FOI 2025/1291

Please note unless specified these questions relate to both children and adults.  Please also include any packages that are jointly commissioned by ICBs and Local Authorities and specify where applicable.

1) Please provide a list of current domiciliary care providers commissioned by the ICB.  Next to each provider please include within the information whether or not each provider is part of a framework agreement, block contract, spot purchase or other arrangement (please specify)

2) How many referrals have not been fulfilled by providers in each of the previous three calendar months in the following areas: (please include total hours for each package)

Supported living
Domiciliary care

3) Please provide the number of children assessed as requiring complex care or domiciliary care who are currently awaiting a care package along with the average waiting time.  Please specify if the complex care relates to physical care (ie tracheostomy) or complex by way of learning disability or mental health including autism.  (Please specify children over the age of 16 (in terms of numbers of cases). We would ask that all children are included aged 4-18.

4) What proportion of domiciliary care and complex care packages are commissioned via Spot Purchase and what is the total value of this?  Please provide the figures for the last two years. Domiciliary care refers to providing support and personal care within the family dwelling.

5) How many clients/service currently require supported living accommodation with such needs at the time of writing this email? This can apply to people both under and over 18.

6) Who are your current awarded providers for all homecare/supported living related packages? Please specify all providers including those that have been awarded inside a framework, but also those outside- such as spot purchase.  Framework can include, PSLs, tenders or dynamic purchasing agreements. Please specify which category each provider falls into.

7) What is the total value of spend in these areas (please break down into Children and Adults)> Please provide total spend data for:  2022-2023, 2023-2024, 2024 to 2025

NHS Greater Manchester (NHS GM) consists of the following 10 Greater Manchester Localities: 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 Continuing Healthcare (CHC)/Complex Care activity. Please see below a link to the NHS GM Website for further information.

https://gmintegratedcare.org.uk/chc/

Please note that for the Manchester locality, Children and Young People’s (CYP) Continuing Care assessments are subcontracted to Manchester Locally Care Organisation (MLCO). Therefore, it will be necessary for you to direct your request to MCLO for this information. To assist you please find below a link to their website and how to make a Freedom of Information request.

https://www.manchesterlco.org/freedom-of-information/

1)

**An excel sheet was sent to the requester with this response.  If you require a copy of the full response, together with the excel sheet, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net.**

2) NHS GM does not record the information requested.

3) NHS GM does hold the information requested regarding the number of Children / Young People (under 18) that have been assessed as requiring complex care. However, due to the low numbers involved (where patient data is 5 or less <5) we consider this to be exempt under section 40(2) of the Freedom of Information Act 2000 as the disclosure of this information may lead to the identification of individuals. This exemption is not subject to the public interest test.

4)

5) 344 – please note this figure does not include all joint funded support living patients as not all localities hold this information.

6)

**An excel sheet was sent to the requester with this response.  If you require a copy of the full response, together with the excel sheet, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net.**

7)

Please note Bolton locality CYP patients do not come into these categories and are paid via block contract with Bolton NHS Foundation Trust.