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Continuing Health Care
You could provide continuing health care support within a community setting to individuals with a primary health care need who are eligible for NHS CHC funding.
This includes enabling individuals 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.
Supervision and mentoring will be provided by our clinical case manager.
The aims of the service within a community setting are listed below:
- 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 funding 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 admission to hospital.
- To develop effective communication systems at all levels of care into and out of the patient’s home.
The objectives of the CHC community care provision are listed below:
- 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 always maintain the dignity and privacy of patients.
- 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-centred approaches to care management and planning, by ensuring the use of appropriate, evidenced-based, symptom/behavioural management strategies.
