Access Compass guide
Turning 18: Health & Social Care Funding
What changes at 18, how children's continuing care moves (or doesn't) into adult CHC, how Adult Social Care and Section 117 aftercare fit together, and who does what.
Published by Access Compass · How we research and check guides
Who it's for: Parents & carers, Children & young people
Not yet verified Last checked 16 Jul 2026. Always confirm details with the service before relying on them.
Step by step
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Step 1
Confirm current funding: children's continuing care / CHC / LAC status.
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Step 2
Ask for a Preparing for Adulthood (PfA) review 6–12 months before 18.
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Step 3
Request adult CHC checklist if health needs are significant.
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Step 4
If eligible for CHC at 18, agree the Personal Health Budget plan.
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Step 5
If not CHC, ask Adult Social Care for a Care Act assessment.
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Step 6
If there's a primary mental health need, check Section 117 aftercare duties.
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Step 7
Align funding with the EHCP and any Direct Payments/Personal Budgets.