FOI 2025/1363

This is a Freedom of Information request under the Freedom of Information Act 2000. Please provide the information you hold relating to NHS Continuing Healthcare (CHC) for adults, Children and Young People’s Continuing Care (CYPCC) for children, and hospital discharges under Pathway 1 (commonly referred to as Discharge to Assess or Home First).

Definitions (for this request):

• CHC-funded care refers to the NHS Continuing Healthcare (CHC) pathway for adults aged 18+.
• Children and Young People’s Continuing Care (CYPCC) refers to the NHS framework for funding and delivering care for children and young people aged 0–17 with complex or long-term health needs.
• Homecare refers to packages of care delivered in the individuals’ own homes (not in care homes or residential facilities).
• Discharge to Assess (D2A) refers to hospital discharge pathway 1 (‘Home First’), where patients are discharged home (or to a usual place of residence) with new or additional health and/or social care needs. This is explained further in the following NHS guidance.

Please provide data for the following financial years (Year ending March): 2021/22, 2022/23, 2023/24, 2024/25 and 2025/26 (forecast, if available). For any years that predate the existence of the ICB, please provide the data for the former CCG(s) that now make up the ICB.

Section 1: CHC-funded care (adults) and CYPCC (children)

1) Please provide the ICB’s total gross expenditure on CHC-funded packages for adults aged 18+, split by care setting.

2) Please provide the ICB’s total gross expenditure on CYPCC-funded packages for children aged 0-17, split by care setting.

3) Please provide the cumulative number of adults aged 18+ in receipt of CHC-funded care packages (all active packages during the year, including those which started prior)

4) Please provide the cumulative number of children aged 0-17 in receipt of CYPCC-funded care packages (all active packages during the year, including those which started prior)

5) Please provide a list of the top 10 providers who received the greatest amount of funding from CHC/CYPCC-funded homecare packages (adults and children) for the last financial year 2024/25.  For each provider provide the total expenditure and number of packages in the year (all active packages during the year, including those which started prior)

Section 2: Discharge to Assess (Pathway 1 – Home First)

6) Please provide the ICB’s total gross expenditure on Discharge to Assess services delivered under Pathway 1 (‘Home First’).

7) Please provide the total number of patients discharged from hospital via Pathway 1 in each year:

8) Please provide a list of the top 10 providers who received the greatest amount of funding for Pathway 1 (‘Home First’) Discharge to Assess care packages for the last financial year 2024/25. For each provider, please provide the gross expenditure and number of packages (all active packages during the year, including those which started prior).

Note: If exact figures are not available for all years, please provide the nearest equivalent data held (e.g. partial years, estimates, or combined categories) and note any limitations.

NHS Greater Manchester (NHS GM) was formed on the 1 July 2022 following the merger of the 10 former Clinical Commissioning Groups (CCGs) of Greater Manchester (being NHS Bolton CCG, NHS Bury CCG, NHS Heywood, Middleton and Rochdale CCG, NHS Manchester CCG, NHS Oldham CCG, NHS Salford CCG, NHS Stockport CCG, NHS Tameside and Glossop CCG, NHS Trafford CCG and NHS Wigan Borough CCG), plus Greater Manchester Shared Services (GMSS, previously hosted by the Northern Care Alliance NHS Foundation Trust) and Greater Manchester Health and Social Care Partnership.
Commissioning responsibility for patients registered with Glossop based GPs however, did not transfer to NHS GM, and instead transferred to NHS Derby and Derbyshire ICB. As such, data up to 30 June 2022 is in respect of the 10 former CCGs (i.e. including Glossop patients) and data from 1 July 2022 is in respect of NHS GM (i.e. excluding Glossop patients). Data presented up to 30 June 2022 is presented aligned with the relevant former CCG.

NHS Greater Manchester 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) activity.

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5) We are unable to provide a list of the top 10 providers who received the greatest amount of funding from CHC/CYPCC-funded homecare packages (adults and children) for the last financial year 2024/25, as some localities do not receive Pathway 1 referrals. Should you wish to receive the information we do hold, recognising it is limited and incomplete and does not provide a full reflection of the top ten providers for Greater Manchester, please do let us know.

6) We do not hold this information, as the majority of localities do not record this data, do not commission for Pathway 1 or do not receive Pathway 1 referrals.

7) We do not hold this information, as the majority of localities do not record this data, do not commission for Pathway 1 or do not receive Pathway 1 referrals.

8) We do not hold this information, as the majority of localities do not record this data, do not commission for Pathway 1 or do not receive Pathway 1 referrals.