NHS Continuing Care
NHS Continuing Care is support provided for children and young people under 18 who need a tailored package of care because of their disability, an accident or illness.
The National Framework for Children and Young People's Continuing Care (Department Health, 2010) describes the process, that organisations should go through in assessing needs and putting in place bespoke packages of Continuing Care for children and young people who require it because their needs cannot be met by existing universal or specialist service.
NHS Continuing Care is different from NHS Continuing Healthcare. NHS Continuing Healthcare can be provided to adults who have very severe or complex health needs. The main difference is that while Continuing Healthcare for adults focuses mainly on health and care needs, Continuing Care for a child or young person should also consider their physical, emotional and intellectual development as they move towards adulthood.
If your child is assessed as requiring NHS Continuing Care, it's likely that a range of official organisations will be involved, such as health, education and local authority children's services. If your child is assessed as having Continuing Care needs these agencies will contribute to your child's care package.
The process of arranging NHS Continuing Care is governed by your Clinical Commissioning Group. In Derbyshire we commission the Midlands and Lancashire Commissioning Support Unit (MLCSU) to complete the assessments and put forward recommendations for the care packages for children and adults to the Clinical Commissioning Group for authorisation.
The Children's Continuing Care Nurse Assessor will work alongside all the professionals that are involved in supporting your child. Their professional reports and assessments are used to complete the Continuing Care Assessment of Need and the care package recommendations.
The framework recommends that, wherever possible, Continuing Care for a child or young person should be provided in their own home. However it can also take place in a residential school, residential placement or hospice. During the process the views and wishes of the child or young person and their family are taken into consideration. The framework also offers guidance about transitional planning and arrangements for young people as they move into adulthood and adult services.
If you think your child or young person should be assessed for NHS Continuing Care, talk to a health or social care professional who works with them about this and the process for referring them. It is usual for referral requests to be discussed at a Team Around the Child (TAC) or a Team Around the Family (TAF) meeting and one of the actions will be to make a referral.
Transforming Care Programme Children and Young People (TCP)
The Transforming Care Programme Children and Young People (TCP) in Derbyshire aims to ensure that individuals with diagnosed learning disabilities or autistic spectrum disorder are supported within local communities, within capable environments to avoid unnecessary in-patient mental health admissions. Read more about the health transforming care in detail to understand the programme's national priority.
If any parents or young people would like to be involved in the TCP work email firstname.lastname@example.org
Palliative care (end of life care)
Palliative care is the care of patients with advanced, progressive and life-limiting illnesses, both cancer and non-cancer, their carers and families.
- the management of pain and other symptoms such as psychological social and spiritual support
- focuses on quality of life and living as actively as possible until death
- involves all health professionals providing care and is available in all clinical settings
- end of life care bereavement care
Referrals come from the primary care team or GP and are made to the team secretary by telephone. Patients must be aware of and agreeable to the referral.
Community Palliative Care Team
Cancer Divisional Offices
Level 3 M & G, Office Suite B
Royal Derby Hospital
Out of hours advice can be sought via the Nightingale Macmillan Unit 24 Hour Advice Line on 01332 786040.
Specialist palliative care webpage.
Community palliative care team webpage.