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Who Decides on NHS Continuing Healthcare Eligibility?

Integrated care boards, known as ICBs (the NHS organisations that commission local health services), must assess you for NHS continuing healthcare if it seems that you may need it.


For most people, there's an initial checklist assessment, which is used to decide if you need a full assessment. However, if you need care urgently – for example, if you're terminally ill – your assessment may be fast-tracked.


The initial checklist assessment can be completed by a nurse, doctor, other healthcare professional or social worker. You should be told that you're being assessed and what the assessment involves.


Depending on the outcome of the checklist, you'll either be told that you do not meet the criteria for a full assessment of NHS continuing healthcare and are therefore not eligible, or you'll be referred for a full assessment.


Being referred for a full assessment does not necessarily mean you'll be eligible for NHS continuing healthcare.


The professional(s) completing the checklist should record in writing the reasons for their decision, and sign and date it. You should be given a copy of the completed checklist.


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