If the care you need is caused by a serious long term health problem then the NHS may be responsible for providing and paying for your care needs.
What is NHS Continuing Healthcare?
NHS Continuing Healthcare is a service provided and paid for by the NHS. It is sometimes called NHS fully funded care. If you are entitled to NHS Continuing Healthcare, they will arrange and pay for the care you need. They might arrange support for you at home or pay for you to live in a residential or nursing home.
Who can get it?
You will need to be assessed by a nurse, social worker, doctor or other health professional. They will look at your health and decide if your health needs meet the criteria.
You might get NHS Continuing Healthcare if:
- You have a complex medical condition that means you need lots of care and support;
- You need highly specialised nursing support; or
- You are nearing the end of your life and your health is getting much worse.
NHS Continuing Healthcare can help people who have health needs as a result of a physical disability, accident or illness. This does not mean that you will automatically get it if you have a physical disability or long term illness. It will all depend on your assessment and needs.
End of Life Care
We provide services to ensure that you can receive the best possible care, and treatment that respects your wishes at the end of life. As far as possible we want to make sure you can be supported in the place you have chosen, whether this is at home, in a care home, or in a hospice.
Who is it for?
End of life care is for everyone who is coming to the end of life, including people who have an advanced, untreatable or life-threatening illness.
This care involves managing pain and symptoms to make sure the last stages of a person's life are as comfortable as possible. It is sometimes called "palliative care". This means trying to reduce pain and discomfort rather than curing or slowing down the illness.
End of life care is for people who can't get better, to make them feel more comfortable. The services provided also support their family, who are concerned about their relative's well being at this difficult time.
End of life care can also include psychological, social and spiritual support to help both the patients and their families to adjust and cope.
How much does it cost?
In the last few days of life, the NHS will manage most of the care and this is free.
Who provides it?
There are many different people who could be involved in end of life care, depending on a person's health and social care needs. They could include:
- Hospital doctors and nurses
- Your doctor
- Social workers
- Religious ministers
- And more.
Most hospitals have special palliative care teams. They work with other staff to deliver end of life care to patients in hospital, in care homes, in hospices and at home.
The first person you speak to should be your doctor. They will be able to tell about all the services that are available and give you advice.
How much does it cost?
NHS Continuing Healthcare is free.
Where can I get it if I am eligible?
- At home - If you carry on living at home, the NHS will pay a package of care at home, which may include things like help with eating, going to the toilet, washing, assistance with medication such as controlled drugs and procedures that a qualified nurse will carry out.
- In a nursing home - If you move into a nursing home, the NHS may pay your fees or a contribution to them.
What if I'm not eligible?
If you don't qualify for NHS Continuing Healthcare, then you will need to pay for some or all of your care. The NHS will still cover your medical needs, but your care needs will have to be paid for.
How do I get it?
If you receive an assessment for care whilst you are in hospital, you will automatically be considered for NHS Continuing Healthcare. You can also ask your GP (doctor) or district nurse, or contact your social worker, or contact the NHS Barking and Dagenham Patient Advice and Liaison Service.
Get in touch
Patient Advice Liaison Service (PALS)
Address: Queen’s Hospital, Rom Valley Way, Romford, RM7 0AG
Phone: 0800 389 8324
If you are unsure and need some advice, the Adult Intake and Access Team might be able to help. You can call them on: 020 8227 2915.
Health Services in Barking and Dagenham
On this page you can find information on health services in Barking and Dagenham. Some useful links have also been provided in the box on the right, including NHS Choices and the Barking and Dagenham Clinical Commissioning Group website.
If you have an ongoing, non-urgent injury or illness, you should see your GP. GPs, with support from Nurses and healthcare assistants, look after the health of people in their local community and deal with a whole range of health problems. They also provide health education, offer advice on smoking and diet, run clinics, give vaccinations and carry out simple surgical operations. To book an appointment with a GP you will need to be registered as a patient at a local practice. In Barking and Dagenham there are 41 practices spread across six localities.
If your Barking and Dagenham GP surgery is closed and you need medical attention that cannot wait, you can contact the GP Out of Hours team on 0845 075 0495.
Barking and Dagenham Clinical Commissioning Group (CCG)
Under the government’s NHS reforms, from April 2013, Barking and Dagenham CCG decides, along with other professionals and patients, how most of the local NHS budget is spent.
The CCG has taken over much of the work that used to be done by NHS Barking and Dagenham which closed down in March 2013, as did all primary care trusts (PCTs) across the country. The CCG’s role is to commission most local health services, from cancer care to mental health, hospital operations to prescriptions.
All GP practices in the borough are part of this CCG. The CCG has a board, which meets regularly, and is chaired by a local GP.
To find out more about the CCG, please visit their website.
Out of Hours Services and Walk-in Centres for Urgent Care Needs
If it is hard for you to visit a doctor during normal working hours, it is possible to ask for an early or late appointment. Many local GP practices are open longer than 9am - 5pm, and some are open on Saturdays.
For urgent care needs there are two Walk-in Centres to treat minor injuries and ailments. It is not necessary to make an appointment to get access to a GP or Nurse but it is recommended that would-be patients phone ahead to check their treatment needs can be met.
- Barking Community Hospital - Upney Lane, Barking, Essex, IG11 9LX tel 020 8924 6262. It is open Monday to Friday 7am - 10pm and Saturday, Sunday and bank holidays 9am - 10pm, all year except 25 December.
The borough’s hospital services are provided by Barking Havering and Redbridge University NHS Hospitals Trust which has two major hospitals, King George Hospital in Goodmayes and Queen's in Romford. Each hospital has an emergency department and all the other major acute services including maternity, medicine and surgery. Queen's Hospital has several specialist departments including a cancer centre, a regional neuroscience centre and a hyper acute stroke unit.
