NHS Continuing Healthcare sits at the intersection of health, law, funding, and human vulnerability - and too often, clarity is lost in complexity. This book does NOT offer checklists or shortcuts. Instead, it bridges the gap between official policy and real-world practice, explaining how CHC decisions are actually thought through, evidenced, recorded, and defended. Covers EVERYTHING: - Why CHC exists - legal foundations & ethical principles- The National Framework - purpose, principles & limits- Decision Support Tool (DST) - structure, use & common misuses- Primary Health Need - nature, intensity, complexity, unpredictability- Evidence, weighting & professional judgement- Reviews, reassessments & defensible decision-making- Panels, appeals & Independent Review Panels (IRPs)- Common myths, pitfalls & misconceptions- Multidisciplinary working & difficult conversations- Family perspective, advocacy & lived experience- Practical checklists, templates & reflective practiceWritten by Sanjay Gupta, Occupational Therapist with 15+ years' frontline CHC experience - from assessment to panel, from principle to practice. For practitioners, care managers, social workers, ICB staff, nurses, advocates, legal professionals - AND families navigating the process.
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