Liverpool Q4 by 3Az9KQ72

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									Funded Care Spend and Activity Q4 2009/10
        Please read general instructions & definitions before completion

                                          PCT NAME: Liverpool

CONTINUING HEALTHCARE 100% FUNDED (CHC)
                                                                                                                                      ERRORS!: 0                            (click here)


                                                                                                      TABLE 1 - SNAPSHOT ACTIVITY end of Q4 (31st Mar 10)

                                                                               A                       B                  C                 D               (A+B+C-D)

                                                                         BASELINE               Newly Eligible     Newly Eligible       No Longer            Snapshot
                                                                                                    Activity       Retrospectives        Eligible             Activity
                                                                          Snapshot               in Quarter 4       from 1st Oct       in Quarter 4         as at end of
                                                                           Activity                                     2007                                  quarter 4
                                                                        as at end of last                           in Quarter 4         (All clients
                                                                             quarter                                                      including
CHC Category                                                                                                                          retrospectives)                                    Comments
Fast Track                                                                             10                     46                  0                 38                 18   4 patients did not leave hospital, hence change to Q3 report
Learning Disabilities Adult (under 65)                                                 14                      0                  0                  2                 12
Learning Disabilities Adult (65 plus)                                                   2                      0                  0                  0                  2
Mental Health Adult (under 65)                                                         17                      1                  0                  0                 18   3 patients had eligibility agreed after start of quarter but back dated.
Mental Health Adult (65 plus)                                                         145                      8                  0                 24                129   7 patients had status changed to EMI
Physical Disabilities Adult (under 65)                                                 82                      7                  0                  8                 81   I patient died in Q3 but only notified later
Physical Disabilities Adult (65 plus)                                                 240                     52                  0                 73                219   7 patients had status changed to EMI                  FALSE
Unable to split                                                                         0                      0                  0                  0                  0                                            ! Error
                                                                                                                                                                                                                   (Click here)
Total                                                                                 510                    114                  0               145                 479

                                                             Newly eligible in quarter:                      114     No. eligible at end of quarter:                  479


                                                                                                                     TABLE 2 - CUMULATIVE ACTIVITY end of Q4 (31st Mar 10)
                                                                               A                       B                  C                 D               (A+B+C+D)         £ Committed
                                                                                                                                                                              up to end of
                                                                         BASELINE               Newly Eligible     Newly Eligible Newly Eligible            Cumulative          quarter 4
                                                                                                    Activity       Retrospectives Retrospectives              Activity
                                                                         Cumulative              in Quarter 4       from 1st Oct  prior to 1st Oct          up to end of    (Not inc. backdated
                                                                          Activity                                      2007            2007                 quarter 4        retro costs from
                                                                        up to end of last                           in Quarter 4   in Quarter 4                                   Table 3)
                                                                             quarter
CHC Category                                                                                                                                                                                                      Comments
Fast Track                                                                            113                     46                  0                     0             159            £237,817
Learning Disabilities Adult (under 65)                                                 16                      0                  0                     0              16            £675,200
Learning Disabilities Adult (65 plus)                                                   4                      0                  0                     0               4            £133,802
Mental Health Adult (under 65)                                                         20                      1                  0                     0              21            £849,134
Mental Health Adult (65 plus)                                                         184                      8                  0                     0             192          £3,178,184 Figures differ from Q3 due to some patients having status changed and others having eligibil
Physical Disabilities Adult (under 65)                                                121                      7                  0                     0             128          £4,031,931
Physical Disabilities Adult (65 plus)                                                 449                     52                  0                     0             501          £7,331,260
Unable to split                                                                         0                      0                  0                     0               0            £609,061 Block Beds & GP cover                             ! Error
                                                                                                                                                                                                                                                       (Click here)
Total                                                                                 907                    114                  0                     0            1021        £17,046,390


                                                                               TABLE 3 - RETROSPECTIVES end of Q4 (31st Mar 10)
                                                                        £ Committed
                                                                         up to end of
Retrospective Category                                                    quarter 4                                            Comments
Retrospectives from 1st Oct 2007 (backdated costs only)                                         This section is covered in a separate retrospective exercise
Retrospectives prior to 1st Oct 2007 (backdated costs only)                                     this quarter

