MidlandsICB

Why Coventry and Warwickshire Approves Only 12.5% 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

12.5%

Approval rate 2024/25

19.5%

National average

4 / 36

England rank

Approval rate 2024/25

12.5%

National avg: 19.5%

England rank

4 / 36

1 = lowest approval rate

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

Source: NHS England official CHC statistics, 2024/25 · Rank 4 of 36 ICBs in England

Near national average(-7.0pp vs national avg)

Standard approval rate

12.5%

National avg: 19.5%

Assessments completed

841

105 found eligible

Fast-track approved

1,472

of 1,472 fast-track assessments

Local review requests

126

8.7% changed to eligible

Currently receiving CHC

573

Snapshot Q3 2025/26

England rank

4 / 36

1 = lowest approval rate

How Coventry and Warwickshire compares — 2024/25

This ICB
12.5%
National avg
19.5%
England best
42.4%
England worst
5.9%

Three-year approval rate trend

2022/23
22.2%
2023/24
17.4%
2024/25 (latest)
12.5%

National average: 19.5% in 2024/25 · Source: NHS England

What this means

Coventry and Warwickshire's 12.5% approval rate sits broadly in line with the national average of 19.5%. Roughly 1 in 8 people assessed receives a positive decision via the standard route. The quality of evidence presented at the DST assessment remains the single most important factor within families' control.

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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