Continuing Healthcare



Continuing healthcare is a package of on-going care, designed to support individuals who are found to have a primary health need which have arisen as a result of disability, accident or illness.
The care package is arranged and funded solely by the NHS and is care that is provided outside of a hospital environment. This might include in-home support for a person assessed as having a 'primary health need' and having a complex medical condition and substantial and ongoing care needs. For more information about continuing care services, please visit the NHS Choices website.
  • The lead commissioner for Adult Continuing Healthcare across Surrey, ages 18 years and over, is NHS Surrey Downs Clinical Commissioning Group. Further information is available on the Surrey Downs CCG website.
  • The lead commissioner for Children's Continuing Healthcare across Surrey, ages 0-17 years, is NHS Guildford and Waverley Clinical Commissioning Group. For more information, please contact the Children's Commissioning Team at NHS Guildford and Waverley CCG via email - or telephone 01483 405461.


Personal Health Budgets



A Personal Health Budget is an amount of money that can be given directly to a person receiving NHS care to pay for their help and support to allow them to purchase care that is tailored to their individual needs. Both health and wellbeing outcomes and a detailed care support plan that will meet those outcomes is agreed between the individual and their continuing healthcare team.


Information about Personal Health Budgets is available on the NHS Choices website.


People who receive continuing healthcare are able to ask for a Personal Health Budget. From 1 April 2015, those with a long-term condition (including mental health conditions) also have the right to request a Personal Health Budget. If you are interested in applying for a Personal Health Budgets, the first step is to talk to your NHS healthcare professional.


Surrey Downs CCG host this service for adults in Surrey. Information about the service in Surrey is available on the NHS Surrey Downs CCG website. Alternatively, please speak to a member of the Adult Continuing Healthcare team at NHS Surrey Downs CCG on 01372 201 609.


To discuss a Children or Young Person's Personal Health Budget, contact the Children's Commissioning Team at NHS Guildford and Waverley CCG via email - or telephone 01483 405461.


Personal Wheelchair Budgets



From 2 December 2019, all those eligible for an NHS wheelchair, will have more control over decisions made about their care and choice of wheelchair with individuals to be entitled to personal wheelchair budgets.


Surrey CCGs in conjunction with NHS England are working closely with the Wheelchair Services to develop a Personal Wheelchair Budget offer to replace the current Voucher Scheme.


Personal Wheelchair Budgets are available for some wheelchair users to provide a greater choice of wheelchairs.


Under the new system individuals will have three options:

  1. Notional Personal Wheelchair Budget (standard NHS provision)
    This means the provision of a wheelchair which will meet an individuals identified needs.

  2. Notional Personal Wheelchair Budget with contribution
    This option allows an individual or another agency (such as a Council or a voluntary or charitable organisation) to contribute their personal budget towards an NHS wheelchair or add additional features.

  3. Third Party Personal Wheelchair Budget
    This allows an individual to use their personal budget as a contribution to buying a wheelchair from an independent retailer outside of the NHS. This is only available if the wheelchair is deemed clinically appropriate following a discussion with a Wheelchair Therapist.


During the assessment a clinician will work with the individual to identify their needs and establish what they want from their wheelchair. The individual will be given a personal wheelchair budget that is equivalent to the cost of their prescribed wheelchair. Depending on the type of personal wheelchair budget the individual has, they could have the option to top up the budget which may allow them to add an additional feature to their prescribed wheelchair or they could use their wheelchair budget to buy a wheelchair from another approved supplier.


Surrey CCGs recognise that from 2 December individuals have the right to ask for a personal wheelchair budget however capacity, resources and skills to meet all requests is likely to result in the need to prioritise and take a phased approach to the roll out of personal wheelchair budgets. CCGs will consider all requests on an individual basis and if unable to provide a personal wheelchair budget the individual will be signposted to commissioned services for a personalised conversation.


For more information please see:



Page updated:3 December 2019
Next review due:31 May 2020
Model Publication Scheme:Class 9: The services we commission
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