What is a joint package of care?

What is a joint package of care?

Joint packages of care - NHS Continuing HealthcareMany families report having NHS Continuing Healthcare funding removed – and a joint package of care put in its place

Tip no. 24 in our series of 27 top tips on NHS Continuing Healthcare…

What does it mean to have a joint package of care?

Essentially, a joint package of health and social care is where funding comes from more than one source – it’s usually a mixture of NHS and local authority funding.

One of the alarming trends families have reported is that people with full NHS Continuing Healthcare funding – whose needs have not reduced and are not likely to – are having their funding downgraded to a joint package of care.

The impact of this is, of course, that the local authority element of the funding will be means tested.

Other families report having NHS Continuing Healthcare assessments that show eligibility for full NHS Continuing Healthcare funding, and yet they’re given a joint package of care instead.

A joint package of care (generally speaking) means the NHS won’t have to pay the full cost of care.

The National Framework guidelines state that a joint package of care is given when a person has some healthcare/nursing care needs, but not enough to warrant full funding. It’s says that, “taken as a whole’ their needs are not beyond the powers of a local authority to meet”. At the same time, the NHS retains some funding responsibility.

This could, however, be seen as a contradiction: the National Framework makes it clear that where a person has a level of care needs such that the NHS is legally obliged to pay, the NHS should also cover ALL social care needs as well.

So, in any assessment where a joint package of care is recommended, the key question to ask the assessors is: why is full NHS Continuing Healthcare not being recommended instead.

There are several pages in the National Framework guidelines about joint packages of care. Use this link to help you find what you need in the National Framework document

Tip no. 23: How to write an appeal for NHS Continuing Healthcare

Tip no. 25: Cognition and mental capacity – what’s the difference?

You don’t have to fight this battle alone

Fighting a Continuing Healthcare funding battle alone can feel daunting. If you need to talk to someone about your case, read more here.


  1. Jenny 7 months ago

    I’ve never understood how a joint package of care arises. It is, as you point out, a contradiction in terms if a Decision Support Tool has been properly completed and the scoring indicates a Health Need. At that point, the totality of needs must be beyond the remit of the local authority.
    Shared Care has become another widely used misinterpretation and misunderstanding of The National Framework and Coughlan which benefits the NHS and the Local Authorities wherever they can offload the medical care onto fee paying individuals.

  2. Janis Dobrin 8 months ago

    Is it really worth appealing if this happens to you as both the local authority and the NHS Continuing Healthcare nurse seem to be unanimous.

Leave a reply

Your email address will not be published. Required fields are marked *


2100 characters max. All comments are moderated in line with our Acceptable Use Policy and our Terms of Website Use.