Total CHC Retrospectives                                                                £0


                                                                                     TABLE 4 - CHC OTHER end of Q4 (31st Mar 10)
                                                                        £ Committed
                                                                         up to end of
CHC Additional Spend                                                      quarter 4                                  Comments                                                                                                                     1
Transport                                                                        £2,743
Day care                                                                             £0
Bespoke Equipment                                                               £80,500 The previous projected outturn included on the Q1-Q3 submission was
Other spend from CHC budget - please specify                                                                                                                   Error
                                                                             £1,221,404 HCA's and CHS contract. Q4 also includes legal fees and care packages! from 2008-09 paid in 2009-10 (not retrospectives)
                                                                                                                                                                            (Click here)
Total CHC Other                                                              £1,304,647


Total CHC Spend                                                            £18,351,037

Forecast outturn CHC 100% funded          (inc. CHC section 75 spend)      £18,351,037 Increase due to legal fees (£22k), increased costs associated with CHS (admin - £27k), reduction in patient care costs for 2009-10 (£225k) and increase in costs relating to 2008-09 pic

Budget CHC 100% funded        (inc. CHC section 75 spend)                  £16,741,144

FOT variance (minus sign indicates underspend)                               £1,609,893


                                                                         TABLE 5 - APPLICATION DATA in quarter 4 (1st Jan - 31st Mar 10)

                                                                              No.                                        Comments
No. of fast track apps (including retros) received in quarter                          61 Please note, this includes patients who died before funding commenced
Fast track conversion rate                                                           75%                                                                                          FALSE

No. of referrals for full consideration of eligibility                                108 CHC funding applied for, plus FNC to CHC patients
(inc. retros) received in quarter (not including fast tracks)
Conversion Rate                                                                      63%                                                                                          FALSE

Number of referrals exceeding 28 days referral time in quarter                              0
JOINT FUNDED                                                                                                          ERRORS!: 0                                (click here)


                                                                             TABLE 6 - JOINT FUNDED end of Q4 (31st Mar 10)
                                                           £ Committed        Cumulative            Snapshot
                                                           up to end of         Activity             Activity
                                                             quarter 4        up to end of         as at end of
                                                                               quarter 4            quarter 4                               Comments
Learning Disabilities Adult (under 65)                          £776,885                   45                 45
Learning Disabilities Adult (65 plus)                                 £0                    0                  0
Mental Health Adult (under 65)                                £4,138,080                  169                169
Mental Health Adult (65 plus)                                   £434,350                    5                  5
Physical Disabilities Adult (under 65)                          £681,194                   19                 19
Physical Disabilities Adult (65 plus)                            £38,252                    1                  1
Unable to split                                                       £0                    0                  0                                                                   ! Error
Total                                                         £6,068,762                  239                239                                                                   (Click here)


Forecast outturn Joint Funded                                 £6,068,762                                              Q4 excludes £17.6m costs previously included. This relates to LD patients transferred to LA - Valuing People Now (DoH) £13m, Health & Wellbeing

Budget Joint Funded                                           £4,201,757                                              Q4 excludes £13.2m budgetpreviously included. This relates to LD patients transferred to LA - Valuing People Now (DoH) £13m, Health & Wellbein

FOT variance (minus sign indicates underspend)                £1,867,005




FUNDED NURSING CARE (FNC)                                                                                             ERRORS!: 0                                (click here)



                                                                      TABLE 7 - FUNDED NURSING CARE end of Q4 (31st Mar 10)

                                                           £ Committed        Cumulative            Snapshot
                                                           up to end of         Activity             Activity
                                                             quarter 4        up to end of         as at end of
                                                                               quarter 4            quarter 4                               Comments
FNC                                                           £4,840,053               1,154                 789

Forecast outturn FNC                                          £4,840,053

Budget FNC                                                    £5,529,778

FOT variance (minus sign indicates underspend)                 -£689,725

                                                            No. eligible at end of quarter:                  789




CHC EQUALITY INFORMATION                                                                                              ERRORS!: 0                                (click here)              FALSE              FALSE

