FOI 1666 - Section 117 Aftercare Funding Arrangements

Response

Date: 29 September 2022

FREEDOM OF INFORMATION – DECISION NOTICE

Dear Sir / Madam,

FOI Reference Number: 1666

I am making a FOI request to enquire around the standard 117 aftercare funding arrangements within different ICBs (e.g. CCG/LA split %) and the rationale for this (e.g. attaching the joint agreement if available or LA/Health rep provide a summary). If the 117 funding contribution does vary for each case – how is the 117 aftercare funding split determined? Is there a tool/matrix that is used?

Our response:

There is not a matrix or tool used to determine section 117 aftercare splits. In its stead the CSU represents the ICB at the section 117 funding panel held with Derby City and Derbyshire County respectively. Here each case is discussed with panel members having access to both the up to date nursing assessment and social care assessment. There are open and frank discussions on what the support package is, and what interventions are required to meet social and health assessed needs, and we then agree a split.

As stated, we do not have a matrix but we try to work on the basis that if there are majority health needs being met this will be reflected in a majority health fund. Each case is agreed upon on its merits. We agree that, if a person just needs calls to prompt with medications and no other assessed needs, these usually are wholly funded by health. Equally if a person has a small social care package, for example for domestic tasks and shopping, these will be wholly funded by the local authority.

What we try to do is at least have a joint split to ensure that on review the person has the right professionals in place to review and adjust care packages as necessary. We only apply the Funded Nursing Care / Continuing Health Care element if the person has physical health needs not arising from their mental health.

There are cases where the person may have to pay a first party top-up if they choose a different provider/care home where we have an offer on the table which is appropriate to meet the needs already assessed.

I hope that this answers your queries with the information we currently hold, but if I can be of any further assistance please do not hesitate to contact me.

If you are dissatisfied with the handling of your request, you have the right to ask for an internal review. Internal review requests should be submitted within two months of the date of receipt of the response to your original letter and should be addressed to:

NHS Derby and Derbyshire ICB
FOI Team
Scarsdale
Nightingale Close
Newbold
Chesterfield
S41 7PF

Or:

ddicb.foi@nhs.net

If you are not content with the outcome of our review, you may apply directly to the Information Commissioner for a decision. Generally, the ICO cannot make a decision unless you have exhausted the complaints procedure provided by the Derby and Derbyshire Integrated Care Board (ICB).

The Information Commissioner can be contacted at: Information Commissioners Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF, telephone 0303 123 1113, email casework@ico.org.uk.

Yours faithfully,

Kathryn Jacklin
FOI Officer
Derby and Derbyshire ICB

All information we have provided is subject to the provisions of the Re-use of Public Sector Information Regulations 2015. Accordingly, if the information has been made available for re-use under the Open Government Licence (OGL) a request to re-use is not required, but the licence conditions must be met. You must not re-use any previously unreleased information without having the consent from the ICB. Should you wish to re-use previously unreleased information then you must make your request in writing (email will suffice) to the FOI Lead via ddicb.foi@nhs.net. All requests for re-use will be responded to within 20 working days of receipt.