What is the CHC Decision Support Tool (DST)? 

Applying for NHS Continuing Healthcare (CHC) funding can feel like a minefield. Especially when navigating tools such as the CHC Decision Support Tool (DST). However, understanding this key part of the process is crucial – as it’s how your care needs are assessed to see if you qualify for CHC Funding.  

At Farley Dwek, we understand just how critical it is to get this right. In this guide, we’ll be explaining exactly what DST is, how it works, and how we can support you through every step of the assessment process. Whether you’re just starting or need help preparing for your assessment, we’re here to make the journey easier for you and your loved ones.  

How to use the Decision Support Tool

The DST used in NHS Continuing Healthcare funding decisions, is used to evaluate the extent and degree of an individual’s care needs. An assessor reviews your health and care requirements and categorises your needs across the 12 care domains as either: 

1. No needs 
2. Low  
3. Moderate  
4. High  
5. Severe  
6. Priority 

These 12 care domains cover everything from mobility to nutrition and psychological needs, with each category receiving a score reflecting the support level you require. This helps to ensure that decisions are made fairly and consistently, based on your individual care needs. 

The outcome of the assessment is partly determined by the level of need in each of these care domains and the higher the score, the greater the chance of you being found eligible for CHC funding.  

Before you are referred for a DST, you will need to pass the CHC Checklist stage. View our CHC Checklist page for more information. 

12 care domains in the DST 

Here’s a full list of the 12 care domains you’ll be assessed for using the DST: 

• Breathing 
• Nutrition (food and drink) 
• Continence 
• Skin integrity (e.g., wounds and ulcers) 
• Mobility 
• Communication 
• Psychological and emotional needs 
• Cognition 
• Behaviour 
• Drug therapies and medication 
• Altered states of consciousness 
• Other significant care needs 

These domains cover a wide range of care needs, giving assessors a complete picture of your health. Understanding how these areas are evaluated will help you feel more confident going into the assessment. 

When to use the Decision Support Tool 

The DST is a crucial tool when applying for NHS Continuing Healthcare funding, and knowing when to use it is important. The first step in the process is the checklist, which helps identify if you need a full DST evaluation. If you do, the DST will be used to assess your eligibility for funding.  

The assessment takes place during your Multi-Disciplinary Team (MDT) meeting, where NHS and Social Care professionals review your care needs using the DST. Once the DST has been completed, the evidence gathered is used to inform a decision as to whether you qualify for CHC funding.  

While the process may seem daunting, knowing when and how to use the DST ensures that you’re in the best position to succeed. 

Advice for the NHS Decision Support Tool 

Navigating the CHC Decision Support Tool can be challenging, but the good news is that you don’t have to do it alone.  

At Farley Dwek, we’re here to provide expert advice and support on everything from the initial assessment to preparing for the MDT meeting. We’ll help you understand the scoring system, guide you through the paperwork, and ensure you’re ready for a successful outcome. 

If you’re unsure about your eligibility or just need a helping hand with the process, reach out today. We’re here to make sure you’re fully supported every step of the way. Contact us on 0800 011 4136 or reach out to us here for more information.