I would ask if you would provide in relation to NHS Continuing Healthcare funding eligibility decisions appeals and for:
- Each of the years between and including 2012 and 2016
- All appeals
- Appeals for Previously Unassessed Periods of Care cases,
the following data:
A)
- Number of appeals to the CCG
- Number of appeals that resulted in the CCG reversing the previous decision for the whole period
- Number of appeals that resulted in the CCG reversing the previous decision for part of the period
- Number of appeals that were heard at NHS England Independent Review Panel (IRP)
- Number of appeals where NHS England recommended that the previous CCG decision on eligibility was unsound
- Number of appeals that were submitted to the Parliamentary and Health Service Ombudsman (PHSO)
- Number of appeals where the PHSO recommended that the previous CCG decision on eligibility was unsound
- Number of appeals that were heard at tribunal/court
- Number of appeals that were heard at tribunal/court that were settled out of tribunal/court
- Number of appeals that were heard at tribunal/court that reversed the previous CCG eligibility decision
B)
I would ask if you would also provide the number of current appeals awaiting review at:
- IRP stage
- PHSO stage
- tribunal/court stage
C)
I would also ask if you would confirm which is the responsible tribunal/court which an appeal should be escalated to should a previous CCG decision not be reversed.
Please see the responses to the requests in the spread sheet link below:-
