NHS Continuing HealthcareNorfolk and Suffolk

NHS Continuing Healthcare in Norfolk and Suffolk

Continuing Healthcare is decided by the NHS, not the council. For Norfolk and Suffolk, the decision is made by NHS Norfolk and Suffolk Integrated Care Board. At 30 June 2026, 32.8 in every 50,000 adults registered with a GP here were eligible for standard Continuing Healthcare, close to the England figure of 33.1.

Below: how this area compares, how quickly it decides, who to contact here, and what to do if the answer is no.

Eligible for standard CHC, per 50,000 adults

At 30 June 2026

Norfolk and Suffolk
32.8
East of England region
36.5
England
33.1

A count of people receiving it, not anyone's chance of getting it. NHS England figures, published as management information.

How this area compares

How many people get CHC in Norfolk and Suffolk

At 30 June 2026, 972 adults in Norfolk and Suffolk were eligible for standard Continuing Healthcare. That is 32.8 in every 50,000 adults registered with a GP, close to the England figure of 33.1 and close to the East of England region figure of 36.5. It was the 18th highest of the 36 ICBs in England.

Eligible for standard CHC per 50,000 adults, 30 June 2026
  1. This ICB32.8
  2. East of England36.5
  3. England33.1

Fast Track Continuing Healthcare is the quicker route for someone whose condition is deteriorating rapidly and who may be nearing the end of life. At the same date 397 adults here were eligible through Fast Track, 13.4 in every 50,000, about 24% lower than the England figure of 17.7.

The last four quarters, so a single quarter is not read on its own:

At the end ofThis ICB, standardThis ICB, Fast TrackEngland, standard
September 202533.712.533.3
December 202533.512.833.3
March 202633.514.532.5
June 202632.813.433.1

Per 50,000 adults registered with a GP, at the end of each quarter.

How quickly it decides

How long decisions take in Norfolk and Suffolk

Of the 566 standard referrals the ICB completed in April to June 2026, 54% were completed within 28 days, against 67% across England.

At 30 June 2026, 90 standard referrals in this ICB had been open for longer than 28 days, 3 of them by more than 12 weeks.

Of the 404 full assessments for standard CHC the ICB completed in April to June 2026, 13% found the person eligible, against 18% across England.

The share found eligible depends on who is referred, which varies with how readily local nurses, doctors and social workers complete the checklist, so it is not a measure of your relative's chances. If a decision is taking longer than 28 days, ask the ICB's Continuing Healthcare team for a date. The process sets out each stage and its timescale.

The same everywhere

What does not change from area to area

Every ICB in England applies the same national framework. Some things that families are told vary locally do not:

  • Continuing Healthcare is not means-tested. Savings and property do not come into it.
  • It pays for care at home, including a live-in carer, as well as a care home place.
  • The test is whether the care needed is mainly about health, judged on the nature, intensity, complexity and unpredictability of the needs.
  • It starts with a checklist that any nurse, doctor or social worker can complete, followed where needed by a full assessment using the Decision Support Tool.

NHS Continuing Healthcare, explained covers each of these, the twelve areas the assessors score, and how to prepare for the assessment.

If the answer is no

If CHC is refused, or your relative is not eligible

Ask the ICB to review the decision within 6 months of the letter. This first stage is called local resolution. Over the year to June 2026, Norfolk and Suffolk completed 144 local resolution requests, and 9 of them (6%) ended with the person found eligible. Challenging a decision covers local resolution, the independent review panel and the free specialist advice available before you start.

Not being eligible for Continuing Healthcare does not mean paying for everything. The council can assess your relative's care needs and, depending on their savings and income, pay towards care at home, which you can take as a direct payment and use to choose who provides it. If your relative lives in a nursing home, the NHS may still pay a weekly amount towards the nursing part of the fees, called NHS-funded nursing care.

Council funding in the area this ICB covers

If the council is not funding care either, or your family would rather arrange it now while a decision or a review is pending, you can look at self-employed carers near you, see their rates, and talk to them before committing to anything. We do not take part in Continuing Healthcare decisions and cannot make one quicker.

Questions

Questions about Continuing Healthcare in Norfolk and Suffolk

NHS Norfolk and Suffolk Integrated Care Board. Continuing Healthcare is an NHS decision, so it is made by the integrated care board, not by the councils in the area. A team of health and care professionals assesses the needs and recommends a decision, and the ICB makes it. The council is still involved in the assessment, and it is the council you go to for care it funds if the answer is no.

The figures cannot tell you that. At 30 June 2026, 32.8 in every 50,000 adults here were eligible for standard Continuing Healthcare, against 33.1 across England. That describes how many people are receiving it, which depends on how old and how unwell the local population is as well as on how decisions are made. Whether your relative qualifies depends only on their needs, assessed against the same national rules as everywhere else.

The national framework expects a decision within 28 days of the checklist in most cases. Of the 566 standard referrals the ICB completed in April to June 2026, 54% were completed within 28 days, against 67% across England. Your relative's case can take more or less time than that.

No. Savings, income and property do not come into it anywhere in England. It depends only on whether the care needed is mainly about health. Who qualifies explains the test.

Yes. It can pay for care at home, including a carer living in, as well as a care home place. Once someone is eligible, the ICB agrees the package and the setting with the family, and a personal health budget can give you more say in how the care is arranged. What it pays for covers the detail.

Ask the ICB to review the decision within 6 months of the letter. That review is called local resolution, and if it upholds the decision you can go to NHS England for an independent review. Meanwhile your relative can ask their council for a needs assessment for care it funds. Challenging a decision covers each stage.

Continuing Healthcare in other ICBs in the East of England region

Every ICB in EnglandHow Continuing Healthcare works

Figures: NHS England, NHS Continuing Healthcare (CHC) and NHS-funded Nursing Care (FNC), April to June 2026 (published as management information). Rates are per 50,000 adults registered with a GP. NHS England's statistics page. The area covered is from the Office for National Statistics lookup of ICBs to council areas, April 2026. ICB details were read from its published pages and checked against them on 18 September 2026. Covering Norfolk and Suffolk.

Care at home in Norfolk and Suffolk

See self-employed carers near you with their rates, experience and reviews, and talk to the ones you like for free. Continuing Healthcare decisions are the NHS's alone; nothing here changes them.

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