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Could the NHS Pay for Their Care?

NHS Continuing Healthcare in England: how to ask for it, and what happens next.

The NHS may pay for all of someone's care if their needs are mainly health needs. Who to ask, what to say, a letter you can use, Fast Track near the end of life, what happens next, and what to do if the answer is no. It explains how to ask; it cannot tell you whether anyone will get it, and it is not legal or financial advice. England only.

Sources checked 31 October 2026

What’s inside

  • If you only read one page
  • When to ask
  • Who can ask for it
  • Near the end of life: Fast Track
  • What to do this week
  • How to ask, step by step
  • Letter asking for an assessment
  • Before the assessment
  • What happens next
  • If the person can't decide for themselves
  • Already in a care home and paying?
  • If it's not NHS Continuing Healthcare
  • If the answer is no
  • Free help
  • Who we spoke to
  • Where this comes from

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