South WestICB

Why Gloucestershire Approves Only 5.0% of CHC Applications

Gloucestershire ICB stands out across England for one striking fact: it has the lowest standard CHC approval rate of any ICB in the country, at just 5.0% over the 12 months to June 2026, against a national average of 17.7%. Research into this kind of variation points to inconsistent local application of the National Framework rather than differences in clinical need — but in practice it means applicants in Gloucestershire should expect a higher evidentiary bar than families in most of the rest of England.

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

5.0%

Approval rate · 12 months to June 2026

17.7%

National average

1 of 36

Lowest approval rate of 36 ICBs

Approval rate · 12 months to June 2026

5.0%

National avg: 17.7%

England ranking

1 of 36

Lowest approval rate of 36 ICBs

CHC team contact

glicb.enquiries.chc@nhs.net

01452 426868

Understanding CHC in Gloucestershire

Gloucestershire presents a paradox: it is aging rapidly, yet its CHC approval rate is among England's most restrictive. With the 85+ population projected to increase by 84% over two decades and the 65+ proportion already exceeding national averages, Gloucestershire faces the demographic pressures of other aging regions. Yet its 5.0% approval rate (12 months to June 2026, against a national average of 17.7%) suggests the gap has little to do with local health needs — it more plausibly reflects how multidisciplinary teams here score the Decision Support Tool, or how the "primary health need" legal test is interpreted locally.

For applicants in Gloucestershire, this disparity demands a strategic response. The ICB's stringent approach means that applications that might succeed elsewhere will face rejection here. Every element of your DST must be error-free, clinically detailed, and meticulously argued. The distinction between health needs (requiring skilled nursing, medical intervention) and social care needs (personal care, domestic support) is particularly critical; Gloucestershire teams likely interpret this boundary conservatively. If your case involves care that could plausibly be provided by social care (personal care, medication reminders), the ICB may classify it as such, rendering your application ineligible.

Gloucestershire's two hospital trusts—Gloucestershire Hospitals NHS Foundation Trust (operating Cheltenham General and Gloucestershire Royal, large district general hospitals) and Gloucestershire Health & Care NHS Foundation Trust (providing mental health and learning disability services)—are capable sources of specialist input. However, given the low approval rate, clinicians may need explicit guidance on how to score the DST in ways that support eligibility. Engage specialists early and ensure they understand the legal definition of primary health need. Consultant input that frames care as requiring skilled medical oversight, specialized equipment, or nursing intervention (rather than routine personal care) is essential.

An important geographic note: South Gloucestershire is NOT part of Gloucestershire ICB. South Gloucestershire falls under Bristol, North Somerset and South Gloucestershire ICB (BNSSG). Applicants must verify which ICB covers their address. This boundary confusion has led families to apply to the wrong ICB—always confirm before proceeding.

CHC approval statistics for Gloucestershire

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

Below the national average(−12.7pp)

Approval rate

5.0%

National average: 17.7%

Assessments completed

544

27 found eligible

England ranking

1 of 36

Lowest approval rate of 36 ICBs

Currently receiving CHC

295

26.1 per 50,000 adults

Local resolution requests

5

3 changed to eligible (60.0%)

Year-on-year change

−4.6pp

vs the previous 12 months

How Gloucestershire compares — 12 months to June 2026

This ICB
5.0%
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 2023898
9.0%
Oct–Dec 2023709
12.9%
Jan–Mar 2024967
7.3%
Apr–Jun 202413715
10.9%
Jul–Sep 20241089
8.3%
Oct–Dec 202411117
15.3%
Jan–Mar 20259310
10.8%
Apr–Jun 20251276
4.7%
Jul–Sep 202513713
9.5%
Oct–Dec 20251227
5.7%
Jan–Mar 20261333
2.3%
Apr–Jun 2026 (latest)1524
2.6%