                                                                                                        ERROR! Please check: gender total does not match cumulative activity in Table 2


                                                                                                              TABLE 8 - GENDER end of Q4 (31st Mar 10)
                                                              Males             Females           Transgender           Unrecorded             Total
                                                                                                                                                                                                  Comments
Cumulative total eligible for CHC up to end of quarter 3              444                 577                     0                  0                  1,021
                                                                                                        ERROR! Please check: ethnicity total does not match cumulative activity in Table 2                                      FALSE

                                                                                                            TABLE 9 - ETHNICITY end of Q4 (31st Mar 10)
                                                              White              Mixed           Asian or Asian       Black or black       Chinese or             Unrecorded                 Total
                                                                                                     British              British          other ethnic
                                                                                                                                              group                                                                  Comments
Cumulative total eligible for CHC up to end of quarter 3              725                    2                    0                 10                 10                    274                     1,021                      .




OTHER Includes information on other services which specifically impact on CHC
Please indicate whether your PCT commissions any of the following:                                                    ERRORS!: 0                                (click here)


                                                                               TABLE 10 - OTHER
                                                               Y/N                                Comments                               Yes
Step down beds                                                 Yes          Health & Wellbeing Beds                                      No
End of life provision (outside of CHC)                         Yes          Palliative Care strategy / Hospices
Intermediate care                                              Yes          Intermediate Care beds and Team
PCT community services                                         Yes          Community Matrons/HCA's/DN's
PCT policy to fund CHC pending decision on eligibility         No           Only once eligible                                           Error!
Other - please specify                                         No                                                                        (click here)




Funded Care Spend and Activity Q1 2009/10
Please read general instructions before completion                                               (link to general instructions)


                                    PCT NAME: Norfolk including Great Yarmouth & Waveney

CONTINUING HEALTHCARE 100% FUNDED (CHC)
                                                                                                                      ERRORS!:                                  (click for info)


                                                                               TABLE 1 - SNAPSHOT ACTIVITY end of Q1(30th June 09)
                                                                            A                     B                    C                 D            (A+B+C-D)

                                                                        Baseline            Newly Eligible        Newly Eligible     No Longer          Activity
                                                                       (snapshot              Activity in        Retrospectives      Eligible in    Snapshot last
                                                                      activity as at            quarter            from 1st Oct        Quarter      day of quarter
                                                                      31st Mar 09)         (as per Omnibus       2007 in quarter     (All clients  (as per Omnibus
                                                                                                'CHC2')          (as per Omnibus      including        'CHC 1')
CHC Category                                                                                                          'CHC2')      retrospectives)                                    Comments
Fast Track                                                                      FALSE                 FALSE               FALSE              FALSE         (formula)
Learning Disabilities Adult (under 65)                                          FALSE                 FALSE               FALSE              FALSE         (formula)
Learning Disabilities Adult (65 plus)                                           FALSE                 FALSE               FALSE              FALSE         (formula)
Mental Health Adult (under 65)                                                  FALSE                 FALSE               FALSE              FALSE         (formula)
Mental Health Adult (65 plus)                                                   FALSE                 FALSE               FALSE              FALSE         (formula)
Physical Disabilities Adult (under 65)                                          FALSE                 FALSE               FALSE              FALSE         (formula)
Physical Disabilities Adult (65 plus)                                           FALSE                 FALSE               FALSE              FALSE         (formula)                                        TRUE
Unable to split                                                                 FALSE                 FALSE               FALSE              FALSE         (formula)

Total CHC                                                                              0                     0                 0                 0                    0

                                                                     Omnibus CHC2:                           0                     Omnibus CHC1:                      0


