FOI 2025/1198

Under the Freedom of Information Act 2000, I would like to request the following information regarding adult neurological and mental health services. Please provide answers on the attached and accompanying Excel spreadsheet.

1. Please provide the total number of adults (aged 18 to 64) with a primary support need of mental-ill health funded by the ICB and receiving long-term nursing care in a care home.

Please provide the total number in placement at 31 March of each year from 2023 to 2025, and projected at 31 March 2026.

2. Please provide the total number of adults (aged 18 to 64) with a primary support need of mental-ill health funded by the ICB and receiving long-term nursing care in a care home.

Please provide the total number of new placements made during the financial year to 31 March 2025.

3. Please provide a list of providers with which the ICB is funding adults (aged 18 to 64) with a primary support need of mental-ill health receiving long-term nursing care in a care home.

Please provide the full list of providers at 31 March 2025.

4. Please provide a list of the five providers with which the ICB is funding the largest number of adults (aged 18 to 64) with a primary support need of mental-ill health receiving long-term nursing care in a care home.

For each of the top five providers by volume of service users, please provide the number of service users funded during March 2025 and the corresponding expenditure by the ICB during the month of March 2025.

5. Please provide a list of the five providers with which the ICB is spending the most with on placements for adults (aged 18 to 64) with a primary support need of mental-ill health receiving long-term nursing care in a care home.

For each of the top five providers by expenditure on placements, please provide the number of service users funded during March 2025 and the corresponding expenditure by the ICB during the month of March 2025.

6. Please provide the number of adults (aged 18 to 64) with a primary support need of mental-ill health funded by the ICB and receiving long-term care in a nursing care home setting with fees per week of a) less than £1,000, b) £1,000 to £3,000, and c) more than £3,000.

Please provide the number of adults at 31 March 2025.

7. Please provide the total number of adults (aged 18 to 64) with a primary support need of neurological condition funded by the ICB and receiving long-term nursing care in a care home.

Please provide the total number in placement at 31 March of each year from 2023 to 2025, and projected at 31 March 2026.

8. Please provide the total number of adults (aged 18 to 64) with a primary support need of neurological condition funded by the ICB and receiving long-term nursing care in a care home.

Please provide the total number of new placements made during the financial year to 31 March 2025.

9. Please provide a list of providers with which the ICB is funding adults (aged 18 to 64) with a primary support need of neurological condition receiving long-term nursing care in a care home.

Please provide the full list of providers at 31 March 2025.

10. Please provide a list of the five providers with which the ICB is funding the largest number of adults (aged 18 to 64) with a primary support need of neurological condition receiving long-term nursing care in a care home.

For each of the top five providers by volume of service users, please provide the number of service users funded during March 2025 and the corresponding expenditure by the ICB during the month of March 2025.

11. Please provide a list of the five providers with which the ICB is spending the most with on placements for adults (aged 18 to 64) with a primary support need of neurological condition receiving long-term nursing care in a care home.

For each of the top five providers by expenditure on placements, please provide the number of service users funded during March 2025 and the corresponding expenditure by the ICB during the month of March 2025.

12. Please provide the number of adults (aged 18 to 64) with a primary support need of neurological condition funded by the ICB and receiving long-term care in a nursing care home setting with fees per week of a) less than £1,000, b) £1,000 to £3,000, and c) more than £3,000.

Please provide the number of adults at 31 March 2025.

For the avoidance of doubt, when referring to the terms ‘neurological’ and ‘neurological care need’, please include; brain injury (including acquired brain injury and traumatic brain injury), spinal injury, neuro-disabilities (including but not limited to Parkinson’s disease, early-onset dementia, multiple sclerosis, motor neurone disease, Huntington’s disease, cerebral palsy and epilepsy), stroke, neurobehavioural rehabilitation and cognitive rehabilitation. This list is meant as a guide and is by no means exhaustive.

Where ‘neurological’ or ‘neurological care need’ is not recorded, please provide figures for ‘physical support: access & mobility only’ and ‘physical support: personal care support’.

For the avoidance of doubt, when referring to the term ‘mental ill-health’, please include; anxiety, depression, personality disorder, severe affective disorders, schizophrenia, and mental ill-health that causes challenging behaviour, all of which are to such a degree that the person experiences significant impairment and as such is unable to care for themselves independently. This list is meant as a guide and is by no means exhaustive.

NHS Greater Manchester structures its personalised care commissioning through the ten localities of Greater Manchester: Bolton, Bury, Heywood, Middleton and Rochdale, Manchester, Oldham, Salford, Stockport, Tameside, Trafford, and Wigan (former Clinical Commissioning Groups), who currently all have their own processes/systems for recording their Mental Health and Continuing Healthcare (CHC) activity.

Not all localities record the diagnosis of patients within their patient management systems. This is because the patient’s eligibility for funding is determined by their need and not upon their diagnosis. Therefore, complete data is not held in a systematic way which would allow it to be extracted for reporting in response to your request. This is because not all localities can identify the numbers and costs for patients specifically with mental health needs or with a primary support need of neurological condition, and the limited data held does not cover all of the organisation’s mental health commissioning functions and would therefore not provide a complete picture of the number of these patients across all of Greater Manchester.