Inter-agency disputes about joint funding for non-CHC service users

City of York Council failed to review a disabled man’s care for years, leaving his parents unsupported in managing the complex care package 

Date of decision: 12 February 2025 Summary This report concerns York Council’s prolonged failure to review and update the care package of Mr A, a disabled adult living independently, with support from his parents. From 2015 to 2022, City of York Council did not properly review Mr A’s care needs leaving his parents managing a […]

City of York Council failed to review a disabled man’s care for years, leaving his parents unsupported in managing the complex care package  Read More »

R (on the app of Worcestershire County Council) v Secretary of State for Health and Social Care

https://www.bailii.org/uk/cases/UKSC/2023/31.html The Supreme Court has finally settled the knotty legal problem of which council is liable for funding aftercare, when a person to whom such a duty is already owed, by one pair of s117 public bodies, is being provided for, out of area, for whatever reason, but is compulsorily sectioned again, under s3 of

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Regarding CHC decision-making for CHC eligible people – is there a right to have a Social Worker involved in care planning if you are CHC eligible, or is this up to the individual ICB?

You can read up about who needs to be involved here: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1087562/National-Framework-for-NHS-Continuing-Healthcare-and-NHS-funded-Nursing-Care-July-2022-revised.pdf starting with paras 141 about the Multidisciplinary team and then paras 185 and 186. in essence there is no right to have a social worker involved, given the definition of the required multi-disciplinary team does not stipulate that a social worker must be

Regarding CHC decision-making for CHC eligible people – is there a right to have a Social Worker involved in care planning if you are CHC eligible, or is this up to the individual ICB? Read More »

The CHC Team at the ICB  have said the Personal Health Budget (PHB) should not be used to cover the admitted deficits in the support and/or equipment provided by other publicly funded services  (i.e OT, Physio, SALT, orthotics). Is this correct or should these services be included in the PHB, because the person who has qualified has acquired a specific funding status – and rights that are different from those of the ordinary public?

We think it is NOT correct to treat an ordinary person’s wait for available community mental health or community based primary care services separately commissioned under wider NHS duties, by the ICB, as capable of satisfying the duty owed under the National Framework to those eligible for CHC (or s117 Mental Health Aftercare services, for

The CHC Team at the ICB  have said the Personal Health Budget (PHB) should not be used to cover the admitted deficits in the support and/or equipment provided by other publicly funded services  (i.e OT, Physio, SALT, orthotics). Is this correct or should these services be included in the PHB, because the person who has qualified has acquired a specific funding status – and rights that are different from those of the ordinary public? Read More »

R (on the application of Forge Care Homes Ltd. v Cardiff and Vale University Health Board and Others (2017)

Keywords: Nursing Care, Funding, Integration, Joint working, FNC The Supreme Court ruled that the NHS is responsible for funding all aspects of the work done by registered nurses in social care settings. The case concerned an ongoing dispute in Wales between local authorities and the NHS about the basis on which the NHS pays for

R (on the application of Forge Care Homes Ltd. v Cardiff and Vale University Health Board and Others (2017) Read More »

Will people have all their nursing care paid for, or the RNCC paid for, by the NHS, when they go into nursing homes for short periods?

We think so – although they will not necessarily have a formal Registered Nursing Contribution to Care determination. The guidance says circumstances will vary! Planned admissions for respite, or a trial will follow an assessment which identifies a nursing home as the correct setting. A decision about the contribution of the NHS to the care

Will people have all their nursing care paid for, or the RNCC paid for, by the NHS, when they go into nursing homes for short periods? Read More »

Will everybody (other than people who simply choose to access nursing home care privately, and refuse an RNCC assessment) in a nursing home qualify for at least £35 a week from the NHS, regardless of the exact extent (or indeed existence) of registered nursing needs?

One of the weirdest things about the FNC guidance is that the lowest level RNCC band of £35 a week is described as being for people who don’t really need to be in a nursing home at all! In the first year of FNC, when all privately self funding people will be drawn into the

Will everybody (other than people who simply choose to access nursing home care privately, and refuse an RNCC assessment) in a nursing home qualify for at least £35 a week from the NHS, regardless of the exact extent (or indeed existence) of registered nursing needs? Read More »

St Helens Borough Council v Manchester Primary Care Trust [2008] EWCA Civ 931

This appeal, bought by the Local Authority, was in connection with an earlier judicial review of the decision by the Respondent PCT that a woman (P) did not qualify for 100% NHS Continuing Healthcare [‘CHC’]. P had been diagnosed with a Dissociative Identity Disorder requiring constant care. The local authority maintained that this level of

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