                                                                                                                       TABLE 2 - TOTAL ACTIVITY end of Q1 (30th June 09)
                                                                            A                     B                    C                 D            (A+B+C+D)            £ Committed
                                                                                                                                                                           (cumulative)
                                                                        Baseline            Newly Eligible Newly Eligible Newly Eligible             Total Activity
                                                                       (snapshot              Activity in  Retrospectives Retrospectives             Year to Date          Not including
                                                                      activity as at            quarter     from 1st Oct   prior to 1st Oct           (cumulative)          backdated
                                                                      31st Mar 09)         (as per Omnibus 2007 in quarter 2007 in quarter                                 retrospective
                                                                                                'CHC2')                                                                     costs from
CHC Category                                                                                                                                                                  Table 3            Comments
Fast Track                                                                      FALSE             (formula)            (formula)             FALSE         (formula)               FALSE
Learning Disabilities Adult (under 65)                                          FALSE             (formula)            (formula)             FALSE         (formula)               FALSE
Learning Disabilities Adult (65 plus)                                           FALSE             (formula)            (formula)             FALSE         (formula)               FALSE
Mental Health Adult (under 65)                                                  FALSE             (formula)            (formula)             FALSE         (formula)               FALSE
Mental Health Adult (65 plus)                                                   FALSE             (formula)            (formula)             FALSE         (formula)               FALSE
Physical Disabilities Adult (under 65)                                          FALSE             (formula)            (formula)             FALSE         (formula)               FALSE
Physical Disabilities Adult (65 plus)                                           FALSE             (formula)            (formula)             FALSE         (formula)               FALSE
Unable to split                                                                 FALSE             (formula)            (formula)             FALSE         (formula)               FALSE

Total                                                                                  0                     0                 0                 0                    0                 £0


                                                                           TABLE 3 - RETROSPECTIVES end of Q1 (30th June 09)
                                                                      £ Committed
                                                                      (cumulative)

Retrospective Category                                                                                                      Comments
Retrospectives from 1st Oct 2007 (backdated costs only)                         TRUE
Retrospectives prior to 1st Oct 2007 (backdated costs only)                     TRUE

Total CHC 100% funded                                                              £0


                                                                                 TABLE 4 - CHC OTHER end of Q1 (30th June 09)
                                                                      £ Committed
                                                                      (cumulative)
CHC Other                                                                                                                   Comments                                                                               1
Transport                                                                       FALSE
Day care                                                                        FALSE
Bespoke Equipment                                                               FALSE
Other - please specify                                                          FALSE

Total CHC Other                                                                    £0


Total CHC Spend                                                                    £0

Forecast outturn CHC 100% funded                                                FALSE

Budget CHC 100% funded                                                          FALSE

FOT variance                                                                       £0


                                                                                       TABLE 5 - APPLICATION DATA in quarter

                                                                           No.                                              Comments
No. of fast track apps received in quarter                                    FALSE
Fast track conversion rate                                                 (formula)                                                                                           TRUE

No. of referrals for full consideration of eligibility received in              FALSE
quarter
Conversion Rate                                                            (formula)                                                                                           TRUE

Number of referrals exceeding 28 days referral time                             FALSE




JOINT FUNDED                                                                                                                       ERRORS!:                               (click for info)


                                                                                TABLE 6 - YEAR TO DATE DATA as at end of Q1 (30th June 09)
                                                                      £ Committed           Total Activity           Activity
                                                                      (cumulative)          Year to Date         Snapshot as at
                                                                                             (cumulative)          last day of
                                                                                                                     quarter

                                                                                                                                                      Comments
Learning Disabilities Adult (under 65)                                          FALSE                 FALSE                FALSE
Learning Disabilities Adult (65 plus)                                           FALSE                 FALSE                FALSE
Mental Health Adult (under 65)                                                  FALSE                 FALSE                FALSE
Mental Health Adult (65 plus)                                                   FALSE                 FALSE                FALSE
Physical Disabilities Adult (under 65)                                          FALSE                 FALSE                FALSE
Physical Disabilities Adult (65 plus)                                           FALSE                 FALSE                FALSE
Unable to split                                                                 FALSE                 FALSE                FALSE
Total                                                                              £0                     0                    0

Forecast outturn Joint Funded                                                   FALSE

Budget Joint Funded                                                             FALSE

FOT variance                                                                       £0




FUNDED NURSING CARE (FNC)                                                                                                          ERRORS!:                               (click for info)
                                                                       TABLE 7 - Year to Date DATA as at end of Q1 (30th June 09)

                                                           £ Committed       Total Activity        Activity
                                                           (cumulative)       (cumulative)     Snapshot last
                                                                                               day of quarter
                                                                                              (as per Omnibus
                                                                                                    FNC)
                                                                                                                                    Comments
FNC                                                                  FALSE           FALSE            FALSE

Forecast outturn FNC                                                 FALSE

Budget FNC                                                           FALSE

FOT variance                                                            £0

                                                                             Omnibus FNC:




