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Arden & GEM CSU > Services > Clinical Support > NHS Continuing Healthcare

NHS Continuing Healthcare


  • Comprehensive, clinically led CHC delivery services
  • Full compliance with CHC eligibility statutory responsibilities
  • Efficient management of appeals and disputes
  • Management and delivery of ongoing case reviews
  • Ongoing case management
  • Provider contract negotiation and management
  • Full CHC and FNC activity and financial reporting
  • Safe and wellbeing reporting
  • Support with Mental Health Act responsibilities and decision-making relating to section 117 funding

Arden & GEM Commissioning Support Unit provides Continuing Healthcare (CHC) services that deliver the expertise and capacity required to help you resolve all your service challenges. Our modular approach provides a fully outsourced CHC service, dedicated CHC expertise for specific projects, or ad hoc support depending on your needs.

We bring:

• Clinically-led CHC services, supported by a Chief Nurse and delivered by a team of expert clinical health and social care managers, who have been at the forefront of providing input into the national CHC assurance framework.

• A flexible and responsive approach. Our modular structure provides both specific project support as well as experienced end-to-end CHC services to help you remain compliant with the national framework and identify financial efficiencies to ensure best value.

• Review and diagnostics services, including diagnostic visits and process reviews, evaluation of case review flow and capacity planning.

• A full suite of CHC delivery services from nurse assessments, issue resolution and change management to quality compliance and back office support.

• Access to BroadCare, the highly effective, proven, specialist software that supports every part of the NHS Continuing Healthcare process. Benefits include hospital referrals that are only accepted with the appropriate paperwork, direct scheduling of appointments and systemised reporting of recommendations to CCGs.

• An established framework of providers offering nursing capacity on a ‘cost per case’ basis to manage or eliminate the growing case backlogs many CCGs face.

• Specialist multi-disciplinary expertise and an established process for managing Personal Health Budgets.

• An experienced team with the skills and expertise to support the procurement and management of providers, as well as implementing cost reduction schemes.


A unique operating model

Our CHC operational model was redesigned in 2016 to optimise service quality, consistency and affordability.

Our central administration hub manages the paperwork and administrative processing for all CHC clients from point of referral to invoicing. Specialist clinical staff are therefore free to focus on delivering care to patients at a local level.

By establishing a consistent process and a more mobile and agile workforce, patients are assessed more quickly and receive the same high quality of care regardless of where they live.

We already support both CCGs and CSUs spanning eight counties. Our scale gives you access to an unrivalled range of specialists who have a wealth of knowledge and direct experience of overcoming CHC challenges, with the added benefit of flexible capacity to manage peaks and troughs.

With a strong focus on quality assessments and reviews, we also ensure our highly productive team delivers services efficiently, mindful of your budget.

Working with Arden & GEM gives you peace of mind that you have the expertise and flexibility required to maintain a high quality, efficient and cost effective CHC service, reducing your need for in house staff.

Our experience:


Working closely with our Knowledge Management Team has enabled us to improve and speed up the approval of Continuing Healthcare patient care plans. Our IT team designed and implemented an electronic Patient Information Flow (ePIF) support tool, using Office 365 technology which has made the approval process simpler, more effective, and consistent.

This is helping to reduce decision making time and improve patient outcomes.

In addition to providing CHC services to CCGs across a wide geographic footprint, we undertake CHC project work for NHS England, including:

  • Delivery of a national support service to help CCGs complete outstanding Previously Unassessed Periods of Care (PUPoC) cases within a short timescale. Our PUPoC experts provide a range of email, newsletter and teleconference advice, plus dedicated action planning to resolve completion obstacles.
  • A 12 month pilot project to deliver Continuing Healthcare Assessments for the prison population across the Midlands and East of England. Providing a single point of access for all referrals, reviews and care package brokerage, our dedicated hub allows administrative staff to conduct scheduling, brokerage, invoicing and reporting, with clinical staff attending the various prison establishments on a needs-led basis.

To view our Continuing Healthcare case studies please click here.


I have been extremely impressed by the dedication of the clinical quality team... I believe that patient and client experience has improved greatly as a result of the improved visibility of quality.
Commissioning and Delivery Director, Erewash CCG

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Alternatively please email contact.ardengem@nhs.net