Equity, choice and value for money policy review

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In June 2019 NHS Blackpool CCG conducted some engagement on the Equity, Choice and Value for money policy which is part of its Continuing Healthcare policy.

Continuing Healthcare (CHC) refers to care provided over an extended period of time to a person  aged 18 or over, to meet physical and/or mental health needs which have arisen as a result of disability, accident or illness. The care is arranged and funded by the NHS and so the commissioning group who buys the care is updating its policy on what can and cannot be paid for. The policy is guided by the revised National Framework for NHS Continuing Healthcare and NHS Funded Nursing Care October 2018.

Following this engagement a further change has been suggested to the equity, choice and value for money policy which provides the basis on which the Commissioner will commission NHS Continuing Healthcare in a manner to ensure equity of access to care services which are appropriate, safe and compliant with relevant quality standards. The change is around the threshold for funding for a package of care in the patient’s home.

The current Blackpool Policy states:

“The Commissioner will generally not fund a home care package where its costs are more than 25% (the percentage may vary across other CCGs) higher than care in an alternative appropriate location such as a care home. However, the CCG will consider any request on its individual merits and in exceptional circumstances the CCG will pay a higher cost for a preferred package.”

The draft revised policy states:

“By way of guidance, the CCG will generally not fund a home care package where its costs are more than 10% higher/significantly more than care in an alternative appropriate location such as a care home. However, in exceptional circumstances the CCG will pay a higher cost for a preferred package. Exceptionality will be determined on a case by case basis. Decisions will be made by the CCG’s Commissioning Decision Group and be documented with reasons.”

This is a reduction in threshold but does not necessarily mean a reduction in funding. Every case is reviewed to ensure it meets the best interest of the patient. This threshold is used as a consideration but is not the only consideration used when making a final decision.

The current policy can be found here: Equity Choice and Value for Money (pdf | 0.3 MB)

The DRAFT new policy can be found here: DRAFT NEW Equity Choice and Value for Money BCCG

We would welcome your thoughts on this change and would encourage you to complete a short survey.

The period of engagement is now complete for this. You can view the findings on the What you have told us page.

An information and discussion session is also being offered at the Blackpool Centre for Independent Living on Whitegate Drive, Blackpool FY3 9JL on Wednesday 19 February from 2pm until 4pm.