CCG FOI 606

Responded to: 26th May 2016

Re: Freedom of Information request – NHS continuing healthcare (also known as NHS continuing care)

I am writing on behalf of Parkinson’s UK to access information under the Freedom of Information Act 2000. This request relates to our work around improving NHS continuing healthcare.

  1. For each of the years
    1. April 2013 to March 2014 – 573
    2. April 2014 to March 2015 – 489
    3. April 2015 to March 2016 – 538

Please supply the total number of applications made to your Clinical Commissioning Group (CCG) for NHS continuing healthcare funding that proceeded past the initial checklist stage to a full assessment of needs.

  1. For each of the years
    1. April 2013 to March 2014 – 423
    2. April 2014 to March 2015 – 372
    3. April 2015 to March 2016 – 409

Please tell us the total number of applications for NHS continuing healthcare your CCG refused following a full assessment of needs.

  1. For each of the years
    1. April 2013 to March 2014
    2. April 2014 to March 2015
    3. April 2015 to March 2016

Please tell us:

 

April 2013 to March 2014

 

 

April 2014 to March 2015

 

April 2015 to March 2016
The number of requests made for a local review following a decision by your CCG of ineligibility for NHS continuing healthcare funding.

 

 

13

 

11

 

9

The number of decisions your CCG made resulting in ineligibility for NHS continuing healthcare that were overturned at the local review

 

 

0

 

0

 

0

The number of decisions your CCG made of ineligibility for NHS continuing healthcare that were upheld at the local review

 

 

13

 

11

 

9

The number of requests made to your CCG for an independent review panel following a local review upholding a decision of ineligibility for NHS continuing healthcare.  

IRP requests go to NHS England

 

 

 

 

The number of decisions of ineligibility for NHS continuing healthcare made by your CCG that were overturned at the independent review panel.  

0

 

 

2

 

 

1

The number of decisions of ineligibility for NHS continuing healthcare made by your CCG that were upheld at the independent review panel.  

3

 

5

 

3

The number of decisions of ineligibility for NHS continuing healthcare made by your CCG referred to the Parliamentary and Health Services Ombudsman.  

0

 

0

 

0

The number of decisions of ineligibility made by your CCG that were overturned by the Ombudsman, with NHS continuing healthcare funding then being awarded.  

 

0

 

 

0

 

0

The number of decisions of ineligibility for NHS continuing healthcare made by your CCG that were upheld by the Ombudsman.  

0

 

0

 

0

  1. For each of the years April 2013 to March 2014, April 2014 to March 2015 and April 2015 to March 2016, please tell us:
 

April 2013 to March 2014

 

 

April 2014 to March 2015

 

April 2015 to March 2016
What is the median time taken by your CCG to conduct NHS continuing healthcare assessments, from receiving the initial checklist to notifying the applicant of the eligibility result?  

28

 

28

 

28

  1. Does your CCG always involve experts in the assessment of the specific medical condition that the person being assessed for NHS continuing healthcare presents with? For example a Parkinson’s nurse, an MS specialist nurse, a neurologist etc.Yes wherever possible if there is a specific Specialist Nurse involved the CHC team would involve them to assist in the CHC process.
  1. We know that people with long term, progressive conditions who are found eligible for NHS continuing healthcare are often reassessed after a set period. For each of the years April 2013 to March 2014, April 2014 to March 2015 and April 2015 to March 2016, please supply:
 

April 2013 to March 2014

 

 

April 2014 to March 2015

 

April 2015 to March 2016
The total number of NHS continuing healthcare reviews conducted by your CCG, on people who have existing eligibility. Please include all reviews including 3 month and annual.  

170

 

171

 

245

The total number of cases in your CCG where NHS continuing healthcare eligibility was withdrawn following the review of a person previously found eligible for NHS continuing healthcare.  

 

2

 

 

2

 

2

  1. For each of the years April 2013 to March 2014, April 2014 to March 2015 and April 2015 to March 2016 please give us the numbers relating to how many people receive NHS continuing healthcare in each of the locations listed below, across the area your CCG covers.
Location  

Number of people receiving NHS continuing healthcare between April 2013 and March 2014

 

Number of people receiving NHS continuing healthcare between April 2014 and March 2015

Number of people receiving NHS continuing healthcare between April 2015 and March 2016
 

In their own home

 

 

138

 

129 109
In a residential care home 26 30 30
In a hospice

 

 

In a nursing home

 

210 210 212
Other, please specify
  1. Does your CCG have a policy that would, in all but exceptional circumstances, cap the cost of a care at home package against the equivalent cost of a residential care package?
    1. No
    2. If so, please tell us the cap amount for
      1. April 2013 to March 2014
      2. April 2014 to March 2015
      3. April 2015 to March 2016