MidlandsICB

Why Coventry and Warwickshire Approves Only 11.6% of CHC Applications

Coventry and Warwickshire is one of England's most ethnically diverse ICB areas, with 45% of Coventry's population identifying as from ethnic minority backgrounds and a substantial semi-transient student population. The region spans both urban deprivation and affluent rural communities, creating distinct health needs and CHC demand patterns across four geographically separate health 'places'.

Information last verified: 2026-04-06 · England CHC framework

11.6%

Approval rate · 12 months to June 2026

17.7%

National average

7 of 36

7th lowest approval rate of 36 ICBs

Approval rate · 12 months to June 2026

11.6%

National avg: 17.7%

England ranking

7 of 36

7th lowest approval rate of 36 ICBs

CHC team contact

cwicb.contactus@nhs.net

02476 324399

Understanding CHC in Coventry and Warwickshire

Coventry is designated a Marmot city—a national initiative focusing on health inequality reduction. The city's ethnic diversity is its defining feature: nearly half the population, and 56% of schoolchildren, identify as from ethnic minority backgrounds, with significant Polish, Pakistani, and Indian communities. This diversity is both a strength and a challenge for CHC families: language interpretation is generally available but may require advance notice, and cultural factors around aging, disability, and care-giving can affect family dynamics in assessments.

South Warwickshire and Warwickshire North present a stark contrast: affluent rural areas with aging populations and limited public transport. For CHC purposes, this creates geographic fragmentation—families in rural Warwickshire may need to travel substantial distances for assessments or hospital admissions. The four-place structure (Coventry, Rugby, South Warwickshire, Warwickshire North) means CHC administrative arrangements differ across the ICB area. Coventry's young age profile and student population create unusual CHC demand patterns (younger people with acquired brain injury, mental health crises) compared to the older, rural Warwickshire boroughs.

The University Hospitals Coventry and Warwickshire (UHCW) is the regional tertiary centre, meaning complex cases and specialist assessments often concentrate there. Wait times for CHC assessment can reflect UHCW's broader capacity pressures; however, the Happy Healthy Lives partnership has invested in early triage processes to speed CHC referral. Families here should be aware that some assessments may be conducted in community settings rather than hospital due to UHCW's in-patient pressures.

CHC approval statistics for Coventry and Warwickshire

Standard-route assessments, 12 months to June 2026. How we calculate this

Below the national average(−6.1pp)

Approval rate

11.6%

National average: 17.7%

Assessments completed

1,015

118 found eligible

England ranking

7 of 36

7th lowest approval rate of 36 ICBs

Currently receiving CHC

396

22.1 per 50,000 adults

Local resolution requests

24

2 changed to eligible (8.3%)

Year-on-year change

+0.5pp

vs the previous 12 months

How Coventry and Warwickshire compares — 12 months to June 2026

This ICB
11.6%
National average
17.7%
Highest ICB
43.1%
Lowest ICB
5.0%

See all 36 ICBs ranked

Quarterly approval rate, last 12 quarters

Individual quarters move for reasons unrelated to how an ICB assesses — a backlog cleared in one period can swing the rate sharply. The 12-month figure above is the more reliable measure.

Standard-route CHC approval rate by quarter for this ICB, with assessments completed and found eligible.
QuarterAssessedEligibleRate
Jul–Sep 202316134
21.1%
Oct–Dec 202321633
15.3%
Jan–Mar 202421338
17.8%
Apr–Jun 202421835
16.1%
Jul–Sep 202422126
11.8%
Oct–Dec 202420822
10.6%
Jan–Mar 202519422
11.3%
Apr–Jun 202523826
10.9%
Jul–Sep 202523631
13.1%
Oct–Dec 202523530
12.8%
Jan–Mar 202626728
10.5%
Apr–Jun 2026 (latest)27729
10.5%

Ranked 7 of 36 ICBs on the 12-month rate · Source: NHS England

What this means

Coventry and Warwickshire found 11.6% of people assessed through the standard route eligible over the last 12 months — 6.1 percentage points below the national average of 17.7%, and 7th lowest approval rate of 36 icbs. Research by the Nuffield Trust attributes this kind of variation to how the National Framework is applied locally rather than to differences in clinical need. If you have been refused here, the quality of your evidence and a well-argued local resolution request are the levers within your control.

See how every ICB compares: the CHC approval rate ranking for all 36 ICBs.

How to apply for CHC funding in Coventry and Warwickshire

NHS Continuing Healthcare (CHC) is assessed and funded by your local Integrated Care Board. If you live in the Coventry and Warwickshirearea, here's what you need to know.

Step 1: Request a CHC screening

You can request a CHC Checklist screening at any time — in hospital, at home, or in a care home. Contact your GP or the Coventry and Warwickshire CHC team on 02476 324399 to start the process.

Step 2: The Checklist assessment

A healthcare professional will complete the CHC Checklist with you. If you score positively on two or more domains (or one domain at "priority" level), you'll be referred for a full assessment.

Step 3: The full Decision Support Tool assessment

A multidisciplinary team will carry out a comprehensive assessment using the Decision Support Tool (DST). This evaluates your needs across 12 care domains.

Advocacy tips for Coventry and Warwickshire

These tips are specific to applying for CHC in the Coventry and Warwickshire area.

action

If English is not your first language, request a professional interpreter (not a family member) for the CHC assessment; this is your right.

action

Be explicit about cultural or religious preferences around care provision (e.g., gender preferences for personal care); these must be documented in the assessment.

action

Rural Warwickshire families: arrange transport or request home-based assessment elements if travel distance is significant—do not accept a missed assessment due to geographic barriers.

action

In Coventry, leverage the Marmot city health equity focus: if CHC is denied due to social care being 'adequate', argue that the social care system is insufficiently resourced to meet health needs.

action

Use Happy Healthy Lives (the ICS communications hub) to access support networks specific to your borough; they maintain separate resources for Coventry vs. Warwickshire.

Hospital trusts in Coventry and Warwickshire

These are the main NHS trusts whose patients may be assessed for CHC in this area. If your relative is being discharged from one of these hospitals, ask the ward about CHC screening.

University Hospitals Coventry and Warwickshire NHS Trust (UHCW)

Coventry Hospital

George Eliot Hospital NHS Trust (GEH)

South Warwickshire University NHS Foundation Trust (SWFT)

Coventry and Warwickshire Partnership NHS Trust (CWPT)

Contact Coventry and Warwickshire

Address

NHS Coventry and Warwickshire ICB, Westgate House, Warwick, CV34 4DE

Visit the official Coventry and Warwickshire CHC page →

Frequently asked questions

How do I request an interpreter for my CHC assessment?

Contact cwicb.contactus@nhs.net and specify your language requirement at least 10 working days before the scheduled assessment. Interpreters are provided free for all statutory assessments. Do not use family members as interpreters in CHC assessments.

Does the Coventry student population affect CHC access?

Students with permanent UK residency are eligible for NHS CHC funding, but there can be delays if residency is unclear. Ensure you have proof of residency (rental agreement, council tax registration, or GP registration) to avoid assessment delays.

What is the Happy Healthy Lives partnership?

Happy Healthy Lives is the ICS communications and engagement framework for Coventry and Warwickshire. They provide patient information, support navigation, and local contact resources. Visit www.happyhealthylives.uk for borough-specific CHC contacts and guidance.

Are there rural support services if I live outside Coventry?

Yes. Warwickshire-based families can access support via Warwickshire County Council's adult social care team, and rural dementia or respite care services are contracted separately. The ICB can signpost you to area-specific providers.

Official resources

CHC funding support for families in Coventry and Warwickshire

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