Residents in the eastern locality of the borough may also use similar services provided at Newham University Hospital.
The Patient Advice and Liaison Service (PALS) provides support to patients, carers and relatives at local hospitals. They help resolve difficulties on-the spot by acting as an intermediary between patients and Trust staff and work to represent the views of patients, carers and their relatives, and improve services for our patients.
You can find out how to contact PALS by visiting their website.
Mental Health Services
Local services include:
- Specialist inpatient and community-based treatment and care for people experiencing acute mental illness
- Help for children and young people with emotional, behavioural or mental health difficulties
- Care for people with dementia
- Specialist care for people with learning disabilities
- Support for people with problems associated with drug and alcohol misuse
If you are worried about a mental health issue, or you are concerned about someone else and you think you might need help, your doctor should usually be the first point of contact. Alternatively, you can contact the Mental Health Initial Contact and Assessment Service.
The North East London Foundation Trust manages Mental Health Direct – a 24/7 support line for people experiencing a mental health crisis – 0300 555 1000
Community Health Services
Community Health Services includes health visiting, physiotherapy, district and school nursing, speech and language therapy, specialist dentistry and 24/7 rapid response for those who need urgent care. The aim of Community Health Services is to give people access to high quality services in local health centres, clinics, hospitals, local authority sites and people’s homes.
There are two midwife-led birthing centres in Barking Community Hospital and Queen’s Hospital Romford for low risk pregnancies. Deliveries that require a more clinical setting take place in the Labour Wards at Queen’s Hospital or at Newham General. Ante-natal and post-natal services, as well as other family services, are offered at those sites, King George Hospital and in the community through the borough’s children's centres.
To help protect and maintain your oral health you should regularly see a Dentist who can carry out a thorough examination of your mouth, teeth, and gums. There are 22 NHS dental practices in the borough that can provide treatment. Cosmetic dental treatments can be given privately in addition to NHS charges for treatment.
Urgent dental services operate from Monday to Friday (5.30pm to 9pm) and Saturday, Sunday and bank holidays (9am to 7pm). The service is accessible by telephoning 020 3594 0938; if no appointments are available, treatment options will be offered.
Opticians carry out eye tests to check the quality of your sight. They look for signs of eye disease which may need treatment from a doctor or eye surgeon and prescribe and fit glasses and contact lenses. Ophthalmic medical practitioners are medical doctors trained to carry out eye examinations and prescribe glasses.
Dispensing opticians fit glasses and contact lenses, but do not test eyes. They can give you advice on types of lens, such as single-vision or bifocal, and help you to choose frames.
Pharmacists give expert, confidential advice and treatment. There may be a very small wait but there is no need for an appointment. You can get advice about health issues and the best medicine for you. More information about what pharmacists can do can be found by visiting http://www.barkingdagenhamccg.nhs.uk/Local-services/pharmacy.htm
Directory of Services
The NHS choices website lists the full range of health services available in your area. http://www.nhs.uk/service-search
If you urgently need medical help or advice but it's not a life-threatening situation then you should call NHS 111.In an emergency you should call 999. For less urgent health needs, contact your GP or local pharmacist in the usual way.
This is a 24 hour health advice and information service provided by the NHS.
NHS Direct gives you access to medical information and advice. As well as their telephone advice line, their website has a symptom checker, a commonly asked questions section, a self help guide, and a useful A-Z of health issues.
How to get in touch
Phone: 0845 4647
The NHS Choices website provides information to enable you to make a choice about when and where to receive your treatment.
This is a detailed information service that helps to put you in control of your healthcare. It helps you to make decisions about your health, from lifestyle choices about smoking, drinking and exercise, through to practical things like finding and using NHS services when you need them.
Information including a self-help guide, a symptom checker, and answers to common health questions.
Information covering more than 750 conditions and treatments in words, pictures and video.
A lifestyle section with tips on how to live a healthier life.
A service providing information, support and advice for Carers.
A section covering current health and medical news stories.
Find and Choose Services
Simply enter your postcode to find telephone numbers and full details for all the health services in your area, from doctors, dentists, and pharmacies, to sports facilities and carers services.
NHS Choices is the country’s biggest health website.
The walk-in centre, based at Barking Community Hospital, provides treatments for patients of all ages with a minor injury or minor illness.
Examples of conditions seen at the walk in centre include:
- lacerations and wounds, including wound closure with sutures
- joint and muscle injuries
- gastro intestinal problems including indigestion, constipation, diarrhoea and vomiting
- urinary problems, including urinary tract infections
- skin complaints, covering a range of dermatological conditions
- coughs, colds, respiratory infections, asthma and flu like symptoms
- minor infections, including Cellulitis
- emergency contraception
- ear nose and throat conditions such as otitis media tonsillitis
- minor procedures such as drainage of paranochia
- ophthalmic conditions
- review clinics for walk in centre patients that require one follow up from initial attendance
The walk-in centre has X-ray facilities. ‘Hot’ reporting on all X-rays is carried out within 24 hours of the patient’s attendance. However the walk-in centre does not provide X-rays for children aged five and under.
Contact our service in Barking and Dagenham, Havering, Redbridge and Waltham Forest
Barking Community Hospital
Tel: 0208 924 6262
Opening times: Monday to Friday, 7am - 10pm; Weekends and bank holidays, 9am - 10pm; Closed Christmas day
X-ray opening times: Monday to Sunday, 9am - 10pm
Offers treatment to all self-presenting patients with minor injuries or minor illnesses.