Understanding CHC in Derby and Derbyshire
Derby City is ethnically diverse with significant Pakistani and Indian communities, reflected in the 2024 Census: 73.8% White, 15.6% Asian British or Asian. This diversity is important for CHC families because language interpretation support is available, but must be requested in advance. Additionally, cultural factors around aging, disability, and family care-giving differ between communities and should be explicitly discussed in assessments. The younger age profile of Derby (compared to Derbyshire) means CHC cases more often involve acquired brain injury, workplace injuries, mental health crises, and younger-onset neurological conditions. These complex cases may require longer assessment periods and specialist input.
Derbyshire county presents a different profile: older population, predominantly rural, with lower population density. The distance from Derby City to North Derbyshire areas like Chesterfield can be substantial, affecting hospital access and CHC assessment venue location. Chesterfield Royal Hospital NHS Foundation Trust serves North Derbyshire and has separate commissioning arrangements from the Royal Derby Hospital; ensuring your assessment route is clear (which hospital, which commissioning team) is crucial to avoid delays.
A significant organizational change occurred January 2026: Derby and Derbyshire ICB took over CHC provision from Midlands and Lancashire Commissioning Support Unit (MLCSU). This transition created some disruption in case continuity and contact details. The new CHC team (based in Chesterfield) is rebuilding processes and may experience teething problems. Families currently in CHC should confirm their case manager has transitioned smoothly and verify contact details. New referrals should use the current AACC (Adult and Continuing Care) team contact details provided above.
CHC approval statistics for Derby and Derbyshire
Standard-route assessments, 12 months to June 2026. How we calculate this
Approval rate
12.0%
National average: 17.7%
Assessments completed
855
103 found eligible
England ranking
9 of 36
9th lowest approval rate of 36 ICBs
Currently receiving CHC
479
25.8 per 50,000 adults
Local resolution requests
4
0 changed to eligible (0.0%)
Year-on-year change
−3.7pp
vs the previous 12 months
How Derby and Derbyshire compares — 12 months to June 2026
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.
Ranked 9 of 36 ICBs on the 12-month rate · Source: NHS England
What this means
Derby and Derbyshire found 12.0% of people assessed through the standard route eligible over the last 12 months — 5.7 percentage points below the national average of 17.7%, and 9th 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 Derby and Derbyshire
NHS Continuing Healthcare (CHC) is assessed and funded by your local Integrated Care Board. If you live in the Derby and Derbyshirearea, 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 Derby and Derbyshire CHC team on 01332 401 821 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 Derby and Derbyshire
These tips are specific to applying for CHC in the Derby and Derbyshire area.
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If English is not your first language, request a professional interpreter at least 10 working days before your assessment; ensure all assessment documents are provided in your preferred language if possible.
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Clarify at the outset whether your assessment will be conducted through the Royal Derby Hospital (Derby City) or Chesterfield Royal (North Derbyshire); different teams may handle these areas and response times vary.
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If you have a relatively young age at the time of CHC referral (under 65), ensure your case is not 'routinely' triaged as low priority—younger adults with complex needs often require specialist input and longer assessment periods.
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Document all inpatient hospital stays, emergency department visits, and multidisciplinary team meetings in writing; the AACC team will request this during assessment.
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If your case was previously with MLCSU (pre-January 2026), contact the new ICB team to ensure full case notes have been transferred and there are no gaps in continuity.
Hospital trusts in Derby and Derbyshire
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 of Derby and Burton NHS Foundation Trust
Royal Derby Hospital
Chesterfield Royal Hospital NHS Foundation Trust
Derbyshire Community Health Services NHS Foundation Trust
Derbyshire Healthcare NHS Foundation Trust
Contact Derby and Derbyshire
Phone
01332 401 821Website
Visit website →Address
NHS AACC Dept, Derby and Derbyshire ICB, Room 93, Scarsdale Hospital, Nightingale Close, Chesterfield, S41 7PF
Frequently asked questions
My case was managed by MLCSU. Has it transferred to the new ICB?
Yes. From January 2026, all Derby and Derbyshire CHC cases were transferred from MLCSU to the Derby and Derbyshire ICB. Contact ddicb.aaccenquiries@nhs.net to confirm your case has transferred and to update your contact details with the new team. Request confirmation in writing.
I live in North Derbyshire. Will my assessment be done at Chesterfield Royal or the Royal Derby?
Your assessment is likely to be coordinated through Chesterfield Royal Hospital NHS Foundation Trust. However, contact the AACC team (01332 401 821) to confirm which hospital will lead your assessment. If you have a preference, request it in writing.
I am from an ethnic minority community in Derby. What language support is available?
Professional interpreters are provided free for all CHC assessments. Request your language requirement at least 10 working days before the scheduled date. All assessment documents should be made available in your preferred language if requested.
What is the Adult and Continuing Care (AACC) team?
The AACC team is the new Derby and Derbyshire ICB's CHC commissioning unit. They manage all CHC assessments, decisions, and commissioning for the area. Previously, this function was provided by MLCSU. Contact them at ddicb.aaccenquiries@nhs.net for all CHC inquiries.