Assessment and Decision Process


The first step in the process for most people will be a screening process using the Checklist. The Checklist is a screening tool used to identify if an individual needs to be referred for full consideration of whether you qualify for NHS continuing healthcare funding (The National Framework, pages 25-26).

Decision Support Tool

If you are referred for a full assessment for NHS continuing healthcare funding the Decision Support Tool will be completed following a multidisciplinary assessment.  The Decision Support Tool provides a framework to record the various needs in the twelve care domains and should result in an overall picture of the individual’s needs that captures their nature, complexity, intensity and/or unpredictability (The National Framework, pages 27-29).

Fast Track Tool

The Fast Track Tool is used if you have a rapidly deteriorating condition that may be entering a terminal phase (The National Framework, pages 32-34).


Eligibility recommendations made by the Multidisciplnary team are then sent to the Continuing Care Team to be ratified at the eligibility with the local authority. 

Whatever the outcome of your assessment you will receive formal notification of the decision in writing.  Your letter will contain the following information:-

  • the date of the assessment/period under review;
  • the decision;
  • information of how to obtain reimbursement if you are found eligible;
  • information about your right of a review of the eligibility decision;
  • a contact number for you to call with any queries you might have.