CHC EQUALITY INFORMATION                                                                                        ERRORS!:                                (click for info)



                                                                                          TABLE 8 - GENDER Year to Date DATA end of Q1 (30th June 09)
                                                              Males            Females         Transgender       Unrecorded             Total
                                                                                                                                                                              Comments              Error!
Total number eligible for CHC year to date                           FALSE           FALSE            FALSE             FALSE                       0                                               (click for info)



                                                                                         TABLE 9 - ETHNICITY Year to Date DATA end of Q1 (30th June 09)
                                                              White             Mixed         Asian or Asian    Black or black     Chinese or             Unrecorded       Total
                                                                                                  British           British        other ethnic
                                                                                                                                      group                                              Comments   Error!
Total number eligible for CHC year to date                           FALSE           FALSE            FALSE             FALSE             FALSE                  FALSE             0                (click for info)




OTHER Includes information on other services which specifically impact on CHC
Please indicate whether your PCT commissions any of the following:                                              ERRORS!:                                (click for info)


                                                                                     TABLE 10
                                                               Y/N                              Comments                         Yes
Step down beds                                                    FALSE                                                          No
End of life provision (outside of CHC)                            FALSE
Intermediate care                                                 FALSE
PCT community services                                            FALSE
PCT policy to fund CHC pending decision on eligibility            FALSE                                                          Error!
Other - please specify                                            FALSE                                                          (click for info)


                                                                                                Comments
FALSE
(click for info)




(click for info)
INSTRUCTIONS
Clicking into cells displays completion instructions and headings underlined and in blue link to definitions.
Please ensure that you check these carefully before completing each section.

Tables 1 - 5 should be completed for CHC which is 100% funded only.

Please exclude people who receive temporary 100% NHS funding pending the completion of the NHS
continuing healthcare eligibility decision, even if locally the funding originates from the identified continuing
health care budget. If you have spend on this type of case please include it in table 4 under ‘Other spend from
CHC budget’ and do not include it in the activity sections of tables 1 or 2.

If your PCT transfers money to the Local Authority under a Section 75 agreement for 100% continuing care
then this should be included under table 1 (activity) and table 2 (£). This is to ensure that all CHC activity and
spend is captured for comparison purposes.

The forecast outturn and budget also need to be adjusted to include section 75 spend on 100% funded CHC.
Please also specify in the comments section how much of your CHC budget and forecast outturn is attributable
to section 75 spend.


Please note if you are charging retrospective claims to your balance sheet only include the activity and not the
costs. Please insert a comment in Table 3 to explain that costs relating to balance sheet retrospectives have
not been included. There will be an exercise in quarter 4 to collect the level of spend relating to this activity.

In the case where you have individuals who have ceased being eligible but are still being funded under CHC
(e.g. waiting for social services to pick the cases up) - count them as no longer eligible and include the
additional costs in Table 4 ‘Other spend from CHC budget’. Include a comment explaining that the costs relate
to X amount of cases which are no longer eligible but are still being funded.

All cells highlighted yellow must be completed otherwise a validation error will remain on your report. Once you
have completed a cell it will turn white. Do not return your submission with any yellow cells or validation errors
remaining. If you have no spend / activity or a category does not apply to you enter a zero and include further
information in the 'comments' sections where necessary.

CHC categories relate to the health need that has resulted in CHC eligibility. For example, an individual with a
learning disability may develop dementia and if the dementia is the reason for the CHC eligibility they should be
categorised under mental health according to their age and not under learning disabilities.

If you have a case with dual diagnosis and it is difficult to determine which health need has resulted in CHC
eligibility, put the client in the category that you feel he / she is best represented by and include a comment
explaining that the numbers include patients with dual diagnoses.

All activity refers to individuals (i.e. it should not be a bed count).

This return relates to cases for people aged 18 years or over only

For the purposes of consistent data collection, please exclude persons whose support is fully funded under any
section of the Mental Health Act 1983. The exception to this rule would be if a person has (or develops)
additional health needs that, disregarding needs met under the Mental Health Act, makes them eligible for CHC
under the national framework eligibility criteria (i.e. they have a DST or Fast Track completed which results in
CHC eligibility).
DEFINITIONS
Fast Track
Where an individual not previously awarded NHS continuing healthcare on the basis of need has a rapidly
deteriorating condition, which may be entering a terminal phase. They may need NHS continuing healthcare to enable
their needs to be urgently met (e.g. to allow them to go home to die or to allow appropriate end-of-life support to be
put in place). Any end of life care which is not fast track should be recorded under physical disabilities.

