NHS Continuing Healthcare Data Set

The NHS Continuing Healthcare Data Set is transmitted at aggregate level to the NHS England Strategic Data Collection Service (SDCS) with publication outputs available on the NHS England website at: NHS Continuing Healthcare and NHS-funded Nursing Care.

Overview

Introduction

The Department of Health and Social Care introduced the National framework for NHS continuing healthcare and NHS-funded nursing care in 2007 to establish a consistent and standardised guide to implementing the delivery of NHS Continuing Healthcare (NHS CHC). This was last revised in March 2018 and replaces the previous 2012 version. The National Framework sets out NHS Continuing Healthcare and assessment processes. The latest version places a strong focus on moving assessments outside of an acute setting.

NHS Continuing Healthcare is a package of ongoing care that is 100% funded solely by the NHS where the PERSON has been found to have a 'primary health need' as set out in the National framework for NHS continuing healthcare and NHS funded nursing care. Such care is provided to a PERSON aged 18 or over, to meet needs that have arisen as a result of disability, accident or illness.

In order to monitor the implementation and effectiveness of the Framework, a mandatory collection requires the submission of quarterly figures on NHS Continuing Healthcare and NHS-funded Nursing Care activity.

The collection includes

PERSONS
aged 18 or over eligible for NHS Continuing Healthcare as defined by the National framework for NHS continuing healthcare and NHS-funded nursing care.
PERSONS
still recognised as eligible under the former Strategic Health Authorities' eligibility criteria.
PERSONS
identified as eligible for NHS Continuing Healthcare following assessment of eligibility for Previously Unassessed Period of Care (PUPoC). This includes Previously Unassessed Periods of Care related to the 'closedown' announcement made by the Department of Health and Social Care in 2012 in which deadlines were introduced for requesting assessments of eligibility for past periods of care falling between 1st April 2004 and 31st March 2012. This also includes non-closedown Previously Unassessed Periods of Care relating to assessments of eligibility for past periods of care falling after 31st March 2012.

The collection excludes:

PERSONS
funded through other NHS funding streams which are not NHS Continuing Healthcare or NHS-funded Nursing Care

PERSONS
funded under any section of the Mental Health Act. The exception to this is if an individual is funded under a Mental Health Section and eligible for NHS Continuing Healthcare under the National Framework eligibility criteria. In these instances the activity related to the NHS Continuing Healthcare package is still included but any activity covered by the Mental Health section should be excluded
Interim Cases - PERSONS receiving temporary NHS Continuing Healthcare funding pending eligibility decision or PERSONS who have ceased being eligible but are still being funded
PERSONS
under 18 years of age. NHS Continuing Healthcare packages are funded for individuals aged 18 and over only therefore only individuals aged 18 years or over are included in this return.

For further information on the NHS Continuing Healthcare Data Set, see the Department of Health and Social Care part of the gov.uk website at: National framework for NHS continuing healthcare and NHS-funded nursing care.

Mandation

The Mandation column indicates the recommendation for the inclusion of data.

M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
R = Required: NHS business processes cannot be delivered without this data element.

Specification


SUBMISSION IDENTIFIER To carry details of the providing organisation and reporting period.One occurrence of this group is required.
Mandation	Data Elements
M	REPORTING PERIOD QUARTER END DATE
M	ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
M	NHS CONTINUING HEALTHCARE COMMISSIONED SERVICES INDICATOR


TABLE 1 - NHS CONTINUING HEALTHCARE (NHS CHC) SNAPSHOT ACTIVITY To carry details of the number of persons eligible for NHS Continuing Healthcare as at the last day of the quarter.One occurrence of this group is required.
Mandation	Data Elements
M	NHS CONTINUING HEALTHCARE TYPE
M	PERSONS ELIGIBLE FOR NHS CONTINUING HEALTHCARE (LAST DAY OF PREVIOUS REPORTING PERIOD)
M	PERSONS NEWLY ELIGIBLE FOR NHS CONTINUING HEALTHCARE
M	PERSONS NO LONGER ELIGIBLE FOR NHS CONTINUING HEALTHCARE
M	PERSONS ELIGIBLE FOR NHS CONTINUING HEALTHCARE (REPORTING PERIOD END)


TABLE 2 - NHS CONTINUING HEALTHCARE (NHS CHC) CUMULATIVE YEAR TO DATE ACTIVITY To carry details of the running total of all NHS Continuing Healthcare eligible cases for any period within the year to date, even if they also became no longer eligible within the year to date.One occurrence of this group is required.
Mandation	Data Elements
M	NHS CONTINUING HEALTHCARE TYPE
M	PERSONS ELIGIBLE FOR NHS CONTINUING HEALTHCARE CUMULATIVE ACTIVITY (PREVIOUS REPORTING PERIOD END)
M	PERSONS ELIGIBLE FOR NHS CONTINUING HEALTHCARE CUMULATIVE ACTIVITY (REPORTING PERIOD END)


TABLE 3 - NHS CONTINUING HEALTHCARE (NHS CHC) REFERRALS IN QUARTER To carry details of the number of referrals for NHS Continuing Healthcare in the quarter.One occurrence of this group is required.
Mandation	Data Elements
M	NHS CONTINUING HEALTHCARE TYPE
M	NHS CONTINUING HEALTHCARE REFERRALS


