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FOI Disclosure Log 2018/19/20

CCG 1292 Specialist Care at home

Request 1

Please provide any reports that have been compiled which includes any information on allowing people to receive specialist/complex care services in their own homes. For example, palliative care, respiratory, spinal injury, brain injury, dialysis care and any other Health Care that the CCG commissions to be provided in peoples own homes.

Response 1

Rotherham CCG (RCCG) Continuing Health Care (CHC) do not commission specialist services packages under Any Qualified Provider (AQP) contract.

 

Request 2

Data or research that has been collected which evaluates the improvement in health of people who choose to receive specialist/complex care in their own home compared to in a hospital setting.

Response 2

RCCG does not currently record this information.

 

Request 3

Please provide a detailed account of how the CCG secures continuous improvement to service in relation to people who choose to receive specialist/complex care in their own home. In particular if the service(s) is provided by a private provider rather than an NHS organisation.

Response 3

RCCG CHC do not commission specialist services packages under an AQP contract, however all services are quality monitored jointly between the Local Authority contracting team, the CHC service where they have care management responsibility or as advice and support to the local authority who both work closely with local Care Quality Commission (CQC) inspectors for relevant services.

 

Request 4

How is this carried out for people who wish to receive specialist/complex care in their own home? In particular, the process of being able to choose who provides their care, which may include pre-procurement.

Response 4

All individuals that are eligible for CHC have the right to have a Personal Health Budget (PHB) and RCCG default position for all fully funded individuals is to provide a PHB and support plan. The purpose of personal health budgets is to give people greater choice and control over how their health and wellbeing needs are met. RCCG is open to considering different approaches to achieving outcomes other than those traditionally used. RCCG considers any request where the person can demonstrate that the proposed use of a budget is a reasonable way to achieve their health and wellbeing outcomes. The balance between risks and benefits will be different for each individual, taking into account their particular circumstances and their health condition.

 

Request 5

Any research that's been carried out identifying service user/patients and their families opinions on the service they are receiving in their own home, e.g. any questionnaires, surveys, interviews and sample size.

Response 5

Patient feedback is not currently collated by RCCG.

 

Request 6

Please provide the CCG annual budget/spend on outsourcing specialist/complex care packages to private providers over 2015, 2016 and 2017.

Also:

  1. The total number of packages and hours that have been outsourced to private domiciliary care providers in 2015, 2016 and 2017.
  2. The current number of care packages and weekly hours that are being outsourced.
  3. The current hourly or individual care package pay rate being paid to private providers and/or NHS providers (depending on who is delivering the service), if this is not set, then the lowest and highest pay rate.

Response 6

  1. a) & b) This information was not captured at the time and is therefore not available.

 

  1. c) The rate for Lot 1 domiciliary care £14.41, and the rate for Lot 2 (End of Life Domiciliary Care) £14.98.

 

Request 7

A current list of the providers who are providing domiciliary care/continuing healthcare through a CCG contract and but not limited to, any providers who employ their own nurses to provide nursing care through CCG care packages or the breakdown of care packages that involve qualified nursing care. How many packages and hours each provider is currently providing and if possible the number of packages and hours that each provider is providing broken down into the following:

  1. a) Palliative Care
  2. b) Spinal injuries
  3. c) Brain injuries
  4. d) Respiratory
  5. e) Dialysis

 

Response 7

  1. Care UK Homecare Ltd
  2. Domus Healthcare / Direct Health
  3. Kinetic Nursing Services Ltd
  4. Mears Care Ltd T/A Nurseplus Ltd
  5. Rotherham Crossroads – Caring for Carers
  6. The Rotherham Hospice Trust
  7. Sevacare (UK)

 

The further information requested in this question would take more than 14 hours to provide I estimate that it would take a qualified nurse 15 minutes per case with on average up to 100 cases to consider.   Therefore, the CCG will apply Section 12.—(1) Section 1(1) of the Freedom of Information Act 2000.