Include anyone who has gone through the fast track process regardless of category. Do not duplicate by including
fast track patients in the CHC definitions below.



Learning Disabilities Adult (under 65)
Covers individuals, aged between 18 and 64 years of age, whose CHC eligibility is attributed to a learning disability
need.


Learning Disabilities Adult (65 plus)
Covers individuals, aged 65 years and over, whose CHC eligibility is attributed to a learning disability need.


Mental Health Adult (under 65)
Covers individuals, aged between 18 and 64 years of age, whose CHC eligibility is attributed to a mental health need,
inclusive of dementias.


Mental Health Adult (65 plus)
Covers individuals, aged 65 years and over, whose CHC eligibility is attributed to a mental health need, inclusive of
dementias.


Physical Disabilities Adult (under 65)
Covers individuals, aged between 18 and 64 years of age, whose CHC eligibility is attributed to a physical disability.
This category should also include physically frail, acquired brain injury, and any end of life care or palliative care
which is not fast track.


Physical Disabilities Adult (65 plus)
Covers individuals, aged 65 years and over, whose CHC eligibility is attributed to a physical disability. This category
should also include physically frail, acquired brain injury, and any end of life care or palliative care which is not fast
track.


Unable to Split
Any activity that cannot be split by the specified CHC categories. If you complete this section please use the
comments section to provide further information on why you are unable to split and when you will have the measures
in place to rectify this (e.g. appropriate database updates).
Retrospectives
Please note, retrospective claims refer to when a specific application is made for backdated funding . Standard
applications which are processed late should not be considered retrospective as the speed of a PCT’s admin function
has nothing to do with whether an application type is retrospective or not.

Retrospective costs relate to one-off backdated claims or the backdated part of an ongoing case. For example if a
backdated claim is made for care between March 1st 2008 and April 30th 2009 but the patient continues to receive
care beyond April 30th 2009, the backdated claim between March 1st 2008 and April 30th 2009 will be coded as
retrospective whilst any costs from 1st May onwards will be coded as current and specified under the relevant CHC
category.

Retrospectives are further split by those which have a start date prior to October 1st 2007 and those which have a
start date from Oct 1st 2007 onwards (after new guidance was introduced in the Oct 1st 07 CHC National
Framework).

Record cases according to the date the care started (i.e. don’t split by periods). For example a case with a start date
of September 20th 2007 which continues beyond Oct 2007 should come under 'Retrospectives prior to 1st Oct 2007'.

No longer eligible in quarter
Includes cases removed for whatever reason e.g. client no longer meets criteria, or client is deceased. This does
include any individuals who are going through the appeal process. Only remove them (if applicable) once the appeal
process is complete.

'No longer eligible' includes 'one-off' retrospective cases within that quarter. E.g. if a retrospective case (with a start
date of Oct 1st 2007 onwards) is approved within the quarter this should be recorded in table 1 column C ('Newly
eligible Retrospectives from 1st Oct 2007 in quarter'). If this client is not an ongoing case (i.e. they are removed for
any reason including those specified above) then the activity needs to be removed by including it in table 1 column D
('No longer eligible in quarter').


‘£ Committed’ column
This should be spend plus accrual as you would report to your Board NOT actual invoices received and paid.
£ Committed columns are cumulative i.e. all spend committed from the beginning of the financial year up to the end of
the current reporting quarter. Only include costs from the relevant budget, for example in the CHC section only
include costs relating to your CHC budget. Within the CHC categories only include the cost of CHC packages and not
costs of supporting community services e.g. district nurses etc.


Transport
Committed spend on any CHC related transport costs which are above and beyond an individual's package costs
(e.g. hire of private ambulances, transport between hospitals, transport to day care). If you are able to separate
financial information on additional transport costs please include it in Table 4 CHC Additional Spend and do not
include it within the costs reported against the CHC categories listed in Table 2 (i.e. do not double count). If you are
unable to separate additional transport costs include them with your costs in Table 2 and include a comment to that
effect.


