NHS Continuing Healthcare - elearning for healthcare
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About the NHS Continuing Healthcare programme

The training programme is designed to enhance and develop the knowledge and application of NHS Continuing Healthcare to all practitioners involved in the breadth of the process and to provide a uniform approach to a national standard.

The topics covered include the legal background to NHS Continuing Healthcare policy, high quality assessment and decision-making, dealing with disputes, and commissioning of care and support  for staff involved in NHS Continuing Healthcare.

National Framework for NHS Continuing Healthcare was introduced in 2007 and there were subsequent revisions in 2009, 2012, 2018 and 2022. The latest revision in 2022 strengthens the person centred approach, Hospital discharge, Interagency dispute resolution, Consent, virtual assessments and Fast Track reviews within the assessment framework.

The National eLearning Training Programme was developed in 2018 updated in 2020 as part of the incident response to covid. In December 2020 the PHSO published a review document “getting it right first time” prompting the need to revisit all the available eLearning sessions and update to respond to feedback and reflect current practice and guidance. The 2023 review has included participant feedback and the revised National Framework for Continuing Healthcare and NHS-funded Nursing Care.

Feedback and evaluation are a continual process, and we would ask that all who complete the CHC eLearning please provide feedback on the sessions content when prompted to do so to support ongoing evaluation and review.

All the Sessions have been updated for 2023 and we wish to thank the following organisations and teams for their time, knowledge and collaboration:

CHC Champions


NHS England Continuing Health Care National and Regional Teams

Care England

NHS England Community Nurse Fellows

Hertfordshire County Council 0-25 Together Specialist Services

NHS England Personalisation Team

For further information on Continuing Healthcare please access the FutureNHS Platform – Continuing Healthcare Workforce Development and the NHS Continuing Healthcare Delivery Model:

If you would like to be involved in future reviews or evaluations, or have any questions regarding CHC workforce development please contact nhsei.chcworkforcedevelopment@nhs.net

Access for Local Authority and Charity Staff

In order to access the NHS Continuing Healthcare programme, you will need an elfh account. If you do not have one, then you can register by selecting the Register button below.

Register >

To view the NHS Continuing Healthcare programme, select the View button below. If you already have an account with elfh, you will also be able to login and enrol on the programme from the View button.

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NHS healthcare staff in England

The NHS Continuing Healthcare programme is also available to NHS healthcare staff via the Electronic Staff Record (ESR). Accessing this elearning via ESR means that your completions will transfer with you throughout your NHS career.

Further details are available here.

Not an NHS organisation?

If you are not an NHS health or care organisation and therefore do not qualify for free access elfh Hub, you may be able to access the service by creating an OpenAthens account.

To check whether or not you qualify for free access via OpenAthens, you can view the eligibility criteria and register on the ‘OpenAthens’ portal.

Registering large numbers of users

If you are a HR, IT or Practice Manager and would like to register and enrol large numbers of staff within your organisation for access onto the NHS Continuing Healthcare programme, please contact elfh directly.

Organisations wishing to use their own LMS

For HR departments wanting to know more about gaining access to courses using an existing Learning Management System please contact elfh directly to express interest.

More information

Please select the following link for more information on how to use the elfh Hub.

elfh is a NHS England programme in partnership with the NHS and professional bodies