NHS Continuing Healthcare Packages

Lamora Healthcare is a nurse-led, CQC-registered specialist complex care provider delivering NHS Continuing Healthcare packages across Bedfordshire, Buckinghamshire, Luton, and nationwide for live-in care. Our nursing directors have direct clinical experience in the high-dependency presentations most commonly funded through CHC.

What Is NHS Continuing Healthcare?

NHS Continuing Healthcare (CHC) is a package of ongoing care funded entirely by the NHS for adults outside of hospital who have complex, significant, and unpredictable healthcare needs. It is arranged and funded by Integrated Care Boards (ICBs), previously known as Clinical Commissioning Groups.

Unlike care funded by local authorities, NHS CHC is not means-tested. Eligibility is determined solely by the nature and intensity of an individual's health needs — assessed using the NHS CHC Decision Support Tool and the Checklist. A primary health need must be established.

CHC packages are often the most clinically complex and highest-value packages in the community. They require providers with genuine clinical capability, robust governance, and the ability to collaborate effectively with NHS teams, multi-disciplinary teams, and case managers.

Submit a CHC Referral

Why CHC Commissioners Choose Lamora

Directors are practising nurses — RGN and RMN — not administrators with clinical oversight
Genuine specialist experience in ABI, mental health, spinal injury, and palliative care
CHC governance documentation aligned to NHS England national framework
Urgent mobilisation within 24–72 hours for hospital discharge situations
Monthly reporting to ICB and case manager as standard
Direct access to nursing directors — no call centre intermediary
Urgent CHC Referral
Hospital discharge or placement breakdown?
⚠ Mobilise Within 24–72 Hours Call 0333 004 0177

Complex Presentations We Support Under CHC

Our clinical model is designed specifically for the high-complexity, high-dependency presentations that typically attract NHS CHC eligibility.

Acquired Brain Injury

Complex care at home for individuals with ABI resulting from stroke, trauma, hypoxia, or other causes. Management of cognitive, behavioural, communication, and physical sequelae. Live-in care packages available nationwide.

Mental Health & Dual Diagnosis

RMN-led care packages for individuals with complex, treatment-resistant, or high-risk mental health presentations including psychosis, personality disorder, and co-occurring substance misuse. Intensive community support as an alternative to inpatient admission.

Spinal Cord Injury & Physical Disability

High-dependency personal care for individuals with spinal cord injury, motor neurone disease, multiple sclerosis, and other progressive neurological or physical conditions. Complex moving and handling, catheter care, skin integrity management.

Palliative & End-of-Life Care

Nurse-led palliative care enabling individuals to remain at home during the final stages of life. Fast Track CHC pathway supported — rapid mobilisation coordinated with community nursing, specialist palliative teams, and hospice at home services.

Post-Discharge Complex Care

Rapid discharge-to-assess and discharge-to-rehabilitate packages for individuals leaving acute or community hospitals. Supports reduction in delayed transfer of care and prevents avoidable readmission. 24–72 hour mobilisation for urgent cases.

Learning Disabilities & Autism

Complex care packages for adults with learning disabilities or autism whose health needs meet the CHC threshold. Behaviours that challenge, complex co-morbidities, and high personal care needs supported through a person-centred, rights-based approach.

Arranging a CHC Package? We Can Help.

Submit a referral online or call our clinical team directly. We respond to NHS CHC referrals within one working day and can mobilise urgent packages within 24–72 hours.

From Referral to Active CHC Package

A structured, governance-compliant process designed to meet NHS commissioning timescales and clinical expectations.

1

Referral & Clinical Review

Referral received from ICB, discharge team, or case manager. Our Registered Manager reviews clinical information and confirms suitability and capacity within one working day.

2

Nurse-Led Assessment

Comprehensive care needs assessment conducted in person by or under direct supervision of our nursing director. Risk stratification, MCA where indicated, medication review, environment, and MDT liaison.

3

CHC Care Plan

Bespoke care plan developed in line with the individual's health needs and CHC entitlements. Staff competency matched to clinical presentation. All governance documentation completed and shared with commissioner.

4

Live Package & Oversight

Care commences with ongoing director-level clinical oversight. Monthly progress reports to ICB and case manager. Escalation protocols activated immediately on any change in clinical presentation.

NHS CHC — Frequently Asked Questions

What is the difference between NHS Continuing Healthcare and local authority care funding? +
NHS Continuing Healthcare is funded entirely by the NHS and is not means-tested — eligibility is based solely on the nature and complexity of an individual's health needs. Local authority care funding is means-tested and is typically for social care rather than health needs. Many individuals are jointly funded through a shared package between the NHS and local authority.
How does Lamora Healthcare work with ICBs on CHC packages? +
We work directly with NHS Bedfordshire, Luton and Milton Keynes ICB (BLMK) and NHS Buckinghamshire, Oxfordshire and Berkshire West ICB (BOB) on CHC packages. We accept spot purchase referrals, participate in care review meetings, and provide monthly clinical reports aligned to each ICB's reporting requirements. Our governance documentation is available to any ICB on request.
Can Lamora Healthcare support a Fast Track CHC referral for palliative care? +
Yes. The Fast Track CHC pathway enables individuals with a rapidly deteriorating condition who may be approaching the end of life to receive care at home without a full CHC assessment. We can mobilise Fast Track CHC packages within 24–72 hours of referral, working alongside community nursing, specialist palliative teams, and hospice at home services.
What areas does Lamora Healthcare cover for NHS CHC packages? +
We accept CHC referrals across Bedfordshire, Buckinghamshire, and Luton as our primary commissioning area. For live-in care CHC packages, we are able to provide services nationally across England. Please contact us to discuss a specific location.
Does Lamora Healthcare support the CHC assessment process? +
We support families and individuals to understand the CHC assessment process, and we work collaboratively with ICB assessment teams. If an individual is already under our care and their health needs have changed, we will flag this to the relevant ICB and support a reassessment where appropriate. However, we cannot conduct CHC assessments ourselves — this is the responsibility of the ICB.
✓ CQC Registered Provider
Registered28 February 2023
Regulated ActivityPersonal Care
Registered ManagerNorah C Chawarika RGN

Specialist CHC Care. Nurse-Led. CQC-Registered. Available Now.

Contact our clinical team to discuss a Continuing Healthcare referral or to request our capability statement and governance documentation.