What is Fast Track NHS Continuing Healthcare?
Fast Track refers to the need for care to be available quickly, with recognition that there may not be sufficient time to complete a Full NHS Continuing Healthcare (CHC) assessment. The Fast Track process is set out in the National Framework for NHS Continuing Healthcare.
West Hampshire CCG has a new NHS Continuing Healthcare: The Fast Track Pathway Tool Information Booklet which will provide more detailed information around the process.
How is it different to a full NHS Continuing Healthcare assessment?
The Fast Track Pathway should be applied when an individual has been identified as having a ‘primary health need’, which is also rapidly deteriorating.
Fast Track funding is usually for a period of up to three months. Towards the end of this period a review and a full NHS CHC assessment will then be arranged. This could lead to a decision that you or your family member no longer has a primary health need and funding for CHC may end.
NHS England Video Explaining the Fast Track Process
What can I expect during a Fast Track assessment?
- The professional responsible for care identifies there is a rapid deterioration in condition which may be entering a terminal phase. They will discuss the application process with you and complete a CHC consent form, Nursing Needs Assessment and the Fast Track Tool
- The professional will then send the application directly to the CHC team at WHCCG
- The CHC team will check that the application is fully completed and that it meets the criteria for the Fast Track Pathway (e.g there is evidence to support rapid deterioration)
- WHCCG will then approve and commission appropriate care to meet the care needs with the aim for care to be in place within 48 hours.
- After 8 weeks a review will be completed to assess whether there has been any change in need
How will care needs be reviewed?
After eight weeks our NHS Continuing Healthcare (CHC) team will complete a review, often by phone to the care provider. If your, or your relative’s, condition remains rapidly deteriorating the CHC team will defer the review for a few weeks, with care continuing to be provided throughout this time.
After the review of care needs, if appropriate, due to a stabilised condition, CHC will arrange a Multi disciplinary Team Meeting (MDT) to begin the process of assessing whether you or your family member remains eligible for CHC.
Fast Track Tool Documentation
For each Fast Track application the following three pieces of documentation are required by the CHC team:
- NHS Continuing Healthcare Fast Track Pathway Tool (Dept of Health& Social Care)
- Nursing Needs Assessment form
- NHS CHC Consent Form: For Individuals With Capacity
- NHS CHC Consent Form: For Individuals Without Capacity