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The Checklist is not the final eligibility decision. It is a screening tool used to decide whether a person should move on to a full NHS Continuing Healthcare assessment.
The threshold is deliberately a screening threshold. A positive Checklist does not mean CHC will be awarded, but it should normally lead to a full assessment. A negative Checklist can be reconsidered if you disagree with it.
Where there may be a need for NHS Continuing Healthcare, the Checklist should normally be considered at the right time and place, when the person's ongoing needs are reasonably clear. It can be completed in a range of settings.
A trained health or social care professional. NHS England's public explanation describes it as the usual first screening stage.
It looks across the same broad areas of need that later feed into the full Decision Support Tool process.
National guidance says a need should not be marginalised merely because it is successfully managed. The correct question is what level of need exists and what care or intervention is required to manage it.
The case should normally proceed to a full assessment, where a multidisciplinary team considers the evidence and completes the Decision Support Tool.
The person or representative can ask the Integrated Care Board to reconsider the decision if they disagree with it.
Where someone has a rapidly deteriorating condition and may be entering a terminal phase, the Fast Track pathway may be appropriate instead of the usual Checklist route.
A negative result is particularly worth reviewing where significant risks are being controlled by intensive care, several needs interact with each other, or the written reasons do not appear to match the care records. The issue is not to force a positive screen; it is to make sure the screen accurately captures the needs.
Tell us what the care needs are and what the NHS did. The free initial check can help identify whether the screening decision is worth looking at more closely.
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