A survey of nurses involved in assessing the eligibility of older people for NHS continuing healthcare
evidence and practice    

A survey of nurses involved in assessing the eligibility of older people for NHS continuing healthcare

Geraldine Lee Reader in Advanced Clinical Practice, King’s College London, London, England
Nicky Hayes Nurse Consultant for Older People, King’s College Hospital NHS Foundation Trust, London, England

Why you should read this article:
  • To gain insight into the complexity of NHS continuing healthcare (CHC) assessments

  • To reflect on what skills and knowledge are required for the optimal assessment of an older person’s eligibility for CHC

  • To understand the training and development needs of nurses involved in CHC-associated work

Background Nurses in England play a prominent role in NHS continuing healthcare (CHC) assessments, but there are no overview data on their knowledge and educational needs.

Aim An online survey was conducted to identify the educational status and development needs of nurses involved in CHC assessments.

Method The survey was informed by a literature review and focus group discussions, and distributed via email to the members of the Royal College of Nursing older people’s forum. Descriptive data analysis was undertaken.

Results Overall, respondents were confident about their ability to undertake CHC-associated work and manage each aspect of the CHC process. However, respondents were less confident about how to determine whether a primary health need exists based on the four main criteria – nature, complexity, intensity and unpredictability – of a person’s health and social care needs. This was one of the respondents’ priorities for training and development.

Conclusion The survey demonstrates the importance of face-to-face and multidisciplinary CHC training delivered locally. It also confirms the need for a standardised approach and more consistency in the CHC assessment process. A CHC competency framework would contribute to standardise the process and benefit all involved.

Nursing Older People. doi: 10.7748/nop.2020.e1266

Peer review

This article has been subject to external double-blind peer review and has been checked for plagiarism using automated software

@gerrythecynic

Correspondence

gerry.lee@kcl.ac.uk

Conflict of interest

None declared

Lee G, Hayes N (2020) A survey of nurses involved in assessing the eligibility of older people for NHS continuing healthcare. Nursing Older People. doi: 10.7748/nop.2020.e1266

The authors acknowledge funding from NHS England. The views expressed are those of the authors and not NHS England

Published online: 30 September 2020

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