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1135681

	registered interest
	date	01/07/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Continuing Care: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what estimate they have made of the number of applications received for NHS Continuing Healthcare Funding in England in each of the last three years.
	tabling member printed	Baroness Altmann
	uin	HL16774
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The following table provides the total number of referrals received for NHS Continuing Healthcare (CHC) for both Standard and Fast Track NHS CHC, for the years 2016/17 to 2018/19.</p><table><tbody><tr><td colspan="3"><p>Number of Referrals Received</p></td></tr><tr><td><p>Period</p></td><td><p>Standard NHS CHC</p></td><td><p>Fast Track</p></td><td><p>Total NHS CHC</p></td></tr><tr><td><p>2016/17</p></td><td><p>76,945</p></td><td><p>88,420</p></td><td><p>165,365</p></td></tr><tr><td><p>2017/18</p></td><td><p>75,322</p></td><td><p>94,175</p></td><td><p>169,497</p></td></tr><tr><td><p>2018/19</p></td><td><p>73,475</p></td><td><p>97,273</p></td><td><p>170,748</p></td></tr></tbody></table><p> </p><p>NHS England collects and publishes data regarding the number of referrals completed, and of those, how many were assessed as eligible (as a percentage). A table showing these figures is attached due to the size of the data. The percentage of referrals agreed as eligible is based on the number of referrals ‘completed’ (rather than ‘referrals received’). Pre 2017/18 data did not use this counting methodology and therefore is not comparable. 2016/17 figures have therefore not been included.</p><p>The NHS CHC appeals process consists of clinical commissioning group local resolution and NHS England Independent Review. It is not possible to provide data on cases found eligible at local review or Independent Review as a percentage of applications initially assessed as not eligible.</p><p>We do not hold information on the percentage of NHS CHC referrals which were assessed as eligible within the requested time periods. NHS England does, however, hold information on the percentage of referrals completed within 28 days, and the latest annual information on this is included in the following table. This relates to Standard NHS CHC and not Fast Track NHS CHC.</p><p> </p><table><tbody><tr><td colspan="3"><p>% referrals within 28 days</p></td></tr><tr><td><p>Period</p></td><td colspan="3"><p>Standard NHS CHC</p></td></tr><tr><td><p> </p></td><td><p>Referrals completed</p></td><td><p>Referrals completed in 28 days</p></td><td><p>% completed in 28 days</p></td></tr><tr><td><p>2018/19</p></td><td><p>76,803</p></td><td><p>53,504</p></td><td><p>70%</p></td></tr></tbody></table><p> </p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL16775 HL16776 HL16777 question first answered 15/07/2019 10:21:24 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name HL16774 data table formatted.docx title NHS CHC Referrals completed
	tabling member	4533 label Biography information for Baroness Altmann

1135682

	registered interest
	date	01/07/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Continuing Care: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what percentage of applications for NHS Continuing Healthcare funding in England were accepted in each of the last three years.
	tabling member printed	Baroness Altmann
	uin	HL16775
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The following table provides the total number of referrals received for NHS Continuing Healthcare (CHC) for both Standard and Fast Track NHS CHC, for the years 2016/17 to 2018/19.</p><table><tbody><tr><td colspan="3"><p>Number of Referrals Received</p></td></tr><tr><td><p>Period</p></td><td><p>Standard NHS CHC</p></td><td><p>Fast Track</p></td><td><p>Total NHS CHC</p></td></tr><tr><td><p>2016/17</p></td><td><p>76,945</p></td><td><p>88,420</p></td><td><p>165,365</p></td></tr><tr><td><p>2017/18</p></td><td><p>75,322</p></td><td><p>94,175</p></td><td><p>169,497</p></td></tr><tr><td><p>2018/19</p></td><td><p>73,475</p></td><td><p>97,273</p></td><td><p>170,748</p></td></tr></tbody></table><p> </p><p>NHS England collects and publishes data regarding the number of referrals completed, and of those, how many were assessed as eligible (as a percentage). A table showing these figures is attached due to the size of the data. The percentage of referrals agreed as eligible is based on the number of referrals ‘completed’ (rather than ‘referrals received’). Pre 2017/18 data did not use this counting methodology and therefore is not comparable. 2016/17 figures have therefore not been included.</p><p>The NHS CHC appeals process consists of clinical commissioning group local resolution and NHS England Independent Review. It is not possible to provide data on cases found eligible at local review or Independent Review as a percentage of applications initially assessed as not eligible.</p><p>We do not hold information on the percentage of NHS CHC referrals which were assessed as eligible within the requested time periods. NHS England does, however, hold information on the percentage of referrals completed within 28 days, and the latest annual information on this is included in the following table. This relates to Standard NHS CHC and not Fast Track NHS CHC.</p><p> </p><table><tbody><tr><td colspan="3"><p>% referrals within 28 days</p></td></tr><tr><td><p>Period</p></td><td colspan="3"><p>Standard NHS CHC</p></td></tr><tr><td><p> </p></td><td><p>Referrals completed</p></td><td><p>Referrals completed in 28 days</p></td><td><p>% completed in 28 days</p></td></tr><tr><td><p>2018/19</p></td><td><p>76,803</p></td><td><p>53,504</p></td><td><p>70%</p></td></tr></tbody></table><p> </p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL16774 HL16776 HL16777 question first answered 15/07/2019 10:21:24 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name HL16774 data table formatted.docx title NHS CHC Referrals completed
	tabling member	4533 label Biography information for Baroness Altmann

