Select Committee on Health Written Evidence


Annex

The Secretary of State for Health: Written Ministerial Statement on National Health Service continuing care

THE PARLIAMENTARY UNDER-SECRETARY OF STATE FOR HEALTH (DR LADYMAN):

  I regret that the information I provided in my written statement of 22 June contained an error in line 23 of the table, the entry for South Yorkshire Strategic Health Authority. Where it read 138 cases eligible for recompense, it should have said 69; and where it read 232 investigations completed, it should have said 163. The corrected data is in the table.  

  I am publishing today figures that detail the progress made on investigations into cases where individuals may have been inappropriately denied National Health Service care.

  Strategic health authorities have been required to investigate cases where individuals may have been inappropriately denied fully funded NHS continuing care since 1996. Where investigations have revealed that care should have been provided the NHS has been recompensing, or will recompense, individuals for the cost of that care. This process has formed part of the Department's response to the Health Service Ombudsman's report into long term care, which was published in February 2003.

  The process began with each SHA reviewing and aligning the criteria for NHS continuing care within its area and ensuring that these criteria conformed with the legal position.

  The Department requested that investigations, as far as possible, were completed by 31 March 2004. The number and complex nature of new cases presenting themselves during the three months from January to March 2004 posed significant challenges to meeting that deadline, but the NHS has remained committed to completing investigations as accurately and thoroughly as possible. At the end of March the NHS had completed 57% (6,713) of all outstanding investigations. This number is greater than the number of cases which the NHS was aware of at the end of December 2003, and demonstrates the NHS's commitment to completing cases promptly once they are received. The Department will check that those cases outstanding at the end of March have been completed as of the end of July. From then onwards I will expect any cases to be completed within two months of all the information on the case being received by the SHA. The situation in each SHA is summarised in the table.

  Following the work carried out by SHAs in reviewing, revising and investigating the provision of fully funded NHS continuing care, awareness and application by the NHS is improving. The NHS expects to pay a total of over £180 million when all the cases received by the end of March 2004 have been investigated and restitution made for incorrect decisions. There is a timely appeal process for current cases, so that the need for a retrospective recompense process will decline.


SHA Name
No of cases eligible for recompense
Investigations completed
Investigations underway

Norfolk, Suffolk and Cambridgeshire SHA
0
281
370
Bedfordshire and Hertfordshire SHA
34
102
110
Essex SHA
10
146
26
North West London SHA
10
181
191
North Central London SHA
8
64
61
North East London SHA
0
169
11
South East London SHA
60
183
90
South West London SHA
62
194
21
Northumberland, Tyne & Wear SHA
27
126
172
County Durham and Tees Valley SHA
10
48
178
North & East Yorkshire & North Lincs SHA
29
266
93
West Yorkshire SHA
25
130
219
Cumbria and Lancashire SHA
15
154
186
Greater Manchester SHA
5
102
240
Cheshire & Merseyside SHA
107
774
422
Thames Valley SHA
4
181
202
Hampshire and Isle of Wight SHA
30
386
121
Kent and Medway SHA
24
186
44
Surrey and Sussex SHA
5
15
860
Avon, Gloucestershire and Wiltshire SHA
43
612
349
South West Peninsula SHA
25
433
120
Dorset and Somerset SHA
14
448
467
South Yorkshire SHA
69
163
78
Trent SHA
0
236
79
Leics, Northants and Rutland SHA
29
202
22
Shropshire and Staffordshire SHA
38
412
19
Birmingham and The Black Country SHA
10
213
73
West Midlands South SHA
8
237
187
Total—England
770
6,713
5,011





 
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Prepared 26 July 2004