wight, contact details are as follows:

Phone: 01983 552470
Email: hiowicb-hsi.iow.chcservice@nhs.net  

Isle of Wight NHS Continuing Healthcare Service
Building A
The Apex
St Cross Business Park
Monks Brook
Newport
Isle of Wight
PO30 5XW
 

Portsmouth

If you are registered with a GP practice in Portsmouth, contact details are as follows:

Phone: 02392 437963
Email: ContinuingCare117@portsmouthcc.gov.uk

Floor 5, Core 5-6
Civic Offices
Guildhall Square
Portsmouth
PO1 2AL

Southampton

If you are registered with a GP practice in the Southampton, contact details are as follows:

Phone: 02380 725650
Email:  hiowicb-hsi.continuinghealthcare@nhs.net

NHS Commissioning HQ
Oakley Road
Southampton
SO16 4GX

Hampshire and Isle of Wight Children's and Young Peoples Continuing Complex Care Team

Phone: 0300 123 4448 Option 5

Hampshire

If you are registered with a GP service in Hampshire, in the first instance please email hiowicb-hsi.continuingcare1@nhs.net. If your query is urgent, please find below a list of contact details for our team.

Phone: 0300 123 4448

NHS Continuing Healthcare
5th Floor
Civic Offices
Fareham
Hampshire
PO16 7AZ

Discharge to Assess

For all individuals on the NHS Continuing HealthCare (CHC) Discharge to Assess (D2A) pathway (already discharged from hospital), please contact:

• Email: hiowicb-hsi.chccentrald2ateam@nhs.net
• Phone: 0300 123 4448, option 1

North, Mid and North East Hampshire CHC

Covering: Basingstoke, Winchester, Alton, Bishops Waltham, Wickham, Andover, Farnham, Aldershot, Fleet, Farnborough. 

• Email: hiowicb-hsi.northlocality.dutychc@nhs.net or hiowicb-hsi.northeastlocality.dutychc@nhs.net
• Phone: 0300 123 4448, Option 2

South West Hampshire CHC

Covering: New Forest, Romsey, Lyndhurst, Lymington, Brockenhurst, Totton and Eastleigh.

• Email: hiowicb-hsi.westlocality.dutychc@nhs.net
• Phone: 0300 123 4448, Option 3

South East Hampshire CHC

Covering: Fareham, Gosport, Havant, Hayling Island, Waterlooville, Petersfield, Liphook, Bordon.

• Email: hiowicb-hsi.southlocalitydutychc1@nhs.net 
• Phone: 0300 123 4448, Option 4

Learning Disabilities

Covering: Individuals with a Learning Disability across the Hampshire areas listed above.

• Email: hiowicb-hsi.ld-s117chc@nhs.net
• Phone: 0300 123 4448, Option 6

Mental Health and Acquired Brain Injury Rehabilitation

Including Mental Health, Section 117and Acquired Brain Injury

• Phone: 0300 123 4448, Option 7

Mental Capacity Act (MCA)and Deprivation of Liberty: 

Supporting the use of the MCA and making community Deprivation of Liberty applications to the Court of Protection, across the ICB

Email: hiowicb-hsi.chc-mca@nhs.net 
Phone: 0300 123 4448, Option 8

Specialist Complex Care 

A multi professional team coordinating patients who have a diagnosis of delirium, have joint/standalone health needs and are non-weight bearing.

• Email: hiowicb-hsi.specialistcomplexpathway@nhs.net     
• Phone: 0300 123 4448, Option 9
   

• Consent Form
• NHS Standard Contract 2023/24 Particulars, Domiciliary Care
• NHS Standard Contract 2023/24 Particulars, Residential Care

You can view Hampshire and Isle of Wight ICB's policies here.

There are lots of people who can give you help and advice about NHS Continuing Healthcare. You can ask your social worker, district nurse, doctor or any other health or social care professional involved in your care.

• Think Local Act Personal (TLAP)
• TLAP Social Care Jargon Buster
• Age UK
• European Network for Independent Living
• All Inclusive CICSocial care Institute for Excellence

If you are not eligible for NHS Continuing Healthcare, you may be eligible for NHS-funded Nursing Care.

NHS-funded Nursing Care (FNC) is an NHS paid contribution to meet the nursing care element of your nursing home fees. FNC covers nursing care provided by a registered nurse, if you are permanently residing within a nursing home.

The NHS pays a fixed amount each week directly to your nursing home. The amount is set each year by the Department of Health and is reviewed each year. For 2023/24 the amount is £209.19 per week.

If you pay your own fees, the weekly contribution will be deducted from your bill. If you are funded by your local authority, the amount will be deducted from the fees they pay to the nursing home.

It is best practice for the NHS FNC assessments to be completed face-to-face but  due to COVID-19 there is a hybrid way of working to help prevent the spread of the virus.

Who may be eligible for NHS-Funded Nursing Care?

You may be eligible for NHS funded nursing care if:

• You live permanently in a nursing home
• You’re not eligible for NHS continuing healthcare but you have been assessed as needing care from a registered nurse.

How is NHS-Funded Nursing Care assessed?

If you have already had a full assessment for NHS Continuing Care (CHC), we can use the information from your CHC assessment to decide whether you are eligible for NHS-funded nursing care.

If you do need an assessment, or you haven’t already had one, we can arrange this for you.

What can I expect from an NHS FNC application?

1. The Nursing Home will apply for FNC within 28 days of admission, you can prompt your nursing home to apply for FNC for you
2. Once the team have received the application, our administration team will arrange for one of the CHC nurse assessors to visit the nursing home and complete a Checklist Tool
3. If the checklist indicates a full assessment for NHS Continuing Healthcare is required a Multi-Disciplinary team meeting will be arranged, with FNC to be considered as part of the final outcome
4. Regardless of whether the outcome is eligible or not eligible for FNC, you will receive an outcome letter
5. If the outcome is eligible for FNC a review will take place annually

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1079651/nhs-funded-nursing-care-practice-guidance-july2022.pdf

Find out more here.

