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What we do

chc direct what we doCHC Direct provides fully managed cost-effective solutions for delivering Continuing Healthcare (CHC) support services that are designed to achieve all quality standards and procedures stipulated within the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care (revised 2018).

We offer a range of services, including:

  • Service Improvement/Transformation Projects
  • CHC Consultancy and Project Management
  • CHC Assessment and Review
  • Management of Individual Requests for Review of Eligibility Decisions
  • Independent Review Panel Preparation
  • Delayed Transfers of Care (DTOC) Reduction
  • Discharge to Assess
  • CHC Training for Local Teams
  • Interim Management and Leadership
  • Complex Case Management
  • Health & Social Care Resource
  • Commissioning and Contracting Support
  • Administrative Support
  • Assessing and Managing Personal Health Budgets (PHBs)
  • Best Interest Assessments

How we can help you

Here are just some of the ways that we can work with you to achieve compliant and sustainable CHC services that are person-centred and value for money:

  • CHC Direct Consultancy – independent and objective advice about local CHC processes (including assessment, verification and commissioning processes)
  • Hands on support for service improvement/transformation – including process mapping and service and process design
  • Hands-on support for change – assisted by our highly experienced Associate interim managers and senior clinicians
  • Hands on support for CHC Assessments – our fully-trained and experienced Associate assessors can work as part of your team, or as a fully outsourced solution (checklist completion; Multidisciplinary Team (MDT) CHC assessment using the Decision Support Tool (DST); fast track reviews; CHC and FNC Reviews; PHB assessment, set up and review)
  • Delayed Transfers of Care (DTOC) Reduction – to manage/reduce NHS-attributable DTOCs arising from a lack of timely CHC Assessment, with experienced CHC Assessors on hand to deliver assessments:
    • On a per assessment basis
    • During episodes of peak demand
    • During periods of staff absence
    • As a regular service activity – so eligibility decisions are consistently made within the 28-day window
  • Discharge to Assess – design, commissioning and/or operational management of the NHS England Quality Premium Standards
  • Audit and Improvement Planning – to meet the requirements of NHS England’s CHC Improvement Programme
  • Retrospective Reviews – expert support for retrospective assessments.
  • Management of Individual Requests for Review of Eligibility Decisions – support with Local Resolution and Independent Review Meetings


Case Studies of some of our CCG Projects can be seen by clicking on the button Read more