Home/ICBs/Bath and North East Somerset, Swindon and Wiltshire

Bath and North East Somerset, Swindon and Wiltshire ICB.

Ranks 7th of 42 English ICBs by CHC approval rate in 2025-26 Q4.

Approval rate

22.0%

of standard assessments

Vs national

1.3x

National is 16.7%

Rank

7/42

86th percentile

YoY trend

+6.2pp

vs 2024-25 Q4

In context

Approval rate 1.3x the national average.

Of the standard NHS Continuing Healthcare assessments completed by Bath and North East Somerset, Swindon and Wiltshire ICB in 2025-26 Q4, 22.0% were judged eligible. The national figure across all 42 ICBs was 16.7%.

Highest approval rate among the 42 ICBs: Cambridgeshire and Peterborough at 35.4%. Lowest: Gloucestershire at 2.3%.

Per 50,000 adult residents, Bath and North East Somerset, Swindon and Wiltshire found 41.4 people eligible for CHC this quarter. Adult population: 0.82M.

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

Trend

Approval rate over time

QuarterApproval rateEligibleTotal assessments
2025-26 Q422.0%468578
2025-26 Q319.2%432558
2025-26 Q217.9%447566
2025-26 Q19.5%352476
2024-25 Q415.8%390529
2024-25 Q315.0%397573
2024-25 Q221.9%412594
2024-25 Q123.3%377525
2023-24 Q418.0%372540
2023-24 Q318.4%350514
2023-24 Q218.1%303439
2023-24 Q18.5%241327

Eligibility criteria

The 12 Decision Support Tool domains

Reference page covering the twelve clinical domains used in the formal assessment, the level scale within each, and how the National Framework weighs them.

View the 12 domains

After a not-eligible decision

Options if the assessment finds someone not eligible

Reference page on the appeal route, self-funding from savings and property, and equity release as alternatives. Includes pointer to Beacon CHC, the NHS-funded free advice service.

See the options