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NHS Continuing Care ? Post Code Lottery !

Posted: Sun Sep 10, 2017 7:24 am
by Chris From The Gulag
What many know as fact , finally confirmed by BBC report :

Medical opinions have been ignored in the assessment of NHS payments to patients receiving care, it is claimed.

Under national criteria, the NHS pays for long-term support and care if a patient's condition is severe enough.

However, BBC Inside Out East has found a wide difference among clinical commissioning groups (CCGs) in England in the percentage of patients rejected following assessment for continuing health care (CHC).

Between July 2016 and July 2017, Birmingham South and Central CCG rejected 75% of its new CHC assessments, Manchester CCG turned down only 17% of assessments, while Tameside and Glossop CCG only rejected 5% of those assessed.

All assessors - of which there about half a dozen covering England - should use the same criteria.

Worth reading the whole article ... probably more on this as I trawl through the other news sections this morning.

Re: NHS Continuing Care ? Post Code Lottery !

Posted: Sun Sep 10, 2017 9:38 am
by bowlingbun
I studied figures for the whole country several years ago, when mum was ill. You were 800% more likely to have CHC granted in parts of the North West, as opposed to Hampshire, where I lived. I wrote to the MP. Not bothered!

Re: NHS Continuing Care ? Post Code Lottery !

Posted: Mon Sep 11, 2017 11:32 am
by Chris From The Gulag
A report from 2014 highlights the same issue : ... e-lottery/

Thousands of the most vulnerable people with serious health problems are being neglected by our continuing healthcare system. The latest official figures show a further and accelerating rise in the numbers of people eligible for continuing healthcare to 60,000 but with huge regional variations in the setting of the threshold.

Figures published by the Health and Social Care Information Centre recently show that an average of 53.8 people per 50,000 are entitled to NHS continuing healthcare and those people will have the full cost of their care and accommodation funded by the NHS. But some parts of the country, notably the Thames Valley, allow eligibility to just half that number (26.8 per 50,000), with the highest rate (84.2) more than three times the lowest, making the Thames Valley consistently the most difficult part of the country in which to obtain NHS funding. Once again our most vulnerable citizens are subject to a “postcode lottery” in support for their care needs despite supposedly consistent national criteria having been laid down by the government in 2007.

Whilst it is reasonable to anticipate a certain amount of variation between regions due to factors such as differences in age dispersion, the data attempts to account for local demographics by using the ‘weighted’ method of calculation in which an area’s target share of the available resources are based on their share of the population, with the share adjusted to account for their population’s needs for health services relative to those of other areas. One of the NHS’ intended uses of these statistics is to ensure consistency in decision making when it comes to applying eligibility criteria. However, in reality the statistics show huge variances in the number of people who are eligible and therefore highlights differences in the way in which criteria are being applied nationally.

If I search further , how many more will I find ?

Apart from the innocent end users , anyone else livid ????

Anyone who would qualify in another area , faced with unaffordable costs ???

A Scandal of national importance ... simply left to time out ???

Re: NHS Continuing Care ? Post Code Lottery !

Posted: Mon Sep 11, 2017 11:56 am
by bowlingbun
I think you'll find the recent figures may be even worse.

Re: NHS Continuing Care ? Post Code Lottery !

Posted: Mon Sep 11, 2017 11:59 am
by Chris From The Gulag
A little to much to be asking the question ....

Who is in the dock ( Accountable ) for this one ?

Answer ... it's the social care sector , nobody's actually accountable !

Re: NHS Continuing Care ? Post Code Lottery !

Posted: Mon Sep 11, 2017 12:28 pm
by bowlingbun
No, you're wrong there, it's not the social care section. It's the NHS - supposedly "free at the point of delivery"!

My mum, in rapid decline, incontinent, repeated mini strokes, bed bound, MRSA was deemed not to have a health need. When I told the assessor that mum was living happily at home until she had sepsis, then couldn't walk any more, she said that wasn't on the notes, and she did "not intent to contact the GP at this time". I told her the name of mum's rare condition, spelled it for her, she didn't know what it was, and never mentioned it on her assessment!

Re: NHS Continuing Care ? Post Code Lottery !

Posted: Mon Sep 11, 2017 12:38 pm
by Chris From The Gulag
I stand corrected .... but not on account of non accountability ?

As for the NHS ... " Mistakes may occasionly happen " ... on a death certificate perhaps ... the National Quality Board ( NQB ) guidelines :
As set out in the response to the Mid Staffordshire NHS Foundation Trust Public Inquiry, the National Quality Board (NQB) has published a ‘Human Factors in Healthcare Concordat’ signed by its member organisations and other partners. The Concordat demonstrates the NQB’s commitment on behalf of the health system, to embedding a recognition and understanding of Human Factors across the NHS and in their activities, reflecting the value it can offer in respect of improving the quality and productivity of services to patients.

Much of the activity to embed Human Factors in healthcare sits with frontline providers and the NQB commits to working with NHS organisations, clinicians and NHS staff to understand their current capabilities and establish their requirements. This will inform the development of a programme of tailored support that enables NHS organisations to maximise the potential that Human Factors practices and principles can offer in relation to patient safety and experience, efficiency and clinical effectiveness. NHS England and Health Education England will lead the work to support the NHS in taking forward this important aspect of the patient safety agenda, working with other partners across the system

The word MALPRACTICE is not often cited in the UK ... it's not the British way ?