1135683

	registered interest
	date	01/07/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Continuing Care: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what percentage of rejected applications for NHS Continuing Healthcare funding in England were then granted on (1) first, and (2) second, appeal in each of the last three years.
	tabling member printed	Baroness Altmann
	uin	HL16776
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The following table provides the total number of referrals received for NHS Continuing Healthcare (CHC) for both Standard and Fast Track NHS CHC, for the years 2016/17 to 2018/19.</p><table><tbody><tr><td colspan="3"><p>Number of Referrals Received</p></td></tr><tr><td><p>Period</p></td><td><p>Standard NHS CHC</p></td><td><p>Fast Track</p></td><td><p>Total NHS CHC</p></td></tr><tr><td><p>2016/17</p></td><td><p>76,945</p></td><td><p>88,420</p></td><td><p>165,365</p></td></tr><tr><td><p>2017/18</p></td><td><p>75,322</p></td><td><p>94,175</p></td><td><p>169,497</p></td></tr><tr><td><p>2018/19</p></td><td><p>73,475</p></td><td><p>97,273</p></td><td><p>170,748</p></td></tr></tbody></table><p> </p><p>NHS England collects and publishes data regarding the number of referrals completed, and of those, how many were assessed as eligible (as a percentage). A table showing these figures is attached due to the size of the data. The percentage of referrals agreed as eligible is based on the number of referrals ‘completed’ (rather than ‘referrals received’). Pre 2017/18 data did not use this counting methodology and therefore is not comparable. 2016/17 figures have therefore not been included.</p><p>The NHS CHC appeals process consists of clinical commissioning group local resolution and NHS England Independent Review. It is not possible to provide data on cases found eligible at local review or Independent Review as a percentage of applications initially assessed as not eligible.</p><p>We do not hold information on the percentage of NHS CHC referrals which were assessed as eligible within the requested time periods. NHS England does, however, hold information on the percentage of referrals completed within 28 days, and the latest annual information on this is included in the following table. This relates to Standard NHS CHC and not Fast Track NHS CHC.</p><p> </p><table><tbody><tr><td colspan="3"><p>% referrals within 28 days</p></td></tr><tr><td><p>Period</p></td><td colspan="3"><p>Standard NHS CHC</p></td></tr><tr><td><p> </p></td><td><p>Referrals completed</p></td><td><p>Referrals completed in 28 days</p></td><td><p>% completed in 28 days</p></td></tr><tr><td><p>2018/19</p></td><td><p>76,803</p></td><td><p>53,504</p></td><td><p>70%</p></td></tr></tbody></table><p> </p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL16774 HL16775 HL16777 question first answered 15/07/2019 10:21:24 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name HL16774 data table formatted.docx title NHS CHC Referrals completed
	tabling member	4533 label Biography information for Baroness Altmann

