Complex Learning Disability Cases had been managed by the Local Authority on behalf of Cambridgeshire and Peterborough Integrated Commissioning Board (ICB) through a pooled budget for many years.
These cases were not being routinely reviewed, and there was pressure from Local Authority partners for an increase in ICS funding to the pooled arrangement.
Liaison Care was commissioned as a ‘trusted partner’ to undertake these reviews which aimed to provide both partners with contemporaneous health needs assessments, up to date care and support plans, and aligning of the correct responsible commissioner and funding.
Following the National Framework Review process and practice guidelines, our teams determined ongoing eligibility for CHC, collaborating with individuals, representatives, and providers to deliver new or updated Care and Support Plans built around need.
Our team committed significant clinical and administrative resource to the reviews and DST process, ensuring that individuals and representatives were involved, engaged and listened to.
Our experts identified recommendations to improve care delivery and oversight, including the management of Direct Budgets, Personal Health Budgets, Provider Commissioning, and Financial Management.
Opportunities for the ICB and LA to improve oversight of individuals within the pooled budget were also noted, with all individuals now having up-to-date health needs assessments and being aligned to the correct Responsible Commissioner and the associated funding streams.
A full-year of NHS cost reduction of over £9.5m was recommended, and we continue routine CHC case reviews as the ICB recruits additional staff to meet service demands.
Sameena Turner
Practice Development Nurse/Complex Cases Team Cambridge and Peterborough Integrated Care System
NHS Cambridge & Peterborough ICB
Complex cases in need of re-reviews
Reviews of Complex Learning Disability Individuals