FOI 2025/1230

Has the ICS made its Local Discharge To Assess Policy and Protocol available to the public and if so, in what format please? (Please supply the link, if the answer is yes, online).

If not, or if the above-mentioned publicly available local Discharge to Assess Policy and Protocol does not deal with the legal responsibility for the funding of the first package of care after hospital discharge (regardless of whether it has been commissioned through NHS or LA processes), please describe how the local arrangements address the difference between the funding arrangements (NHS, LA, s75 partnership, s256 grants) for the following types of discharge arrangement:

Formal rehabilitation or other specific NHS services Interim or step down services intended for the completion of recuperation after patients have been deemed medically optimised or no longer meeting the criteria to reside Intermediate Care Services Reablement Services Temporary Respite on account of lack of commissioned capacity issues Long Term Social Services from hospital

We are aware of the national dataset analysis of CHC application outcomes here https://gbr01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.england.nhs.uk%2Fstatistics%2Fwp-content%2Fuploads%2Fsites%2F2%2F2025%2F02%2FCHC-and-FNC-Report-Q3-2024-25_NT63r.pdf&data=05%7C02%7Cnhsgm.foi%40nhs.net%7C40b3eaf327fb4884000d08dd9451d7d7%7C37c354b285b047f5b22207b48d774ee3%7C0%7C1%7C638829801429478863%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=UNLy5zSqfj85qo87Zj1DbdsSN7T9eks3lN%2BaaQgk5iY%3D&reserved=0.

The report defines a referral as the earliest notification (to the ICB or organisation acting on behalf of the ICB) that full consideration for NHS CHC is required (e.g. a positive checklist or other notification, or Fast Track paperwork.) The total number of referrals discounted before assessment is one of the metrics required. We therefore assume that the ICB must record the number of apparently positive Checklists received from the hospital discharge system and the community.  If so, please link us to that data and provide the means to compare it with figures from earlier reference periods?

NHS Greater Manchester (NSH GM) does not hold the information requested; therefore, it will be necessary for you to direct your request to the NHS Foundation Trusts for the information you seek. To assist you please find below links to their websites and how to make a Freedom of Information request.

Bolton NHS Foundation Trust – Freedom of information – Bolton NHS FT (boltonft.nhs.uk)

Northern Care Alliance NHS Foundation Trust – Freedom of Information Requests :: Northern Care Alliance

Manchester University NHS Foundation Trust – Freedom of Information – Manchester University NHS Foundation Trust (mft.nhs.uk)

Stockport NHS Foundation Trust – Freedom of Information – Stockport NHS Foundation Trust

Tameside and Glossop Integrated Care NHS Foundation Trust – Freedom of Information Requests :: Tameside and Glossop Integrated Care (tamesideandglossopicft.nhs.uk)

Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust – WWL Teaching Hospitals NHS Foundation Trust | FOI Disclosure Log

The Christie NHS Foundation Trust – Freedom of information disclosure logs (christie.nhs.uk)

Pennine Care NHS Foundation Trust – Freedom of Information :: Pennine Care NHS Foundation Trust

Greater Manchester Mental Health NHS Foundation Trust – Freedom of Information | Greater Manchester Mental Health NHS FT (gmmh.nhs.uk)