1135684

	registered interest
	date	01/07/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Continuing Care: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what percentage of applications for NHS Continuing Healthcare funding in England were accepted (1) within less than one month, (2) within less than three months, (3) within three to six months, (4) within six to 12 months, and (5) after 12 months, of the date of application.
	tabling member printed	Baroness Altmann
	uin	HL16777
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The following table provides the total number of referrals received for NHS Continuing Healthcare (CHC) for both Standard and Fast Track NHS CHC, for the years 2016/17 to 2018/19.</p><table><tbody><tr><td colspan="3"><p>Number of Referrals Received</p></td></tr><tr><td><p>Period</p></td><td><p>Standard NHS CHC</p></td><td><p>Fast Track</p></td><td><p>Total NHS CHC</p></td></tr><tr><td><p>2016/17</p></td><td><p>76,945</p></td><td><p>88,420</p></td><td><p>165,365</p></td></tr><tr><td><p>2017/18</p></td><td><p>75,322</p></td><td><p>94,175</p></td><td><p>169,497</p></td></tr><tr><td><p>2018/19</p></td><td><p>73,475</p></td><td><p>97,273</p></td><td><p>170,748</p></td></tr></tbody></table><p> </p><p>NHS England collects and publishes data regarding the number of referrals completed, and of those, how many were assessed as eligible (as a percentage). A table showing these figures is attached due to the size of the data. The percentage of referrals agreed as eligible is based on the number of referrals ‘completed’ (rather than ‘referrals received’). Pre 2017/18 data did not use this counting methodology and therefore is not comparable. 2016/17 figures have therefore not been included.</p><p>The NHS CHC appeals process consists of clinical commissioning group local resolution and NHS England Independent Review. It is not possible to provide data on cases found eligible at local review or Independent Review as a percentage of applications initially assessed as not eligible.</p><p>We do not hold information on the percentage of NHS CHC referrals which were assessed as eligible within the requested time periods. NHS England does, however, hold information on the percentage of referrals completed within 28 days, and the latest annual information on this is included in the following table. This relates to Standard NHS CHC and not Fast Track NHS CHC.</p><p> </p><table><tbody><tr><td colspan="3"><p>% referrals within 28 days</p></td></tr><tr><td><p>Period</p></td><td colspan="3"><p>Standard NHS CHC</p></td></tr><tr><td><p> </p></td><td><p>Referrals completed</p></td><td><p>Referrals completed in 28 days</p></td><td><p>% completed in 28 days</p></td></tr><tr><td><p>2018/19</p></td><td><p>76,803</p></td><td><p>53,504</p></td><td><p>70%</p></td></tr></tbody></table><p> </p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL16774 HL16775 HL16776 question first answered 15/07/2019 10:21:24 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name HL16774 data table formatted.docx title NHS CHC Referrals completed
	tabling member	4533 label Biography information for Baroness Altmann

1135709

	registered interest
	date	01/07/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Continuing Care: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many patients were in receipt of continuing healthcare payments in England in (1) 2010, (2) 2015, (3) 2016, (4) 2017, (5) 2018, and (6) 2019.
	tabling member printed	Lord Hain
	uin	HL16802
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>Data on NHS Continuing Healthcare (CHC) payments is not held currently, but NHS England collects data on the total number of cases eligible for NHS CHC during each year. This includes newly eligible individuals and individuals who were already eligible at the start of the period. The following table provides the total numbers eligible for both Standard and Fast Track NHS CHC for the years 2015/16 to 2018/19. ‘Category of payment’ has been interpreted to mean the split of total NHS CHC by Standard NHS CHC and Fast Track.</p><p>Data relating to 2010/11 has not been included as formal mandatory data collection was not in place at this time and is therefore not comparable to the more robust data collected subsequently.</p><p> </p><p> </p><p> </p><table><tbody><tr><td colspan="3"><p>Number eligible year to date</p></td></tr><tr><td><p>Period</p></td><td><p>Standard NHS CHC</p></td><td><p>Fast Track</p></td><td><p>Total NHS CHC</p></td></tr><tr><td><p>2015/16</p></td><td><p>67,774</p></td><td><p>91,791</p></td><td><p>159,565</p></td></tr><tr><td><p>2016/17</p></td><td><p>63,474</p></td><td><p>96,353</p></td><td><p>159,827</p></td></tr><tr><td><p>2017/18</p></td><td><p>59,916</p></td><td><p>99,706</p></td><td><p>159,622</p></td></tr><tr><td><p>2018/19</p></td><td><p>56,395</p></td><td><p>104,461</p></td><td><p>160,856</p></td></tr></tbody></table><p> </p><p>‘Somerset Health Authority’ is not a recognised organisation. Data is therefore provided for Somerset Clinical Commissioning Group (CCG) for the years 2015/16 to 2018/19.</p><p> </p><table><tbody><tr><td colspan="3"><p>Somerset CCG Number eligible year to date</p></td></tr><tr><td><p>Period</p></td><td><p>Standard NHS CHC</p></td><td><p>Fast Track</p></td><td><p>Total NHS CHC</p></td></tr><tr><td><p>2015/16</p></td><td><p>835</p></td><td><p>1,277</p></td><td><p>2,112</p></td></tr><tr><td><p>2016/17</p></td><td><p>511</p></td><td><p>1,495</p></td><td><p>2,006</p></td></tr><tr><td><p>2017/18</p></td><td><p>350</p></td><td><p>1,572</p></td><td><p>1,922</p></td></tr><tr><td><p>2018/19</p></td><td><p>330</p></td><td><p>1,626</p></td><td><p>1,956</p></td></tr></tbody></table><p> </p><p>Data relating to 2010/11 has not been included as formal mandatory data collection was not in place at this time and is therefore not comparable to the more robust data collected subsequently. In addition, 2010/11 data pre-dates the existence of CCGs and relates to primary care trusts, meaning that comparison at organisational level is not possible.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL16803 HL16804 question first answered 15/07/2019 10:22:58 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	567 label Biography information for Lord Hain

