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Continuing Care is organised differently for children and young people than for adults and is governed by the Department of Health National Framework for Children and Young People's Continuing Care (CYPCC).
A continuing care package will be required when a child or young person has needs arising from disability, accident or illness that cannot be met by existing universal or specialist services alone. Continuing Care does not cover children and young people with care needs that may be met appropriately through existing universal or specialist health services.
This framework covers young people up to their 18th birthday. Thereafter, the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care and the supporting guidance and tools should be used.
There are significant differences between children and young people’s continuing care and NHS Continuing Healthcare for Adults. Although a child or young person may be in receipt of a package of Continuing Care, they may not be eligible for NHS Continuing Healthcare or NHS Funded Nursing Care once they turn 18.
How to Apply
If you think your child may be eligible for NHS Continuing Care support please contact your community children's nurse and/or social worker or any other health or social care professional involved in your child’s care for advice. If appropriate, they will make a referral to the NHS Berkshire West Clinical Commissioning Group (CCG) Children and Young People’s Continuing Care Service.
Set out below is the application process to assess eligibility for Children and Young People's Continuing Care.
PLEASE NOTE: Diagnosis of a particular disease or condition is not in itself a determinant of a need for continuing care.
Review of eligibility decision
The CCG would like to make sure that you find it as easy as possible to request a review of a continuing care support eligibility decision. We will ensure that reviews are acted on fairly and resolved quickly.
Reasons for review of a decision:-
How do I request a review of an eligibility decision?
If you wish to request a review of eligibility decision please write to:-
Children and Young People’s Continuing Care Case Manager
Berkshire West Clinical Commissioning Group
For further information please read the Children and Young People's Continuing Care leaflet.