A personal health budget or a ‘PHB’ is an amount of money used to support your health and well being needs, as agreed between you and your healthcare team.

The aim of a personal health budget is to give you more choice and control over the money spent on meeting your health and well being needs.

Your health and well being needs will be set out in a personalised care and support plan, which you and your healthcare team will develop together. PHB’s support the vision of a more personalised, patient-focused NHS.

What are the options for personal health budgets?

You and your health or social care professional can decide together how best to manage your personal health budget. It can be managed in three different ways or a combination of these:

1. A Direct Payment – You receive the money to buy and manage your own healthcare and support. Your health or social care team must agree that this meets your needs. You have to show what you have spent it on, but you, or your representative, buy and manage services yourself.
2. A Notional Budget – No money changes hands. You find out how much money is available and together with your health or social care team, you decide how to spend that money. Your agreed care and support will then be arranged
3. A Third Party Managed Budget – After you have agreed your budget with your health or social care team an independent organisation (for example an independent user trust or voluntary organisation) holds the money for you and helps you organise and pay for your care and support.

How can we set up a personal health budget?

If you are eligible for a personal health budget, the following steps must be followed before your budget can be made available to you: 

1. Assessment of your health and well being needs and collection of information relating to the health and care services currently used to support you.
2. An indicative budget will be prepared.  This is a calculation needed to confirm the amount of money in your personal budget.
3. Your personalised care and support plan will need to be developed.  This means identifying support and services required to keep you healthy and well and meet your agreed outcomes. 
4. Your health or social care team will help you to decide how your personal health budget will be managed. 
5. Care and support will be put in place; either by you if you are managing the personal health budget yourself, or by someone else if you choose a notional or 3^rd party budget.

Find out more about Personal Health Budgets in the video below from NHS England or on the NHS website.

Is there any additional support for those in Hampshire with a PHB?

The NHS Continuing Healthcare team in Hampshire have developed a contract with The Enham Trust.

Enham are available to provide additional support for those with a PHB for example:

• Information to those considering a PHB or Direct Payment
• Full support to set up a direct payment including advice regarding employment, insurance, payroll etc
• Recruitment of PA’s/carers
• Managed accounts
• Support for existing Direct Payment holders in resolving employment and budget issues
• Disclosure and barring service checks (DBS)

Support During COVID-19

During the COVID-19 pandemic the NHS CHC team have also been providing additional support in making contact with all PHB holders to ensure they are safe and well and coping under the unprecedented circumstances. Please see the NHS CHC: COVID-19 homepage for additional information around the COVID-19 pandemic such as details around accessing PPE and FAQ’s.

The Hampshire and Isle of Wight CHC Co-Production group has been working together to promote client engagement and co-production since 2018 with extremely positive results. We have also seen the set-up of the wider Working Together Group in 2019 with the aim to expand collaborative working.

“The importance of co-production in improving customer service outcomes for disabled people cannot be overstated. Working with the team on Continuing Health Care and personal health budgets projects in a co-productive way has been fulfilling.” - Iain Speed, CHC Co-Production Team Member, MD of All Inclusive CIC and PEP Member.

What is Co-Production in Health and Social Care?

SCIE defines Co-Production as:

“working in equal partnership with people using services, carers, families and citizens. Co-production offers the chance to transform social care and health provision to a model that that offers people real choice and control.”

The Working Together Group

As well as the NHS CHC Co-Production group who meet on a monthly basis, we have also set up the Working Together Group. This is a wider group for those who may not be able to attend monthly meetings and aims to increase shared learning and experiences of expert service users and carers. The working together group has been vital in providing feedback for our new Information booklets and website redesign.

What have the CHC Co-Production Team been working on?

Over the past year The Co-Production group have been looking in detail at the NHS CHC service and have identified key areas for improvement, including, access to accurate and up to date information, as well as improving the review process for those with Personal Health Budgets.

The group have been able to produce a series of information booklets to support our clients through the NHS CHC process and are also working to redesign the information available on our website.

The Co-Production Blog

A series of useful webinars, articles and videos:

• Webinar on Co-Production and Communities
• Practice Example on “Nothing about Disabled People without Disabled People”
• Video: The Social Model of Disability and Co-Production
• Making Events and Meetings Accessible
• Commissioning during Covid 19 and beyond
• Co-Production Week

If you receive a letter saying you are “not eligible” for CHC funding and you feel that the appropriate procedures have not been followed, for example, that our team at Hampshire and Isle of Wight ICB have not applied the National Framework appropriately in making this decision, or your needs have been misrepresented, you have a right to appeal. You should do this within six months of receiving your decision letter. If you would like to appeal a decision you can request this in writing by contacting the address details listed in the drop-down above.

What is the NHS Continuing Healthcare appeals process?

The NHS Continuing Healthcare team in Hampshire will arrange a Local Review Meeting (LRM) with you within 35 days of the request to discuss the appeal and your views on the health needs of the individual concerned.

Following this a Specialist Practitioner will review all of the evidence, including the evidence you provide and will produce an appeals document and recommendation as to whether the original decision was sound.

If the original decision is overturned and you are found eligible the ICB will seek to provide reimbursement.

What if I am unhappy with the outcome of an appeal?

If you are unhappy with the outcome of the LRM you can refer your case to an Independent Review Panel (IRP). If you would like to refer your case, you will need to write directly to the NHS Commissioning Board in the south region for an Independent Review Panel form, at england.southeast-chc@nhs.net.