All Age Continuing Care (AACC) is a statutory responsibility for Integrated Care Boards (ICBs). It is a high‑risk, high‑cost and high‑impact area of delivery, supporting some of the most vulnerable people in the health and care system.

Our support

MIAA provides specialist consultancy support across Continuing Healthcare (CHC) and AACC, helping organisations strengthen compliance, improve patient outcomes and ensure value for money. 

We ensure

• Individuals receive care that appropriately meets their clinical needs.
• Care packages are provided at the most suitable level and in the least restrictive manner.
• System data is accurate, robust, and supports informed decision-making.
• The ICB pays only for services that have been commissioned and delivered.

Our review services

Fast Track and Standard Continuing Healthcare (CHC)
Supporting teams to address backlogs, maintain review programmes, and sustain progress during periods of increased demand or workforce shortages.

Enhanced Observation Reviews
Helping ICBs ensure individuals with additional needs receive the most appropriate, proportionate, and least restrictive package of support.

Jointly Funded Care Reviews
Providing clinical and social care expertise to ensure jointly funded packages remain appropriate, effective, and aligned with the individual's assessed needs.

Section 117 Aftercare Reviews
Reviewing community-based Section 117 aftercare arrangements to ensure ongoing support remains clinically appropriate and compliant with statutory requirements.

NHS Fully Funded Complex Care Reviews
Supporting ICBs in reviewing complex care packages to ensure services continue to meet clinical needs while promoting independence and delivering care in the least restrictive setting.

Additional Services

• Process Reviews to assess the effectiveness, consistency, and compliance of existing procedures and advise improvement opportunities.
• Strategic advice and direction to support commissioning strategies, policy implementation, and the consistent application of decision-making frameworks.
• Data cleansing and validation to improve the accuracy and reliability of commissioning and case management data.
• Homecare CHC Audits to verify that commissioned services are being delivered as agreed and that invoices accurately reflect activity provided.

Impact

One ICB we supported achieved £22 million in net savings over a five-year period while maintaining a strong focus on quality, patient outcomes, and appropriate care provision.

While our projects often identify opportunities for financial efficiencies, these are a by-product of robust review processes rather than the primary objective.

Our approach balances clinical assurance, governance, and financial stewardship to deliver sustainable improvements for both commissioners and the people they serve.

Talk to us about your priorities

If you’re managing pressures across All Age Continuing Care or Continuing Healthcare — whether that’s backlogs, compliance risk, patient experience or cost pressures — our specialist team can provide targeted, flexible support aligned to your priorities

Contact Ken Jones, Director of Finance & Corporate Performance Team

Find out more about our services

Supporting you to deliver sustainable All Age Continuing Care

Case Studies

Continuing Healthcare Reviews
MIAA Solutions is working with an NHS Integrated Care Board (ICB) in the northwest to provide specialist clinical resource to complete the assessment of their backlog NHS CHC case re-views.

Continuing Health Care Enhanced Observation Reviews
MIAA Solutions to undertook a review of enhanced 
observation care package arrangements across two places within a system identifying annual recurrent financial savings of £2.235m.