CHC Checklist Scoring

How does CHC Checklist scoring work?

The NHS Continuing Healthcare (CHC) Checklist is usually the first stage of paperwork to determine if someone is eligible for funding. If you score high enough, you will be offered a Full Assessment. So, how does CHC Checklist scoring work?

The Checklist considers 12 domains (areas) of care:

  • Behaviour
  • Continence
  • Cognition
  • Skin and tissue viability
  • Psychological and emotional needs
  • Breathing
  • Communication
  • Drug therapies and medication
  • Mobility
  • Altered states of consciousness
  • Nutrition – food and drink
  • Other significant care needs

These are the same care domains as in the form used in the Full Assessment, called the Decision Support Tool (or DST), but the scoring options are simpler than in the DST: just A, B or C.

A is assigned to areas in which there are a high level of care needs. B is assigned to areas in which there are a moderate level of care needs. C is assigned to areas in which there are low or no needs. You can read full descriptions of what these levels mean for each area on the Checklist form.

What score do I need to be offered a Full Assessment?

The Checklist scoring threshold is set intentionally low; it aims to screen people in rather than out. A full assessment is required if you are assessed with any of the following:

  • Two or more As
  • Five or more Bs
  • One A and four Bs
  • An A in any of these areas: behaviour, breathing, symptom control, altered states of consciousness

You do not always have to meet these criteria, some people might be offered an assessment with (for instance) four Bs. It’s at the discretion of your Integrated Care Board (ICB), who are in charge of CHC in your area.

Need more help?

We can provide up to 90 minutes of free and independent advice on any part of the NHS Continuing Healthcare process, and you can register now to download our Free Navigational Toolkit on the assessment and appeal stages.

Contact us today and one of our advisors will call you back.