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1700476

	registered interest
	date	12/04/2024
	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 assessment her Department has made of the potential merits of providing certainty of funds to people who (a) receive continuing healthcare funding and (b) have a terminal illness.
	tabling member constituency	East Devon
	tabling member printed	Simon Jupp
	uin	21363
	answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>There are no plans to undertake such an assessment, as guidance is in place to ensure an appropriate approach to individuals in this situation. Individuals with a primary health need arising from a rapidly deteriorating condition which may be entering a terminal phase, are eligible for Fast Track NHS Continuing Healthcare (CHC). The fast track pathway is designed to ensure that eligible individuals receive appropriate care with minimal delay.</p><p>The National Framework on CHC makes clear that integrated care boards (ICBs) should monitor the effectiveness of the care arrangements, and consider whether, and at what point, a reassessment of eligibility is appropriate. Where an individual in receipt of Fast Track NHS CHC is expected to die in the very near future, the ICB should continue to take responsibility for the care package until the end of their life. Fast Track NHS CHC funding should not be removed without eligibility being reconsidered, through the completion of a CHC Decision Support Tool by a multidisciplinary team.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 23/04/2024 11:39:00 answering member 4527 label Biography information for Helen Whately
	tabling member	4862 label Biography information for Simon Jupp

1688840

	registered interest
	date	13/02/2024
	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 His Majesty's Government what was the financial value of support provided to patients through NHS Continuing Healthcare scheme in each of the past two financial years.
	tabling member printed	Lord Crisp
	uin	HL2426
	answer	answer is ministerial correction date of answer 27/02/2024 answer text <p>The cost of NHS Continuing Healthcare (CHC) to NHS England was £4.42 billion in 2022/23 and £4.27 billion in 2021/22. This includes Standard and Fast Track CHC, and the personal health budgets relating to these costs. These figures do not include costs for joint funded packages of care, children’s continuing care, assessments and support, or any other CHC related costs.</p> answering member printed Lord Markham question first answered 27/02/2024 15:16:55 answering member 4948 label Biography information for Lord Markham
	tabling member	3783 label Biography information for Lord Crisp

1690969

	registered interest
	date	21/02/2024
	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 His Majesty's Government what plans they have to review the system and operation of Continuing Health Care funding.
	tabling member printed	Lord Weir of Ballyholme
	uin	HL2691
	answer	answer is ministerial correction date of answer 27/02/2024 answer text <p>In England, the Department is responsible for NHS Continuing Healthcare (CHC) policy and legislation which includes the <em>National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care</em>, a copy of which is attached.</p><p> </p><p>The Department has no plans at this time to review the system or operation of CHC in England but we continue to work with our partners, including NHS England which is responsible for oversight of CHC delivery, external organisations and people with lived experience, to monitor CHC implementation.</p> answering member printed Lord Markham question first answered 27/02/2024 15:19:56 answering member 4948 label Biography information for Lord Markham attachment 1 file name National-Framework-for-NHS-Continuing-Healthcare-and-NHS-funded-Nursing-Care_July-2022-revised_corrected-July-2023 (7).pdf title National Framework for CHC
	tabling member	4970 label Biography information for Lord Weir of Ballyholme

1687532

	registered interest
	date	05/02/2024
	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, at what point in the provision of a person’s social care needs is the limit of local authority responsibility reached and the responsibility for funding that care transferred to NHS Continuing Healthcare.
	tabling member constituency	Twickenham
	tabling member printed	Munira Wilson
	uin	13132
	answer	answer is ministerial correction date of answer 16/02/2024 answer text <p>NHS Continuing Healthcare (CHC) is a package of ongoing care that is arranged and funded solely by the National Health Service, where the individual has been found to have a primary health need.</p><p>An individual has a primary health need if the main aspects or majority part of the required care is focused on addressing or preventing health needs. The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 set out the process for determining eligibility for CHC.</p><p>Establishing whether an individual has a primary health need requires a clear, reasoned decision, based on evidence of needs from a range of comprehensive assessments undertaken by a multidisciplinary team.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 16/02/2024 12:54:23 answering member 4527 label Biography information for Helen Whately
	tabling member	4776 label Biography information for Munira Wilson

1680527

	registered interest
	date	08/01/2024
	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 her Department plans to take to increase awareness of continuing healthcare funding.
	tabling member constituency	Darlington
	tabling member printed	Peter Gibson
	uin	8574
	answer	answer is ministerial correction date of answer 16/01/2024 answer text <p>Public information leaflets are already available on the GOV.uk website in English and six additional languages explaining the process used to determine whether someone is eligible for NHS Continuing Healthcare (CHC), with more information available at the following link:</p><p><a href="https://www.gov.uk/government/publications/nhs-continuing-healthcare-and-nhs-funded-nursing-care-public-information-leaflet" target="_blank">https://www.gov.uk/government/publications/nhs-continuing-healthcare-and-nhs-funded-nursing-care-public-information-leaflet</a></p><p>Any individual being considered for CHC at the screening or referral stage should be provided with this leaflet along with any relevant local information about processes and contact details and arrangements. NHS England has commissioned an Information and Advice Service for CHC from Beacon to provide independent and high-quality support on navigating CHC assessments, resolution and care planning or to begin an appeal. Individuals can also enquire about CHC by contacting their general practitioner or integrated care board. More information on this service is available at the following link:</p><p><a href="https://beaconchc.co.uk/how-we-can-help/free-information-and-advice-on-nhs-continuing-healthcare/" target="_blank">https://beaconchc.co.uk/how-we-can-help/free-information-and-advice-on-nhs-continuing-healthcare/</a></p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 16/01/2024 16:34:03 answering member 4527 label Biography information for Helen Whately
	tabling member	4754 label Biography information for Peter Gibson

