NHS Continuing Healthcare
Some people with long-term complex health needs qualify for free social care arranged and funded solely by the NHS.
This is known as continuing healthcare and can be arranged to take place in your own home.
To be eligible for NHS continuing healthcare, you must be assessed by a team of healthcare professionals (a multidisciplinary team). The team will look at all your care needs and relate them to:
- What help you need
- How complex your needs are
- How intense your needs can be
- How unpredictable they are, including any risks to your health if the right care is not provided at the right time
Your eligibility for NHS continuing healthcare depends on your assessed needs, and not on any particular diagnosis or condition.
If your needs change then your eligibility for NHS continuing healthcare may change.
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Personal Health Budget
Your personal budget is the amount of money your local council will pay towards any social care and support you need.
The amount of money in your personal budget is decided by your local council after a needs assessment to work out:
- What kind of care and support you need
- How much it will cost
- How much you’re able to afford yourself
Once an assessment has taken place any funding that is applicable can then:
- Be managed for you by your local council
- Be paid to another organisation – such as a care provider
- Be paid directly to you or someone you choose – this is known as a direct payment
You can also choose a combination of these options.
For example, the council could arrange some of your care but send you the rest of the money. This is often called a mixed package or “mix and match”
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Self-Funding (paying for your own care)
If you are not entitled to any NHS or Council funded care or you do not wish to undergo a financial assessment you may wish to pay for your care yourself.
This is known as self-funding.
Even if you choose to pay for your care, your local council can do an assessment to check what care you might need.
This is called a needs assessment; this will help you decide what level and frequency you require; however you are able to adjust this to your personal preference.
Once you know the level of care you require you can:
- Arrange and pay for care yourself without involving the council
- Ask the council to arrange and pay for your care (the council will then bill you, but not all councils offer this service and they may charge a fee)
At Stonewood Complex Care we are happy to discuss your care and funding options.