Day care
Committed spend on any CHC related costs for day care or treatment related daily activities which are above and
beyond an individual's package costs (e.g. often related to learning disability cases). If you are able to separate
financial information on additional daycare costs please include it in Table 4 CHC Additional Spend and do not
include it within the costs reported against the CHC categories listed in Table 2 (i.e. do not double count). If you are
unable to separate additional day care costs include them with your costs in Table 2 and include a comment to that
effect.
Bespoke equipment
Committed spend on any CHC related costs for specialist equipment above and beyond an individual's package
costs (e.g. equipment which has been specifically adapted or specially ordered) and which are outside of equipment
contracts. If you are unable to separate financial information on bespoke equipment please include it in Table 4 CHC
Additional Costs and do not include it within the costs reported against the CHC categories listed in Table 2 (i.e. do
not double count). If you are unable to separate bespoke equipment out include it with your costs in Table 2 and
include a comment to that effect.


Other spend from CHC budget - please specify
Any other spend from your CHC budget not falling under the specified CHC categories e.g. carer training. Please
specify what the costs are for in the 'comments' section. If you include any financial information here please do not
include it again within the costs reported against the CHC categories listed in Table 2 (i.e. do not double count).



Section 75
Any money transferred to local authorities under a section 75 agreement to commission 100% funded continuing
healthcare packages on your PCT's behalf


Forecast outturn CHC 100% funded (inc. CHC section 75 spend)
Expected total annual spend on CHC in 09/10 including spend to date and estimated spend for the remaining
financial year.

If your PCT transfers money to the Local Authority under a Section 75 agreement for 100% continuing care then this
should also be factored into your forecast outturn for CHC.

Please also specify in the comments section how much of your forecast outturn is attributable to CHC section 75
spend.


Budget CHC 100% funded (inc. CHC section 75 spend)
Your PCTs annual 09/10 budget for 100% funded CHC.

If your PCT transfers money to the Local Authority under a Section 75 agreement for 100% continuing care then this
should also be factored into your budget for CHC.

Please also specify in the comments section how much of your budget is attributable to CHC section 75 spend.




No. of fast track applications received in quarter
Number of fast track applications (including retrospectives) received in the quarter. Do not include appeals or reviews
of existing CHC cases


No. of referrals for full consideration of eligibility in quarter
Number of CHC referrals including retrospectives received in quarter 3.

A referral is ANY recorded decision (e.g. a checklist) which indicates full consideration for CHC is required.

Do not include appeals, reviews of existing CHC cases, or fast tracks.


Conversion rate
E.g. for Number of referrals conversion rate this is Newly eligible in quarter + newly eligible retrospectives in quarter
divided by number of applications received. This is not person specific but gives an indication of the number of
applications which go on to receive approval for full CHC (formula - no need to complete)
Number of new referrals exceeding 28 days referral time
28 days referral time starts from the date the PCT receives any type of recorded decision that full consideration is
required e.g. checklist, DST or Fast Track (whichever is received first). Referral time ends at the date that the PCT
makes the decision on eligibility. This applies to new referrals and not reviews.


Joint Funded
Individual packages of care where PCTs and Local Authorities have jointly agreed to fund individuals not eligible for
NHS continuing healthcare (exclusive of FNC only payments). This excludes self funders. Include PCT contribution
only.


Gender
Total number of males eligible for CHC for any period in the year to date

Total number of females eligible for CHC for any period in the year to date

Total number of transgenders eligible for CHC for any period in the year to date

Total number unrecorded prior to implementation of new framework 2009 for CHC for any period in the year to date


Ethnicity
These are consolidated groupings of the 16 ethnicity codes PCTs are familiar with collecting.

White
Include total numbers of British, Irish and any other White background.

Mixed
Include total numbers of White and Black Caribbean, White and Black African, White and Black Asian and any other
mixed background.

Asian, or Asian British
Include total numbers of Indian, Pakistani, Bangladeshi, and any other Asian background.

Black or Black British
Include total numbers of Caribbean, African and any other black background.

Chinese, or other ethnic group
Include total numbers of Chinese or any other ethnic group.

Unrecorded
Total number unrecorded prior to implementation of new framework 2009.

								
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