Review of joint funded packages. Delivered.

Expert CHC support to ease the joint funding backlog.

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£4million saving identified

Process clinically reviewed

Provided reassurance to ICB

The Challenge

In 2022, Liaison Care were commissioned to clinically review the process supporting joint funded packages at NHS Cornwall and Isles of Scilly ICB.

This was to ensure that the eligibility pathway had been followed in line with the National CHC Framework.

We were required to review 121 cases eligible for jointly funded support during a defined project period of 14 weeks, ensuring that each individual was central to any conversations concerning the CHC process.

The Solution

Engaging its expansive team of CHC experts, Liaison Care were to provide recommendations from the reviews, considering eligibility for continuation of a joint funded arrangement or consideration of NHS CHC eligibility via the Decision Support tool (DST) being undertaken by a multidisciplinary team (MDT).

Recommendations were made by the Liaison Care team based on the review discussion, joint funding tool and established health needs, if present.

Using the calculations within the joint funding tool provided by the ICB, and assuming that the costs recorded on Broadcare remain accurate, accepting the recommendations made by Liaison Care’s review would enable a saving of over £4,000,000.

Benefit to ICB

Of the 87 cases reviewed and/or assessed, 25 cases had not been through the framework process. This resulted in 17 DSTs following a positive checklist being undertaken. A further 8 checklists were undertaken which did not require progression to DST.

Although the remaining 62 cases had been through the framework at some stage, they had not been reviewed in the past 12 months, so changes in circumstances had not been take into consideration.

In conclusion, there were 43 cases assessed, resulting in a reduction in joint funding percentage responsibility for health, and 42 cases deemed to have no eligibility for joint funding to continue. The remaining 2 cases were found to be eligible for both CHC funding and FNC.

In obtaining Liaison Care’s support for our joint funding reviews, we knew we would be gaining an extension to our in-house CHC team and were confident that they would act with our patients’ best interests in mind. We were delighted to see that their recommendations could also generate a £4million saving, and will be looking into these recommendations further as a team.

Katie Collings

Continuing Healthcare Operations Manager, NHS Cornwall and Isles of Scilly ICB

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