IMPORTANT INFORMATION

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NHS Rotherham Clinical Commissioning Group has, from 1 July 2022, been replaced by the new NHS South Yorkshire Integrated Care Board (ICB). The ICB is now responsible for commissioning and funding of health and care services in the local area. Please go to our new website www.southyorkshire.icb.nhs.uk for information about the work of NHS South Yorkshire ICB.

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CCG 1166 CHC Funding

Request 1

What difficulties do you encounter in processing Continuing healthcare funding requests?

 

Response 1

None. 

Request 2

How qualified are those carrying out the CHC assessments (the multi-disciplinary team).

 

Response 2

The coordinator will always be a qualified nurse that works within the local CHC service and has undergone comprehensive training in relation to the national framework and completion of DST's including the nationally available CHC E-learning. 

Request 3

What support is given to families that have difficulties writing the self-assessment report? 

Response 3

While it is not clear what the self-assessment report is you refer to, but there is a page within the DST usually section 2, page 46 that enables the individual or there representative to provide a personal view of the individuals care needs.  All individuals and there representatives are entitled to advocacy support and the coordinator will also provide information of additional support such as the Beacon National CHC advice service. 

Request 4

What financial difficulties are you currently encountering in the provision of CHC funding?

 

Response 4

Care provisions are commissioned on an individual basis for each patient according to the patients’ needs and normally there are no financial difficulties concerned with the provision of CHC funding for these placements. 

Request 5

How does the multidisciplinary panel distinguish between health and social care? 

Response 5

The CHC process identifies the individuals needs in totality by considering the 4 key indicators it is only in the small number of Joint funded cases that health or social care needs may be identified and this is agreed for each individual case usually by identifying health needs as interventions that would be provided or care planned for by a RGN.

Request 6

How does the multidisciplinary panel distinguish between managed needs and underlying needs? 

Response 6

Managed/underlying needs are discussed in the national framework and more often than not are related to the behaviour domain where the introduction of additional staffing has prevented incidents of challenging behaviour escalating rather than permanently reducing as if the additional staffing was reduced the behaviours would return. 

Request 7

Can you suggest why there might be variations in CHC recipients between CCGs? 

Response 7

Universal health services are the first point of call e.g. district nursing and other services, universal services are different in every area and this will affect CHC in each area for example a CCG that has commissioned a robust rehabilitation service may have less referrals to CHC