All Age Continuing Care (AACC) is a statutory responsibility for Integrated Care Boards (ICBs). It is also one of the most complex, high‑risk and high‑cost areas within the health and care system. Decisions made through Continuing Healthcare (CHC) pathways affect some of the most vulnerable people in our communities—often at times of significant stress, uncertainty and change for them and their families.

At MIAA, our CHC offer is built on a single, unwavering principle: patient care and experience must always remain at the heart of delivery.

AACC: High impact, high complexity, high stakes

AACC brings together a number of critical functions and priorities, including governance, commissioning, clinical quality, workforce capacity, digital capability and financial stewardship. Getting this right is essential—not only to meet statutory duties, but to ensure people receive the most appropriate care, in the right setting, at the right time.

ICBs are currently operating in an increasingly challenging environment. Rising demand, growing acuity, workforce pressures, constrained capacity and tighter financial controls are stretching teams across the NHS. Against this backdrop, maintaining high‑quality, timely CHC assessments while ensuring a positive patient experience can feel increasingly difficult.

Yet these pressures do not diminish the importance of compassionate, person‑centred care. If anything, they make it even more critical.

A clinically led approach that improves experience and outcomes

MIAA has been working with an NHS Integrated Care Board in the North West to provide specialist clinical resource to support the assessment of a significant CHC case review backlog.

By bringing in appropriately skilled clinical professionals, the project enabled the ICB to:

• Reduce longstanding backlogs
• Improve timeliness and consistency of CHC reviews
• Use internal resources more effectively
• Strengthen assurance and consistency around decision‑making

Most importantly, patients and their families experienced clearer communication, more timely assessments and decisions grounded in clinical expertise and national guidance. For people navigating complex care needs, this made a real and tangible difference. One individual commented that they no longer felt “lost or alone within the system.”

This is where MIAA’s approach stands apart. We focus not just on throughput, but on quality—ensuring assessments are robust, compassionate and centred on individual needs.

Quality, compassion and suitability of care

We work alongside NHS organisations, NHS providers, local authorities and strategic partners with MIAA as a clinical lead in the delivery of CHC reviews and wider AACC support.

We recognise that behind every CHC package of care is a person, a family and a set of lived experiences. Protecting patient dignity and experience is not an “add‑on” to delivery—it is fundamental to effective AACC.

Our work prioritises respect for individual circumstances and transparency and consistency in decision‑making. We ensure alignment with national frameworks and evidence‑based practice, ensuring people receive the most appropriate care to meet their needs.

Why MIAA?

MIAA Solutions is an NHS‑hosted, not‑for‑profit consultancy. For more than 35 years, we have supported public sector organisations to protect public funds, strengthen governance and deliver better outcomes for the populations they serve.

In AACC and CHC, we combine:

• Deep system knowledge
• Clinical leadership through trusted strategic clinical partners
• Strong financial and governance assurance
• A genuinely collaborative way of working

Over the past five years, we have supported six ICB footprints, delivering clinically robust and financially validated AACC programmes that stand up to scrutiny—while remaining firmly rooted in high‑quality patient care.

Building sustainable capability, not just short‑term solutions

Our approach is deliberately collaborative and developmental. We don’t simply “do” AACC for systems—we work alongside your teams to embed learning, strengthen confidence and build sustainable capability.

This means:

• Knowledge transfer and shared problem‑solving
• Supporting long‑term workforce resilience
• Strengthening local governance and assurance
• Helping ICBs balance statutory duties with financial stewardship

The result is improved patient experience today, alongside stronger systems for tomorrow.

In a landscape defined by pressure and complexity, MIAA provides ICBs with trusted, clinically led support that never loses sight of what matters most. For patients, families and carers, it shapes access to care, quality of life and future wellbeing. That is why patient care and experience is, and always will be, at the heart of MIAA’s All Age Continuing Care offer.