North East and YorkshireICB

CHC Funding in West Yorkshire: The 20.2% Approval Rate Explained

West Yorkshire serves 2.4 million people across five diverse local areas: Leeds (England's largest city outside London), Bradford (second-generation immigrant populations and deprivation), rural Calderdale, Kirklees, and Wakefield. Recent CHC policy reforms and a new digital platform (launched February 2025) are reshaping assessment procedures — creating both opportunities and uncertainty for families.

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

20.2%

Approval rate · 12 months to June 2026

17.7%

National average

29 of 36

8th highest approval rate of 36 ICBs

Approval rate · 12 months to June 2026

20.2%

National avg: 17.7%

England ranking

29 of 36

8th highest approval rate of 36 ICBs

CHC team contact

wyicb-contactus@nhs.net

01924 317659

Understanding CHC in West Yorkshire

West Yorkshire underwent a significant policy reform in late 2024–early 2025. A new West Yorkshire Continuing Care Choice and Equity Commissioning Policy was approved by the ICB in November 2024, which affects CHC assessment procedures. This is important: the new policy applies primarily to Bradford District, Craven, and Leeds; Calderdale, Kirklees, and Wakefield retain their older policies (for now). Families should ask their place team which policy applies to their case, as assessment standards may vary by location.

In February 2025, West Yorkshire rolled out a new digital CHC platform (IEG4) aimed at streamlining the all-age continuing care assessment process. The platform is intended to improve transitions from children's to adult CHC, but early teething issues may cause delays. If you're referred in early 2025, expect some digital disruption — document any system errors or missed communications, as these may support complaints if assessment is delayed.

Leeds is England's largest city outside London and hosts three major hospital trusts. CHC referral volumes in Leeds are high and complex. Hospital discharge screening is generally robust due to Leeds Teaching Hospitals' size and expertise, but the volume sometimes creates backlogs. If you're discharged from Leeds Teaching, request written CHC screening confirmation within 48 hours.

Bradford and Craven face distinct challenges due to high rates of deprivation, multicultural populations with varied health beliefs, and a concentration of older care home residents. CHC assessment here sometimes takes longer due to the need for cultural-sensitive communication and complex family involvement. Families should ensure evidence is available in accessible languages if needed — the ICB is obliged to provide translation.

CHC approval statistics for West Yorkshire

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

Near the national average(+2.5pp)

Approval rate

20.2%

National average: 17.7%

Assessments completed

1,992

402 found eligible

England ranking

29 of 36

8th highest approval rate of 36 ICBs

Currently receiving CHC

1,603

37.5 per 50,000 adults

Local resolution requests

20

1 changed to eligible (5.0%)

Year-on-year change

+3.9pp

vs the previous 12 months

How West Yorkshire compares — 12 months to June 2026

This ICB
20.2%
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 2023545105
19.3%
Oct–Dec 202358394
16.1%
Jan–Mar 2024532114
21.4%
Apr–Jun 2024504118
23.4%
Jul–Sep 2024557106
19.0%
Oct–Dec 202454487
16.0%
Jan–Mar 202555581
14.6%
Apr–Jun 202539359
15.0%
Jul–Sep 202546297
21.0%
Oct–Dec 2025558117
21.0%
Jan–Mar 202645366
14.6%
Apr–Jun 2026 (latest)519122
23.5%

Ranked 29 of 36 ICBs on the 12-month rate · Source: NHS England

What this means

West Yorkshire's 20.2% approval rate over the last 12 months sits broadly in line with the national average of 17.7% — roughly 1 in 5 people assessed through the standard route receives a positive decision. The evidence presented at the DST assessment remains the single most important factor within a family's control.

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

How to apply for CHC funding in West Yorkshire

NHS Continuing Healthcare (CHC) is assessed and funded by your local Integrated Care Board. If you live in the West Yorkshirearea, 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 West Yorkshire CHC team on 01924 317659 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 West Yorkshire

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

action

Confirm which policy applies to your case: the new 'Choice and Equity' policy (Bradford, Craven, Leeds) or the older policy (Calderdale, Kirklees, Wakefield). Ask your place team directly. Different policies may mean different assessment standards.

action

If you're assessed via the new digital platform (IEG4, launched Feb 2025), expect potential system teething issues. Document any digital communication failures or missing records — these support complaints if assessment is delayed.

action

For Leeds cases, request written CHC screening from Leeds Teaching Hospitals within 48 hours of hospital discharge. Discharge volumes are high — ensure you have written documentation.

action

For Bradford and Craven cases, ensure any communication barriers are addressed early. The ICB must provide translation and cultural-sensitive assessment. If language or cultural support is denied, escalate immediately.

action

Calderdale and Kirklees may have different assessment standards than Leeds/Bradford due to retention of older policies. If you're spanning these areas, confirm which team manages your case and which policy applies.

Hospital trusts in West Yorkshire

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.

Leeds Teaching Hospitals NHS Trust

St James University Hospital, Leeds General Infirmary, Seacroft Hospital

Bradford Teaching Hospitals NHS Foundation Trust

Bradford Royal Infirmary, St Luke's Hospital

Calderdale and Huddersfield NHS Foundation Trust

Calderdale Royal Hospital, Huddersfield Royal Infirmary

Mid Yorkshire Hospitals NHS Trust

Pinderfields Hospital, Downtowne Hospital (Dewsbury)

Airedale NHS Foundation Trust

Airedale Hospital

Harrogate and District NHS Foundation Trust

Harrogate Hospital

Contact West Yorkshire

Address

NHS West Yorkshire ICB, Wellington House, 40 East Parade, Wakefield, West Yorkshire, WF1 1HB

Visit the official West Yorkshire CHC page →

Frequently asked questions

How do I contact the CHC team in West Yorkshire?

Call 01924 317659 (9am-5pm weekdays) or email wyicb-contactus@nhs.net. West Yorkshire is divided into five places: Leeds, Bradford District and Craven, Calderdale, Kirklees, and Wakefield. Provide your postcode to confirm which team handles your case.

What is the new West Yorkshire Continuing Care policy?

A new 'Choice and Equity' policy was approved in November 2024 and applies to Bradford, Craven, and Leeds. Calderdale, Kirklees, and Wakefield retain older policies for now. Assessment standards may vary. Ask your place team which policy applies to you.

What is the IEG4 digital platform and how does it affect me?

IEG4 is a new digital platform launched in February 2025 to manage all-age continuing care assessments. It's designed to improve the transition from children's to adult CHC. Early teething issues are possible — if you experience digital communication problems or missing records, document them as they may support complaints.

Are assessment standards different across West Yorkshire's five places?

Yes, partly. Bradford, Craven, and Leeds are subject to the new 'Choice and Equity' policy; Calderdale, Kirklees, and Wakefield retain older policies. Assessment rigour may vary. If you're rejected and a similar case in another place was approved, you have grounds to challenge this inconsistency.

Official resources

CHC funding support for families in West Yorkshire

Unsure whether your case qualifies?

CareAdvocate helps families prepare NHS Continuing Healthcare applications in the West Yorkshire area — from initial screening through to a written Case Strength Report.

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