Continuing Healthcare (CHC) and Fast‑Track Assessments
We know that applying for NHS Continuing Healthcare (CHC) can feel confusing, especially when someone’s health is changing quickly. This page explains who is responsible for completing CHC and Fast‑Track forms, and what our GP practice can help with.
Who Should Complete CHC or Fast‑Track Forms
CHC and Fast‑Track forms need to be completed by a clinician who:
- Knows the patient well
- Understands their day‑to‑day care needs
- Has the right training to assess whether they meet the CHC criteria
This is usually:
- A community nurse (District Nurse)
- A specialist nurse involved in the person’s care
- A hospital MDT, if the person is in hospital or recently discharged
- A care home’s clinical lead, if the person lives in a nursing or residential home
These professionals are directly involved in the patient’s care and have the detailed, up‑to‑date knowledge needed to complete the assessment safely and accurately.
Why the GP Practice Does Not Complete These Forms
GPs are not required to complete CHC or Fast‑Track forms, and they are not trained to assess care needs in the way these forms require. Often, the GP is not the clinician who sees the patient most frequently, so they may not have the detailed information needed for the assessment.
For these reasons, our practice does not complete CHC or Fast‑Track forms and cannot countersign forms completed by other organisations.
What the GP Practice Can Help With
We can support the process by providing:
- Confirmation of a new diagnosis
- A medical summary if there has been a significant change in health
- Factual information about the patient’s medical history
This information can be used by the community or specialist team completing the CHC assessment.
Who to Contact if You Need a CHC or Fast‑Track Assessment
If you think a CHC or Fast‑Track assessment is needed, please contact:
- Your community nursing team (District Nurses)
- Your specialist nurse or clinical team
- The hospital team, if the patient is currently under their care
- The care home’s clinical lead, if the patient lives in a care home
They will be able to assess the situation and complete the necessary forms.
More Information
You can find NHS guidance on:
- The Fast‑Track Pathway Tool
- The CHC checklist
These are available on the NHS website.