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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
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 Daniel, a constituent, has experienced the injustice of this process after his eligibility was revoked without clinical rationale.
Iqbal Mohamed
Ind
Dewsbury and Batley
He congratulated his hon. Friend on the debate and agreed that families should have a clear, transparent process for receiving support without sudden changes or challenges, advocating for checks and balances to ensure fair treatment. ICBs are responsible for administering CHC support. However, there is concern over the involvement of private contractors in eligibility reviews, as ICBs may rely on guidance from these contractors rather than making independent decisions.
Jim Shannon
DUP
Strangford
He commended the hon. Gentleman for bringing the debate forward and highlighted that in Northern Ireland, the High Court determined that the previous continuing healthcare policy breached equality obligations for older people, prompting a review of new guidance tailored to individual needs.
Shockat Adam
Ind
Leicester South
He agreed with the hon. Member about difficult times faced by families and pointed out that lengthy legal processes are adversarial, costing local authorities hundreds of thousands of pounds, often resulting in overturned decisions.
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 2025βan 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.
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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.