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End-to-End All-Age Continuing Care solution
Access Adam CHC is an end-to-end continuing healthcare software solution designed for Integrated Care Boards. It manages the full CHC process within a single, connected platform: referrals, case management, digital care brokerage, provider relationships, and invoicing.
The result is faster patient placement, reduced administrative burden, a transparent provider marketplace, and confident, evidence-based commissioning decisions.
The CHC Challenge
In Q3 2025/26, NHS England recorded 46,628 new CHC referrals across England. ICBs are under pressure to process those referrals consistently, within the 28 day national target, and with full audit trails. For many teams, managing that volume across paper based and phone based processes introduces delays, inconsistencies and governance risk.
Access Adam CHC replaces that complexity with a single connected platform, giving ICBs the tools to manage every stage of the CHC process with confidence. It supports the full continuing healthcare journey for all-age continuing care.
What Is a CHC Assessment?
NHS Continuing Healthcare (CHC) is a package of care arranged and funded entirely by the NHS for adults with complex, ongoing health needs. The eligibility process is set out in the National Framework for NHS Continuing Healthcare, the statutory guidance that Integrated Care Boards must follow. Eligibility is based on a single legal test: whether the person has a "primary health need", meaning their day to day care needs arise primarily from health conditions rather than social care needs.
The assessment process has three stages:
- Stage 1: The Checklist A trained health or social care professional completes an initial screening checklist to determine whether a full assessment is needed. The checklist covers the nature, intensity, complexity and unpredictability of the person's needs. A positive checklist triggers a full assessment; it does not confirm eligibility.
- Stage 2: The Decision Support Tool (DST) A multidisciplinary team (MDT) assesses the individual across 12 care domains, including behaviour, cognition, mobility, nutrition and medication, scoring each from No Needs to Priority. The completed DST supports a recommendation to the ICB, which makes the final eligibility decision.
- Stage 3: The Eligibility Decision The ICB reviews the MDT recommendation and issues a decision. Standard CHC assessments should be completed within 28 days. In Q3 2025/26, 77% of standard referrals were completed within that target nationally.
Fast Track CHC is available for individuals with a rapidly deteriorating condition or approaching end of life. Fast Track referrals bypass the checklist and DST, with the ICB required to arrange care as soon as possible.
The Access Adam CHC End-to-End Process
Continuing Healthcare Software – Return on investment
%
time savings
on completing fast track referrals
days average duration
for the CHC referral process
days reduction
for the average duration of brokerage process
%
decrease in the average time taken to source care packages
k
CHC invoices a year
reduced to 52 per annum
%
invoicing accuracy
k
days decrease
in number of days spent in an acute setting for CHCover a 12-month period
What our customers say
Success Story: NHS Midlands and Lancashire CSU
Learn more about how Access Adam All Age Continuing Healthcare has helped MLCSU improve data processes to inform better decision making and improve patient outcomes.
What impact has Adam CHC had for ICBs?
The Clinical Director of Midlands and Lancashire Commissioning Support Unit (MLCSU), Dr Sam Gower, discusses the impact of Access Adam CHC, including how automated market engagement has replaced the laborious process of manually tendering to care providers, reducing costs and saving significant staff time.
Speak to a consultant today!
Frequently Asked Questions
Can the system record funding arrangements for packages of care?
Yes. Access Adam allows you to record exactly how each package of care is funded, whether NHS-funded, jointly funded, or FNC, giving you full financial transparency across your caseload.
Are historical reports available after they have been run?
Yes. Custom reports are scheduled and each version is stored within the system, so you can return to and review any previously run report at any time.
How do providers gain access to the system?
Access Adam's provider onboarding team manages the process of getting providers set up against criteria agreed with your ICB. Providers receive a sign-up link and Access runs market engagement events to support uptake. The process is straightforward and well-established, and is not anticipated to present any significant barrier to implementation.
Can overarching contracts with providers be stored in the system?
Yes. All provider contracts are uploaded during the onboarding process, and providers are responsible for keeping their documentation current. Compliance checks are flagged automatically within the system, giving your team full oversight of your provider market. Access Adam also integrates with Experian to surface any financial health concerns at provider level.
Can GPs and social workers interact with the system?
Yes. GPs, social workers, and nurses can be given access to the areas of the system relevant to their role, typically the referral process for inbound referrals. User guides and training are available, and the interface is designed to be straightforward for occasional users.
What performance reporting does the system provide?
Access Adam includes a range of reporting tools designed to meet both standard and complex reporting needs. As part of the Premier Customer Success Plan, a curated reporting pack is also provided, drawing on Access's extensive experience in CHC reporting to supplement system-generated reports. Standard reports can be downloaded in 2 to 3 minutes, and PLDS data is automatically collected and prepared for direct upload to the NHS portal, a process that takes approximately 3 minutes.