Ranked 1 of 36 ICBs on the 12-month rate · Source: NHS England

What this means

Gloucestershire found 5.0% of people assessed through the standard route eligible over the last 12 months — 12.7 percentage points below the national average of 17.7%, and 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 Gloucestershire

NHS Continuing Healthcare (CHC) is assessed and funded by your local Integrated Care Board. If you live in the Gloucestershirearea, 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 Gloucestershire CHC team on 01452 426868 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 Gloucestershire

These tips are specific to applying for CHC in the Gloucestershire area.

action

Prepare for exceptional scrutiny. Gloucestershire has the lowest CHC approval rate in England (5.0%, 12 months to June 2026), so every application faces close examination. Ensure documentation is flawless: no typos, no inconsistencies, no vague language. Consider engaging a CHC specialist or legal advisor early.

action

Distinguish health needs from social care ruthlessly. Gloucestershire teams likely interpret this boundary conservatively. If your case includes personal care, medication reminders, or routine domestic support, reframe it in health terms: e.g., 'assistance with dressing due to profound weakness from advanced COPD requiring monitoring for respiratory decompensation' rather than 'help getting dressed.'

action

Build robust multidisciplinary support. Both Gloucestershire Hospitals NHS Trust and Gloucestershire Health & Care NHS Foundation Trust should provide detailed specialist input. Request written assessments from consultants explicitly addressing why care requires skilled nursing or medical oversight, not just social care.

action

Plan for appeal. Given the low approval rate, strong cases will still face rejection. Gather appeal evidence in parallel with your initial application. Document any errors in DST scoring, missing clinical information, or misinterpretation of needs from the outset.

action

Confirm your ICB. If you live in South Gloucestershire, you are under BNSSG, not Gloucestershire ICB. Verify your local authority area and contact the correct ICB before proceeding.

Hospital trusts in Gloucestershire

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.

Gloucestershire Hospitals NHS Foundation Trust

Cheltenham General Hospital, Gloucestershire Royal Hospital, Stroud Maternity Hospital

Gloucestershire Health & Care NHS Foundation Trust

Mental health, physical health, and learning disability services

Contact Gloucestershire

Address

Shire Hall, Westgate Street, Gloucester GL1 2TG

Visit the official Gloucestershire CHC page →

Frequently asked questions

Why is Gloucestershire's CHC approval rate so much lower than the rest of England?

Gloucestershire ICB's approval rate is 5.0% over the 12 months to June 2026 — the lowest of any ICB in England — against a national average of 17.7%. Research on this kind of variation points to inconsistent local application of the National Framework rather than differences in clinical need, but in practice it means applications here face closer scrutiny; every element must be error-free and clinically detailed. The distinction between health and social care needs also appears to be interpreted conservatively — personal care is more likely to be classified as social care, not CHC.

How should I distinguish health needs from social care in my application?

This distinction is critical in Gloucestershire. Social care includes personal care and domestic support; health needs require skilled nursing, medical intervention, or specialized equipment. Reframe personal care in clinical terms: e.g., 'assistance with dressing due to profound weakness from advanced COPD requiring monitoring' rather than 'help getting dressed.' Emphasize medical oversight, monitoring needs, and skilled intervention.

I live in South Gloucestershire. Which ICB should I contact?

If you live in South Gloucestershire, you are under Bristol, North Somerset and South Gloucestershire ICB (BNSSG), not Gloucestershire ICB. Gloucestershire ICB covers Gloucestershire county only. Check your local authority area to confirm. Contact the correct ICB to avoid delays.

What should I do if my application is rejected given the low approval rate?

Plan for appeal from the start. Gather additional clinical evidence, specialist assessments, and documentation of primary health need rigorously. Consider engaging a CHC specialist or legal advisor. Submit your appeal within six months of the decision letter, specifying errors in DST scoring or missing clinical information. With such a low approval rate, appeals are often necessary.

Official resources

CHC funding support for families in Gloucestershire

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