In March 2025, Prime Minister Sir Keir Starmer announced the abolition of NHS England, marking a significant restructuring of the UK’s health service. This move aims to reduce bureaucracy and bring the management of the NHS back under direct government control via the Department of Health and Social Care (DHSC).
While the full implications of this change are still unfolding, how might it affect NHS Continuing Healthcare (CHC)—a service that provides funding for people with complex health needs.
What Is NHS Continuing Healthcare (CHC)?
NHS Continuing Healthcare is a package of care arranged and funded solely by the NHS for people outside of hospital settings who have significant ongoing healthcare needs. Eligibility for CHC is determined through a comprehensive assessment process, and the funding can cover care in various settings, including care homes or an individual’s own home.
Potential Impacts of NHS England’s Abolition on CHC
The restructuring of NHS England could have several implications for CHC services:
- Administrative Changes and Potential Disruptions
NHS England has played a crucial role in setting the framework and guidelines for CHC assessments and funding decisions. With its functions being absorbed by the DHSC, there may be changes to these guidelines, leading to potential disruptions in how assessments are conducted and decisions are made.
- Staffing Reductions and Resource Constraints
The government’s plan includes significant job cuts within NHS England and associated bodies, aiming to reduce running costs by 50%. Such reductions could strain the capacity of Integrated Care Boards (ICBs) and other organizations responsible for CHC assessments, potentially leading to delays and decreased service quality.
- Transition Period Uncertainties
The legislative process to abolish NHS England is expected to take up to two years, with practical changes occurring more rapidly. During this transition, there may be uncertainties and temporary disruptions in CHC services as new structures and processes are established.
What Can You Do?
Given these potential changes, it’s crucial for individuals and families navigating the CHC process to stay informed and proactive:
- Stay Updated: Keep abreast of announcements from the DHSC and local ICBs regarding changes to CHC processes.
- Seek Professional Advice: Consult with healthcare professionals or legal advisors specializing in CHC to understand how changes may affect your situation.
- Document Everything: Maintain thorough records of all communications, assessments, and decisions related to CHC to ensure transparency and accountability.
Final Thoughts
While the abolition of NHS England aims to streamline healthcare management, it’s essential to monitor how these changes impact vital services like NHS Continuing Healthcare. Staying informed and seeking appropriate support can help navigate this evolving landscape and ensure that individuals with complex health needs continue to receive the care they require.
