| Reference | FOI 2025/1370 |
|---|---|
| Description | CYP CHC Funding / Costs / Data |
| Date Requested | 15/09/2025 |
| Date Replied | 28/10/2025 |
| Category | Continuing Health Care (CHC) |
Please find below a request for information under the Freedom of Information Act. We would be grateful if you could provide responses to the following questions in relation to children and young people aged 0-17 inclusive.
1. Please confirm the number of children and young people in receipt of children’s Continuing Care funding:
1a. During the financial year 2024/25.
1b. As of 31st August 2025
2. Does your ICB provide funding for packages of homecare support or residential care for children with complex health needs who do not meet the threshold for Continuing Care? If yes, please provide brief details.
3. If yes to question 2, please confirm the number of children and young people in receipt of this funding as of 31st August 2025.
4. For the children and young people identified in questions 1 and 2, please confirm how many were jointly funded with a Local Authority as of 31st August 2025.
5. In relation to jointly funded (ICB and Local Authority) packages of homecare support for individual children/young people, does the ICB contribution include overnight short breaks outside of the family home, either in Local Authority in-house provision or via other specialist commissioned providers?
6. If yes to question 5, please confirm the number of children and young people who were in receipt of this funding as of 31st August 2025.
7. If yes to question 5, please provide the annual financial contribution:
7a. During the financial year 2024/25.
7b. As of 31st August 2025.
8. Does your ICB provide funding to a local authority (authorities) for any short break arrangements that are not individual child-specific packages? An example would be contribution to a local authority in-house or commissioned short-break respite home(s). Please provide the annual financial contribution and/or percentage of the total arrangement.
9. Please provide a copy of any joint funding protocols/principles your ICB has with Local Authorities in relation to children with complex health needs.
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.
Where possible we have provided a response for the whole of NHS Greater Manchester. Where this is not possible, we have provided a response for each locality.
1a. Number of children supported in 2024/25 – 194
1b. Number of children supported to Aug 2025 – 174
2.
| Locality | |
| Bolton | Children have to meet children continuing care criteria or need to meet section 117 after care – Mental health act – if the main complexity is mental health |
| Bury | Yes, via a joint funding arrangement with Bury Local Authority. |
| HMR | Via Multi Agency Complex Needs Panel – Local Authority |
| Manchester | Yes, via:
Through complex care service |
| Oldham | Yes – Two of the cases are section 117 and two have been to complex cases panel previously and was agreed that there was an aspect of health requirement. |
| Salford | The Salford locality of NHS GM makes an annual recurrent contribution of £2.5m to the pooled budget and this provides the resources for the council to fund the social care costs of children with complex health needs. This funding is not allocated to specific children, nor is it varied relative to the actual costs incurred. |
| Stockport | Stockport locality has multi agency funding arrangements and will meet the health element of residential costs for children, as long as supported by a clinical recommendation, evidence base and robust care plan and where their needs are over and above what can be provided through existing commissions.
Stockport locality also contributes to section 117 aftercare costs for patients who have been admitted on a section in respect of their mental health and are stepping down into the community. |
| Tameside | Yes – The ICB will contribute to placements where there is a health element to the child’s overall needs |
| Trafford | No, we do not provide funding for any child or young person is not eligible for NHS funded Children’s Continuing Care. |
| Wigan | NHS GM Wigan have a Multi-Agency Resource Panel (MARP) that aims to meet the statutory education, social care and health needs of children and young people in Wigan, who have, or may be experiencing complex and/or severe:
which cannot be met by universal or targeted commissioned services. |
4.
| Locality | |
| Bolton | All |
| Bury | 34 |
| HMR | N/A |
| Manchester | 46 plus PHB & complex care patients |
| Oldham | <5 |
| Salford | All |
| Stockport | As of 31st August 2025 there were 9 jointly funded placements in total, <5 section 117 aftercare joint funded with the local authority and <5 children with Continuing Care jointly funded with Local Authority. |
| Tameside | <5 |
| Trafford | <5 |
| Wigan | There are 22 joint funded children as at 31 August 2025. |
5.