TABLE 4 - NHS CONTINUING HEALTHCARE (NHS CHC) REFERRAL OUTCOMES IN QUARTER To carry details of the number of NHS Continuing Healthcare Referral Outcomes in the quarter.One occurrence of this group is required.
Mandation	Data Elements
M	NHS CONTINUING HEALTHCARE TYPE
M	PERSONS ASSESSED AS NOT ELIGIBLE FOR NHS CONTINUING HEALTHCARE (STANDARD)
M	PERSONS ASSESSED FOR NHS CONTINUING HEALTHCARE
M	NHS CONTINUING HEALTHCARE REFERRALS (DISCOUNTED BEFORE ASSESSMENT)
M	NHS CONTINUING HEALTHCARE REFERRALS CONCLUDED


TABLE 5 - NHS CONTINUING HEALTHCARE (NHS CHC) CONVERSION RATES IN QUARTER To carry details of the NHS Continuing Healthcare Conversion Rates in the quarter.One occurrence of this group is required.
Mandation	Data Elements
M	NHS CONTINUING HEALTHCARE TYPE
M	NHS CONTINUING HEALTHCARE ASSESSMENT CONVERSION RATE
M	NHS CONTINUING HEALTHCARE REFERRAL CONVERSION RATE


TABLE 6 - NHS CONTINUING HEALTHCARE (NHS CHC) DECISION SUPPORT TOOL To carry details of the number of Decision Support Tools (DSTs) carried out in the quarter, for NHS Continuing Healthcare (Standard) only.One occurrence of this group is required.
Mandation	Data Elements
M	DECISION SUPPORT TOOLS FOR NHS CONTINUING HEALTHCARE CARRIED OUT (STANDARD)
M	DECISION SUPPORT TOOLS FOR NHS CONTINUING HEALTHCARE CARRIED OUT (STANDARD ACUTE HOSPITAL SETTING)
M	PERCENTAGE OF DECISION SUPPORT TOOLS CARRIED OUT (STANDARD ACUTE HOSPITAL SETTING)


TABLE 7 - NHS CONTINUING HEALTHCARE (NHS CHC) 28 DAYS REFERRAL TIME To carry details of the number of referrals concluded within 28 days in the quarter, for NHS Continuing Healthcare (Standard) only.One occurrence of this group is required.
Mandation	Data Elements
M	NHS CONTINUING HEALTHCARE REFERRALS CONCLUDED (WITHIN 28 DAYS STANDARD)
M	PERCENTAGE OF NHS CONTINUING HEALTHCARE REFERRALS CONCLUDED WITHIN 28 DAYS (STANDARD)
M	NHS CONTINUING HEALTHCARE INCOMPLETE REFERRALS (EXCEEDING 28 DAYS AT REPORTING PERIOD END STANDARD)


TABLE 8 - NHS CONTINUING HEALTHCARE (NHS CHC) CASES EXCEEDING 28 DAYS To carry details of the number of incomplete referrals exceeding 28 days as at the end of the quarter by time band, for NHS Continuing Healthcare (Standard) only.One occurrence of this group is required.
Mandation	Data Elements
M	NHS CONTINUING HEALTHCARE REFERRAL EXCEEDING 28 DAYS TIME BAND CATEGORY (STANDARD)
M	NHS CONTINUING HEALTHCARE REFERRALS (EXCEEDING 28 DAYS STANDARD)


TABLE 9 - NHS CONTINUING HEALTHCARE (NHS CHC) LOCAL RESOLUTION: APPEALS (REQUESTS FOR A REVIEW OF AN ELIGIBILITY DECISION) To carry details of the number of local appeals, for Standard and Fast Track.One occurrence of this group is required.
Mandation	Data Elements
M	NHS CONTINUING HEALTHCARE LOCAL APPEALS COMPLETED
M	NHS CONTINUING HEALTHCARE LOCAL APPEALS RESULTING IN ELIGIBILITY
M	PERCENTAGE OF NHS CONTINUING HEALTHCARE LOCAL APPEALS RESULTING IN ELIGIBILITY
M	NHS CONTINUING HEALTHCARE INCOMPLETE LOCAL APPEALS (REPORTING PERIOD END)


TABLE 10 - NHS CONTINUING HEALTHCARE (NHS CHC) PREVIOUSLY UNASSESSED PERIODS OF CARE To carry details of the claims for Previously Un-assessed Periods of Care (PUPoC).One occurrence of this group is required.
Mandation	Data Elements
M	NHS CONTINUING HEALTHCARE PREVIOUSLY UNASSESSED PERIODS OF CARE CLAIMS (YEAR TO DATE)


TABLE 11 - NHS-FUNDED NURSING CARE (NHS FNC) ACTIVITY The number of cases eligible for NHS-funded Nursing Care.One occurrence of this group is required.
Mandation	Data Elements
M	PERSONS ELIGIBLE FOR NHS FUNDED NURSING CARE (YEAR TO DATE)
M	PERSONS ELIGIBLE FOR NHS FUNDED NURSING CARE (REPORTING PERIOD END)

Also Known As

This data set is also known by these names:

Context	Alias
Short name	NHS Continuing Healthcare