1135711

	registered interest
	date	01/07/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Continuing Care: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many patients were in receipt of continuing healthcare payments in England, broken down by category of payment, in (1) 2010, (2) 2015, (3) 2016, (4) 2017, (5) 2018, and (6) 2019.
	tabling member printed	Lord Hain
	uin	HL16804
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>Data on NHS Continuing Healthcare (CHC) payments is not held currently, but NHS England collects data on the total number of cases eligible for NHS CHC during each year. This includes newly eligible individuals and individuals who were already eligible at the start of the period. The following table provides the total numbers eligible for both Standard and Fast Track NHS CHC for the years 2015/16 to 2018/19. ‘Category of payment’ has been interpreted to mean the split of total NHS CHC by Standard NHS CHC and Fast Track.</p><p>Data relating to 2010/11 has not been included as formal mandatory data collection was not in place at this time and is therefore not comparable to the more robust data collected subsequently.</p><p> </p><p> </p><p> </p><table><tbody><tr><td colspan="3"><p>Number eligible year to date</p></td></tr><tr><td><p>Period</p></td><td><p>Standard NHS CHC</p></td><td><p>Fast Track</p></td><td><p>Total NHS CHC</p></td></tr><tr><td><p>2015/16</p></td><td><p>67,774</p></td><td><p>91,791</p></td><td><p>159,565</p></td></tr><tr><td><p>2016/17</p></td><td><p>63,474</p></td><td><p>96,353</p></td><td><p>159,827</p></td></tr><tr><td><p>2017/18</p></td><td><p>59,916</p></td><td><p>99,706</p></td><td><p>159,622</p></td></tr><tr><td><p>2018/19</p></td><td><p>56,395</p></td><td><p>104,461</p></td><td><p>160,856</p></td></tr></tbody></table><p> </p><p>‘Somerset Health Authority’ is not a recognised organisation. Data is therefore provided for Somerset Clinical Commissioning Group (CCG) for the years 2015/16 to 2018/19.</p><p> </p><table><tbody><tr><td colspan="3"><p>Somerset CCG Number eligible year to date</p></td></tr><tr><td><p>Period</p></td><td><p>Standard NHS CHC</p></td><td><p>Fast Track</p></td><td><p>Total NHS CHC</p></td></tr><tr><td><p>2015/16</p></td><td><p>835</p></td><td><p>1,277</p></td><td><p>2,112</p></td></tr><tr><td><p>2016/17</p></td><td><p>511</p></td><td><p>1,495</p></td><td><p>2,006</p></td></tr><tr><td><p>2017/18</p></td><td><p>350</p></td><td><p>1,572</p></td><td><p>1,922</p></td></tr><tr><td><p>2018/19</p></td><td><p>330</p></td><td><p>1,626</p></td><td><p>1,956</p></td></tr></tbody></table><p> </p><p>Data relating to 2010/11 has not been included as formal mandatory data collection was not in place at this time and is therefore not comparable to the more robust data collected subsequently. In addition, 2010/11 data pre-dates the existence of CCGs and relates to primary care trusts, meaning that comparison at organisational level is not possible.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL16802 HL16803 question first answered 15/07/2019 10:22:58 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	567 label Biography information for Lord Hain

1141030

	registered interest
	date	22/07/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Continuing Care: Finance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to allow individuals in receipt of continuing healthcare funding to transfer their funding between CCGs in the event they move home.
	tabling member constituency	Solihull
	tabling member printed	Julian Knight
	uin	280298
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <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> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 25/07/2019 14:18:11 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4410 label Biography information for Julian Knight