| Locality | |
| Bolton | It will consider joint funding residential short break care on a case by case basis |
| Bury | No, we may fund this if it was part of a wider care package. |
| HMR | Yes |
| Manchester | No, unless this is part of a wider care package. MCC routinely fund short breaks |
| Oldham | Yes |
| Salford | The ICB’s £2.5m contribution is earmarked for children’s social care, and the council determines how this is utilised. There is no specific allowance for overnight short breaks within that allocation. |
| Stockport | Yes, Stockport locality’s contribution to jointly funded packages of homecare support for individual children/young people does include overnight short breaks outside of the family home at Swanbourne Gardens. |
| Tameside | No |
| Trafford | We do contribute to packages of short breaks outside of the home jointly with the LA – the contributions from the ICB are individual to the health needs of the child or young person’s needs – not a standard joint split and are only provided on the basis of over and above what is already being funded and provided by the LA as per the framework guidance – not in replacement of or reduction to the LA’s funding |
| Wigan | NHS GM Wigan do commission short term breaks. |
6.
| Locality | |
| Bolton | <5 |
| Bury | N/A |
| HMR | <5 |
| Manchester | N/A |
| Oldham | <5 |
| Salford | Not known |
| Stockport | With reference to question 5, as at 31 August 2025, there were 6 children in receipt of this funding at Stockport Locality. |
| Tameside | N/A |
| Trafford | 7 |
| Wigan | <5 |
7a.
| Locality | |
| Bolton | £1,031,358 |
| Bury | N/A |
| HMR | Unable to accurately answer as the information is not held in this format |
| Manchester | N/A |
| Oldham | £27,500 |
| Salford | Not known |
| Stockport | With reference to question 5, Stockport locality financial contribution during the financial year 2024/25 was £870k. |
| Tameside | N/A |
| Trafford | £98,882.41 |
| Wigan | £1,563.94 per week, £81,548.52 per annum |
7b.
| Locality | |
| Bolton | £595,720 |
| Bury | N/A |
| HMR | Unable to accurately answer as the information is not held in this format |
| Manchester | N/A |
| Oldham | £ 8653.84 |
| Salford | Not known |
| Stockport | With reference to question 5, Stockport locality financial contribution as of 31st August 2025 was £373k. |
| Tameside | N/A |
| Trafford | £98,882.41 |
| Wigan | £1,563.94 per week, £81,548.52 per annum (still pending agreement of uplift for this financial year) |
8.
| Locality | |
| Bolton | No |
| Bury | No |
| HMR | HMR commissioning contribute to joint funding of a health short breaks offer. This includes a range of specialist posts which support children and families where there are more complex needs. |
| Manchester | Lyndene & Take a Breath – ICB contribution under review |
| Oldham | The annual contract value is £200k (£100k contribution from ICB, and £100k contribution from Oldham Local Authority |
| Salford | The ICB’s £2.5m contribution is earmarked for children’s social care, and the council determines how this is utilised. There is no particular allowance for non-child-specific packages for short breaks within that allocation. |
| Stockport | No, Stockport locality does not provide funding to a local authority for any short break arrangements that are not individual child-specific packages |
| Tameside | £149,511 – 24/25 £62,296 up to 31st August 2025 |
| Trafford | No |
| Wigan | No |
9.
| Locality | |
| Bolton | **A word document was sent to the requester with this response. If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net.** |
| Bury | The joint funding protocol is currently in draft and yet to be agreed by all parties. |
| HMR | We do not have any written protocol/principals we have an ongoing verbal arrangement with our Local Authority. The children’s framework states that ‘Continuing Healthcare should be a part of a wider package of care, agreed and delivered by collaboration between Health, Education and Social Care’ we follow this in line with the framework. |
| Manchester | Under review |
| Oldham | **A word document was sent to the requester with this response. If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net.** |
| Salford | None – there is a pooled budget and a risk share arrangement between the council and NHS GM, so the joint funding decision is made annually during budget setting and is not related to specific children, the level of care they need or the duration. |
| Stockport | Please see attached procedure for the Children and Young People’s Multi Agency Resource Panel. **A word document was sent to the requester with this response. If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net.** |
| Tameside | There are no formal documents to share |
| Trafford | There are no written protocols – We have an excellent collaborative working relationship with the LA and everything decided is individual to each child or young person and their individual health needs for funding and provision over and above what is being funded and provided by universal services – as per the national framework |
| Wigan | Please find attached the Terms of Reference for the Joint Allocation Panel and the Multi Agency Resource Panel.
**Two word documents were sent to the requester with this response. If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net.** |
Please note
<5 – NHS Greater Manchester (NHS GM) does hold the information requested 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.