1680528

	registered interest
	date	08/01/2024
	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, how many and what proportion of applications for NHS continuing healthcare funding in (a) Darlington constituency and (b) the rest of England were approved following an appeal.
	tabling member constituency	Darlington
	tabling member printed	Peter Gibson
	uin	8575
	answer	answer is ministerial correction date of answer 16/01/2024 answer text <p>The most recent data available on Local Resolution and Independent Reviews, which review the eligibility of NHS Continuing Healthcare (CHC) decisions, is for the second quarter of 2023/24, representing July to September 2023.</p><p> </p><p>For the second quarter of 2023/24 in England, 102 of 554 or 18% of requests for local review of an eligibility decision for CHC were found eligible. For the same time period in England, there were 102 independent review panels carried out. Of those, 17 cases or 17% were determined as fully eligible, and 5 cases or 5% were determined as partially eligible.</p><p> </p><p>NHS England does not collect these data at individual constituency level.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 16/01/2024 13:15:35 answering member 4527 label Biography information for Helen Whately
	tabling member	4754 label Biography information for Peter Gibson

1679547

	registered interest
	date	05/01/2024
	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, if she will undertake a review of the adequacy of funding for continuing healthcare.
	tabling member constituency	Edmonton
	tabling member printed	Kate Osamor
	uin	8054
	answer	answer is ministerial correction date of answer 12/01/2024 answer text <p>We have no plans at this time to assess the efficacy of the NHS Continuing Healthcare (CHC) process or to review funding for CHC. The Government continues to work with our partners, including NHS England who are responsible for oversight of CHC delivery, to deliver CHC policy effectively.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 8258 question first answered 12/01/2024 14:14:08 answering member 4527 label Biography information for Helen Whately
	tabling member	4515 label Biography information for Kate Osamor

1657578

	registered interest
	date	04/09/2023
	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 His Majesty's Government, further to the Written Answer by Lord Markham on 24 July (HL9409), whether they intend to make enquiries as to whether personal health budgets are available to all those receiving National Health Service Continuing Healthcare (CHC); and whether integrated care boards are providing information on personal health budgets to all those eligible for CHC, including offering them the option of taking them up, and supporting them to do so.
	tabling member printed	Lord Pearson of Rannoch
	uin	HL9816
	answer	answer is ministerial correction date of answer 13/09/2023 answer text <p>The Government have not made an assessment of whether personal health budgets are available to people receiving NHS Continuing Healthcare (CHC) that need them.</p><p>The Department is responsible for CHC policy and legislation, which includes the National Framework for NHS Continuing Healthcare and National Health Service-funded Nursing Care. Operational delivery of CHC is the responsibility of integrated care boards (ICBs) with oversight from NHS England. Quarterly performance data is used by regional NHS England teams to inform ICB assurance.</p><p>Legislation requires ICBs to provide people eligible for CHC with information about personal health budgets, to promote their availability and to provide advice and assistance with respect to requesting such budgets.</p> answering member printed Lord Markham question first answered 13/09/2023 15:30:55 answering member 4948 label Biography information for Lord Markham
	tabling member	3153 label Biography information for Lord Pearson of Rannoch

1653722

	registered interest
	date	17/07/2023
	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 His Majesty's Government what assessment they have made of whether direct and third-party payment Personal Healthcare Budgets for Continuing Healthcare are available to all those that need them; and what steps they are taking to ensure that NHS England provide such support when appropriate.
	tabling member printed	Lord Pearson of Rannoch
	uin	HL9409
	answer	answer is ministerial correction date of answer 24/07/2023 answer text <p>The Government has not made an assessment of whether personal health budgets are available to people receiving National Health Service Continuing Healthcare (CHC) that need them. Operational delivery of CHC is the responsibility of integrated care boards (ICBs) with oversight from NHS England. Quarterly performance data is used by regional NHS England teams to inform ICB assurance.</p><p> </p><p>Legislation requires ICBs to provide people eligible for CHC with information about personal health budgets, to offer them the option of taking them up, and to support them to do so.</p><p> </p><p>NHS England expects that, unless there are exceptional circumstances, everyone living in their own home who is in receipt of CHC funding will have a personal health budget. In 2022/23, approximately 30,000 individuals eligible for CHC were in receipt of a personal health budget.</p> answering member printed Lord Markham question first answered 24/07/2023 15:09:06 answering member 4948 label Biography information for Lord Markham
	tabling member	3153 label Biography information for Lord Pearson of Rannoch

1485965

	registered interest
	date	01/07/2022
	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, if he will provide additional funding to NHS Continuing Care in the context of increased costs of care and residential homes.
	tabling member constituency	Hornsey and Wood Green
	tabling member printed	Catherine West
	uin	30082
	answer	answer is ministerial correction date of answer 18/07/2022 answer text <p>NHS England allocates funding to integrated care boards to meet the costs of providing healthcare, including NHS Continuing Healthcare (CHC). For 2022/23, additional funding has been issued to local systems for a range of cost pressures, including NHS CHC.</p><p>NHS CHC is a package of ongoing National Health Service-funded care for adults with the highest levels of complex, intense or unpredictable needs, who have been assessed as having a ‘primary health need’. The Department is responsible for the policy and legislation for NHS CHC, which includes the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care. This statutory guidance sets out the process for determining eligibility for CHC. The application of this guidance is intended to ensure that those individuals eligible to receive CHC are identified, assessed and receive an appropriate package of care.</p><p><strong> </strong></p> answering member constituency Chichester answering member printed Gillian Keegan question first answered 18/07/2022 15:50:35 answering member 4680 label Biography information for Gillian Keegan
	tabling member	4523 label Biography information for Catherine West