Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether there is a maximum time within which applications for NHS Continuing Healthcare funding to NHS Dorset must be actioned; and whether redress is available to applicants whose applications have not been decided within 12 months.

Statutory guidance and assurance regimes are in place in respect of NHS Continuing Healthcare (CHC) so that people are assessed and receive care in a timely way. NHS CHC guidance sets the expectation that the overall assessment and eligibility decision-making process should, in most cases, not exceed 28 calendar days from when the integrated care board (ICB) receives a positive NHS CHC Checklist, or other notice of potential eligibility, to the eligibility decision being made. To support this, NHS England’s assurance standard requires ICBs to ensure that in more than 80% of referrals for standard NHS CHC, the eligibility decision should be made within 28 days of this notification.

An individual should not be left without appropriate support while they await the outcome of the NHS CHC assessment and decision-making process. Redress is not available to applicants whose applications have not been decided within twelve months. If, however, an individual is unhappy with how their application has been handled, they can make a complaint to the relevant ICB. If an individual remains dissatisfied with the ICB’s response, they can make a complaint to the Parliamentary and Health Service Ombudsman.