11/02/2026
What I Consider When First Assessing a Potential CHC Case
When families first make contact about NHS Continuing Healthcare, the role of an initial conversation is to establish whether what is being described has the hallmarks of a credible CHC case.
That assessment starts with how care is actually being delivered across an ordinary day and night: what support is required, how often, by whom, and whether it involves skilled clinical oversight rather than routine assistance with daily living. It also involves looking carefully at whether the available evidence supports the picture because CHC decisions must meet a legal, evidence-based test.
A short, focused discussion is usually enough to clarify whether a case warrants further assessment, whether evidence needs strengthening, or whether responsibility is more clearly rooted in social care.
This is the focus of ARROW’s latest newsletter, which explains how these early judgements are made in practice:
https://www.arrowchc.org/what-i-consider-when-first-assessing-a-potential-chc-case.html
ARROW Continuing Healthcare Consultants