Update from the Continuing Health Care service
Please note that from the 1 April 2021 Derby and Derbyshire Continuing Health Care service are resuming their full suite of duties associated with the National Framework for NHS Continuing Healthcare and NHS-funded nursing care. This follows an easement period sanctioned by Derby and Derbyshire CCG covering end January, February and March when certain parts of the Framework were stood down, due to Covid-19 priorities.
Fast Track to CHC
From the 1 April Derby and Derbyshire Continuing Health Care service will no longer be able to accept the EoL / palliative care referral tool agreed for use in the first Covid-19 emergency period, and reintroduced during the easement period.
System Partners can refer individuals with a rapidly deteriorating condition that may be entering a terminal phase using the Fast Track tool.
The intention of the Fast Track Pathway is that it should identify individuals who need to access NHS Continuing Healthcare quickly, with minimum delay, and with no requirement to complete the Checklist or the Decision Support Tool (DST).
The completed Fast Track Pathway tool, where it clearly evidences that an individual is both rapidly deteriorating and may be entering terminal phase, is in itself sufficient to establish eligibility.
In Fast Track cases, an ‘appropriate clinician’ determines that the individual has a primary health need. Derby and Derbyshire CCG will thereafter determine that the individual is eligible for NHS Continuing Health Care and should respond promptly and positively to ensure that the appropriate funding and care arrangements are in place without delay.
Derby and Derbyshire will accept standard referrals into the CHC service by way of the CHC checklist – CHC screening tool.
CHC Reviews at 3 Months and 12 Months
These will also be reinstated.
Interim NHS funded care for up to 6 weeks following discharge from hospital for individuals whose care needs are greater than they were on admission to hospital will remain in place from 1 April (subject to monthly review) for individuals who may have a need for NHS CHC.