Source: NHS England 2025-26 Q4

NHS Continuing Healthcare. Your local data.

42 Integrated Care Boards in England. Approval rates from 2.3% to 35.4%. National average 16.7%. Search by postcode or browse below.

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Highest approval rate

35.4%

Cambridgeshire and Peterborough

National average

16.7%

England, standard assessments

Lowest approval rate

2.3%

Gloucestershire

Variation between ICBs has several legitimate explanations including differences in age profile, deprivation, and comorbidity. See methodology for what raw approval rates can and cannot tell you.

2025-26 Q4

NHS Continuing Healthcare across England

Approval rate is the share of standard NHS Continuing Healthcare assessments completed in 2025-26 Q4 that were judged eligible. Click any ICB for history, rank and per-quarter detail.

42 ICBs ranked by approval rate, %, standard assessments, latest quarterNational 16.7%Cambridgeshire and Peterborough35.4%Greater Manchester27.5%Mid and South Essex26.9%North East London25.2%Lancashire and South Cumbria25.0%North East and North Cumbria22.5%Bath and North East Somerset, Swindon and Wiltshire22.0%Hampshire and Isle of Wight21.8%Lincolnshire21.5%North West London21.4%Leicester, Leicestershire and Rutland20.6%Hertfordshire and West Essex20.3%Cheshire and Merseyside19.9%Staffordshire and Stoke-on-trent18.6%Bedfordshire, Luton and Milton Keynes18.4%Suffolk and North East Essex17.8%Devon17.4%Buckinghamshire, Oxfordshire and Berkshire West17.3%Northamptonshire16.5%Nottingham and Nottinghamshire15.0%Dorset15.0%West Yorkshire14.6%Black Country14.2%Herefordshire and Worcestershire14.0%Humber and North Yorkshire13.7%Bristol, North Somerset and South Gloucestershire13.7%North Central London13.4%Kent and Medway13.1%South Yorkshire12.9%Cornwall and the Isles of Scilly12.9%South East London12.7%Coventry and Warwickshire10.5%South West London10.5%Norfolk and Waveney10.3%Derby and Derbyshire9.4%Birmingham and Solihull8.9%Sussex7.4%Frimley6.5%Somerset6.5%Surrey Heartlands5.9%Shropshire, Telford and Wrekin5.0%Gloucestershire2.3%

Eligibility criteria

The 12 Decision Support Tool domains

NHS Continuing Healthcare eligibility is assessed across twelve clinical domains. Reference page covering each domain, the levels used, and how the framework weighs them.

View the 12 domains

After a not-eligible decision

Options if the assessment finds someone not eligible

Standard CHC approval rate is approximately 16.7%. Reference page covering the appeal route, self-funding from savings and property, and equity release as alternatives.

See the options