Health - Sixth Report
Here you can browse the report together with the Proceedings of the Committee. The published report was ordered by the House of Commons to be printed 5 April 2005.
Contents
Terms of Reference
Report
Summary
1 Introduction
What is NHS continuing care?
Background to NHS continuing care
Recent developments
2 NHS Continuing Care - key problems and
issues
3 Separation of health and social care
4 The need for a single set of national eligibility
criteria
5 Problems with the existing continuing care
eligibility criteria
Insufficient focus on mental health needs
and dementia
Flexibility to meet a wide range of needs
Confusion over the Registered Nursing Care
Contribution
Questions over whether the criteria are actually
Coughlan-compliant
6 Problems with current implementation of
the eligibility criteria
The Single Assessment Process
Access to assessments
Inequities arising from different application
of criteria
Professional input into the assessment process
Review and reassessment
Patient and carer involvement and information
RNCC overlap
Monitoring of the application of criteria
PCT panels and funding decisions
7 Retrospective review of funding decisions
The Ombudsman's concerns about the review
process
Has every case that should have been reviewed
been identified?
Problems with record keeping
Restitution or compensation?
8 Wider issues concerning the continuing
care and RNCC systems
Lack of flexibility in the delivery of
continuing care
Perverse incentives towards increased dependency
Does the contribution benefit patients?
9 Conclusions
Conclusions and recommendations
Formal minutes
Witnesses
MINUTES OF EVIDENCE
Thursday 10 March 2005
Thursday 17 March 2005
List of written evidence
List of unprinted written evidence
Reports from the Health Committee since 2001
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