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Guidance on the principles and processes of the national framework for NHS Continuing Healthcare (CHC).

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First published:
30 June 2014
Last updated:


Continuing NHS Healthcare, the national framework for implementation in Wales , file type: PDF, file size: 782 KB

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CHC is a package of ongoing care arranged and funded by the NHS. Local health boards will assess an individual’s health based needs.   

2021 publications

In 2019 there was a review of the 2014 CHC Framework and the Decision Support Tool (DST). These documents form part of any assessment for eligibility for CHC.

The CHC Framework and DST published in July 2021 were due to take effect in November 2021. However, in light of current pressures within the sector, we have deferred implementation until 1 April 2022.

Organisations can use this period to amend any internal guidance, processes and protocols. We will work with organisations to support implementation.

We are making some minor corrections to the 2021 documents and will re-publish them soon.

On 1 April 2022, the revised 2021 CHC Framework and DST will replace the 2014 publications.