Guest Blog: Continuing Healthcare by Mathew Watt from NHS England

Healthcare that continues. Healthcare that flows, uninterrupted. The ability to assure individuals that their care will not be delayed, nor will their needs be misinterpreted owing to a mislaid piece of paper.  A fully digitised, end-to-end Continuing Healthcare system, operated by health and social care teams who can spend more time dealing with individuals in need of care than with inefficient administration processes. That would be – what? Nice to have? Or how it should be?


What’s the problem?

As things currently stand, the CHC process is often paper dependant with some referrals still being made using fax machines. The process of establishing eligibility for CHC funding is the responsibility of Clinical Commissioning Groups (CCGs) who may involve various partner organisations such as Commissioning Support Units (CSUs), Acute Trusts, Community Trusts, Mental Health Trusts and Local Authorities; that can add up to a lot of different departments, teams and individuals dealing with a plethora of loose pieces of paper. And no matter how diligent the workforce, out of date systems and processes will not reap the best experiences and outcomes for patients, their families or carers – and it’s not great for the staff, either.


What we are doing about it?

In line with both the NHS Long Term Plan and the Department of Health and Social Care’s vision for digital, data and technology in health and care, the NHS Continuing Healthcare Strategic Improvement Programme is leading on the development of a commissioning specification for an end-to-end digital CHC system which aligns fully with the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care. 


Involving suppliers

In conjunction with techUK, the programme will be looking to engage with suppliers across the market on the 4th June, 0930-1030, via Webex in order to gauge the appetite for use of the Health Systems Support Framework (HSSF) as a procurement vehicle for Clinical Commissioning Groups.

Sign up here to register your interest for the Webex on 4th June, 0930-1030.


Mathew Watt, NHS England 

Senior Project Lead (Digital CHC; Initial Care Pathway; NHS Digital Academy Cohort 2)

Continuing Healthcare Strategic Improvement Programme at NHS England and NHS Improvement




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