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NHS Continuing Healthcare β€” [CAROLYN HARRIS in the Chair]

25 March 2026

Lead MP

Ayoub Khan
Birmingham Perry Barr
Ind

Responding Minister

Stephen Kinnock

Tags

NHSSocial CareEmploymentMental HealthLocal Government
Word Count: 3536
Other Contributors: 3

At a Glance

Ayoub Khan raised concerns about nhs continuing healthcare β€” [carolyn harris in the chair] in Westminster Hall. A government minister responded.

Key Requests to Government:

The government needs to review the entire system and ensure it is fair, consistent, and accessible to those who need it most. This includes addressing the culture of cuts and austerity that is driving the crisis in CHC funding.

How the Debate Unfolded

MPs spoke in turn to share their views and ask questions. Here's what each person said:

Lead Contributor

Birmingham Perry Barr
Opened the debate
The continuing healthcare system should offer round-the-clock care for the country's most vulnerable adults, but it currently fails to do so. The CHC system is inconsistent and inaccessible, with a growing body of evidence suggesting that funding is often revoked without clear reason. A recent report from the Nuffield Trust describes CHC as an "all or nothing" affair, creating a cliff edge for applicants between full NHS funding and paying out of pocket. Independent analysis shows that CHC spending decreased by 42% in 2024 compared with previous years despite increasing need. Daniel, a constituent, has experienced the injustice of this process after his eligibility was revoked without clinical rationale.

Government Response

Stephen Kinnock
Government Response
It is a pleasure to serve under your chairship, Mrs Harris. I thank Ayoub Khan for securing this important debate and express gratitude to other contributors. Acknowledging families, carers, and health staff who provide compassionate care daily, the minister highlights that increased life expectancy has placed additional pressure on healthcare systems but notes improvements in supporting those with complex needs through NHS continuing healthcare. The Labour Government introduced the programme which supports thousands of people annually; statutory guidance ensures consistent approach. Over 164,000 individuals were found eligible for continuing care by March 2025β€”an increase from 160,000 in 2017. Integrated care boards work to streamline processes and find efficiencies, with NHS England monitoring compliance. Efforts are ongoing to reduce running costs of integrated care boards while ensuring frontline services receive necessary funding. Baroness Casey's independent commission on adult social care will recommend immediate actions focusing on safeguarding, dementia, and motor neurone disease. Existing tensions between ICBs and local authorities regarding eligibility decisions exist but the minister acknowledges the need for joint working to improve outcomes. A robust dispute resolution process is in place including local reviews by ICBs and independent review panels if unresolved locally. The minister expresses regret over constituents' difficulties shared by Ayoub Khan, offering further correspondence as a solution. Concerns about low numbers of eligible individuals post-assessment are addressed by the initial referral threshold set to ensure comprehensive assessments. Collaboration with sector bodies aims to achieve better integration between NHS and local authorities. Kinnock congratulates the hon. Member for securing this debate and commits to working collectively to improve services.
Assessment & feedback
Summary accuracy

About Westminster Hall Debates

Westminster Hall debates are a chance for MPs to raise important issues affecting their constituents and get a response from a government minister. Unlike Prime Minister's Questions, these debates are more in-depth and collaborative. The MP who secured the debate speaks first, other MPs can contribute, and a minister responds with the government's position.