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<p>Determining which clinical commissioning group (CCG) is responsible for an individual’s
care is relevant to broader National Health Service provision as well as to Continuing
Healthcare. In 2013, NHS England published guidance on this subject: ‘Who Pays? Determining
responsibility for payments to providers’. This includes guidance on transferring
funding between CCGs in the event that an individual moves home. The guidance is available
at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2014/05/who-pays.pdf"
target="_blank">https://www.england.nhs.uk/wp-content/uploads/2014/05/who-pays.pdf</a></p><p>The
NHS England guidance sets out that the key element for determining responsibility
is identifying the ‘usual residence’ of the individual concerned. This is based either
on where the individual is registered with a general practitioner (GP) or, if they
are not registered with a GP, the place where the individual is living.</p><p>Both
this guidance and the National Framework for NHS Continuing Healthcare and NHS-funded
nursing care emphasise the importance of ensuring continuity of care when a patient
moves.</p><p>If there is a dispute between CCGs then CCGs should agree interim measures
until the dispute is resolved through their own local dispute resolution process.
If the dispute cannot be resolved in this way, then the matter should be forwarded
to NHS England.</p><p><strong> </strong></p>
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