The Equity Choice and Value for money policy was reviewed in February 2020. More information on this can be found on the ‘What you have told us‘ page.
As a result of the work we have changed the statement within the policy from:
Generally not fund a home care package where its costs are more than 10% (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.
By way of guidance, The CCG will generally fund a homecare package where its costs are less than 10% higher than care in an alternative appropriate location such as a care home. For packages over this threshold, the CCG will consider the request on a case by case basis taking into account the clinical need and the patient/their representative’s preference for the requested level of care to be delivered within their home.
To address concerns and provide further clarity around decision making we have also included an outline of the Commissioning Principles within section three of the policy which explains that as well as personal preference in relation to care location, the CCG will also consider the appropriateness, effectiveness, cost-effectiveness, affordability and any ethical issues in relation to the care location.
The Terms of Reference for the Individual Patient Panel have also been amended to reflect a recent change in the panel’s delegated expenditure budget.