Specialist Services: Continuing Healthcare

We offer continuing health care support within the domiciliary setting to provide care for patients with a primary health care need who are eligible for NHS CHC. This includes enabling patients to achieve the best possible quality of life whatever their disease or disability, ethnic background, or sexual orientation.

This will be achieved through the application of a holistic person-centered approach to care which is integrated seamlessly with all other health services, especially GP primary medical services, specialist palliative care services, mental health, learning disabilities and community social care. All our continuing health care patients are case managed by our registered nurse.

The aims of the service within the domiciliary setting are:

  • To ensure that patients receive the most appropriate care.
  • To actively support holistic care of patients by defining clear health outcomes and objectives.
  • To utilise a proactive case management approach which includes regular monitoring and review, assessment of patient needs against NHS CHC criteria and where appropriate, undertaking comprehensive assessment and care planning for the NHS CHC process.
  • To assess patients’ capacity and support decision making in relation to health needs and to ensure that the needs and views of patients are central to developing and providing services.
  • To utilise primary care services to prevent avoidable admissions to hospital.
  • To develop effective communication systems at all levels of care feeding into, and out of the patient’s home.

The objectives of the CHC domiciliary care provision are:

  • To facilitate timely discharge from hospital via effective interagency early discharge planning arrangements.
  • To provide timely, high quality, evidence-based care, including palliative and end of life care to patients.
  • To maintain the dignity and privacy of patients at all times.
  • To empower people to make informed choices and promote competent self-care where possible, enabling them to effectively contribute to their care management and optimise their independence.
  • To prevent and reduce health complications associated with immobility, disability or existing illness.
  • To liaise with the NHS CHC team, primary care services, social services, voluntary agencies, acute trusts and other professionals and agencies to ensure seamless care to patients.
  • To provide accurate high-quality information and health education to patients, family members and carers in a culturally sensitive manner.
  • To utilise person centered approaches to care management and planning, by ensuring the use of appropriate evidenced based symptom/behavioral management strategies.

"Just wanted to say a big thank you for all you have done. Can’t thank you enough you have been so good and helpful with my Mum – it’s a pity we couldn’t keep you"

"If I'd not had this service I would have needed to stay in hospital as the family would be unable to support me"

"If I'd not had this service I would have needed to stay in hospital as the family would be unable to support me"

"My husband had been in hospital for weeks. If we'd not had this support for him he would otherwise have remained in hospital. The service more than exceeded my expectations"

"My Mum has dementia and I was concerned about whether she would be ok whilst I was away working in America. I want to pass on my sincere thanks to EHSS. My Mum received an excellent, bespoke service that exceeded all my expectations. I was very impressed, whilst in America, how staff updated me regularly as to how my Mum was and regularly via text"