| Reference | FOI 2025/1440 |
|---|---|
| Description | Specialist complex care home placements funded by the ICB |
| Date Requested | 04/11/2025 |
| Date Replied | 02/12/2025 |
| Category | Continuing Health Care (CHC) |
We would like to make the following requests under the Freedom of Information Act 2000. This is in support of our work to provide specialist care within the community:
1. The number of specialist complex care home placements funded by the ICB (including Continuing Healthcare and jointly funded packages) in the last 12 months
2. The number of out-of-area placements made due to the lack of availability of appropriate local complex care provision in the last 12 months
3. The average weekly cost (range, if possible, please) for complex care home placements funded by the ICB in the last 12 months
4. A breakdown of numbers of supported living packages/short breaks/respite care over the past 12 months
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.
1.
| Locality | |
| Bolton | 21 |
| Bury | 9 |
| HMR | 34 (Does not include joint funded as HMR do not have this information it is held by Local Authority). |
| Manchester | At present, Manchester do not have a mechanism to identify specialist complex care home placements funded within the last 12 months. Under the Freedom of Information Act 2000 (FOIA), this section of your request is exempt by virtue of the following exemption, Section 12(1) (please see below) |
| Oldham | 16 |
| Salford | Adult mental health – 9 CHC – 7 |
| Stockport | 26 |
| Tameside | 9 |
| Trafford | Trafford do not have any complex care homes only residential and supported living placements – 32 |
| Wigan | There are no complex care home placements, however Wigan do have specific homes within the borough for complex physical and mental health. |
Under the Freedom of Information Act 2000 (FOIA), this section of your request is exempt by virtue of the following exemption, Section 12(1). Section 12. — (1) Section 1(1) does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
Section 12(1)
Section 12(1) does not oblige a public authority to comply with a request for information if the authority estimates that the cost of complying with the request would exceed the appropriate limit.
The Freedom of Information Act allows Public Authorities to decline to answer FOI requests when we estimate it would cost us more than £450 (equivalent to 18 hours, calculated at £25 per hour) to identify, locate, extract, and then provide the information that has been asked for.
Manchester Locality CHC team does not currently have a mechanism to identify specialist complex care home placements funded within the last 12 months. As such a manual search of records would be required. It is estimated a search of each file would take approximately 15 mins. Therefore, due to the volume and complexity of the data involved, it would require a disproportionate amount of time and resources to locate extract and collate the data, and therefore, on this occasion it is with regret NHS GM are not able to process this section of your request further.
Although we cannot answer your request, we might be able to answer a refined request within the cost limit. Therefore, you may wish to restrict the timeframe of your request. However, please be aware that we cannot guarantee at this stage that a refined request will fall within the cost limit, but NHS GM would do our upmost to assist you.
2.
| Locality | |
| Bolton | We cannot confirm which out-of-area placements were the result of gaps in local complex care services. |
| Bury | Whilst our case management system can identify placements out-of-area, the reason for placing is not recorded. |
| HMR | We are unable to determine which out of area placements are specifically due to gaps in local complex care provision as we do not record this in our system. |
| Manchester | We are currently unable to determine which out-of-area placements were specifically due to gaps in local complex care provision. |
| Oldham | We do not record the reason for placement on our patient management system. |
| Salford | Adult mental health – 0, CHC – 7 (of which inherited packages initially placed by Salford Adult Social Care (SASC) x <5) |
| Stockport | We are currently unable to determine which out-of-area placements were specifically due to gaps in local complex care provision. |
| Tameside | All homes in Q1 are out of area apart from <5 |
| Trafford | 10 |
| Wigan | We are unable to determine which out of area placements are specifically due to gaps in local complex care provision as we do not record this in our patient management system. |
3.
| Locality | |
| Bolton | Average – £3810 |
| Bury | Average – £3224.18 |
| HMR | Average – £3781.27 |
| Manchester | There is no clear categorisation of care home placements as ‘complex’, which limits our ability to calculate an average weekly cost for this cohort. |
| Oldham | Oldham locality does not have average charge rates or fee ranges for complex care packages. This is because fees are determined locally for care homes and home care, there is not a standard rate as commissioning is bespoke to the individual |
| Salford | Average – £6315.9 |
| Stockport | Average – £2817.22 |
| Tameside | Average – £1128.26 |
| Trafford | Average – £3,182.01 |
| Wigan | There is no clear categorisation of care home placements as ‘complex’, which limits our ability to calculate an average weekly cost for this cohort. |
4.
| Locality | |
| Bolton | Respite – unable to verify Supported Living – <5 |
| Bury | Bury Locality do not hold information on short breaks and are therefore unable to provide a response.
Respite – <5 (not including PHBs) Supported Living – 16 (not including PHBs) |
| HMR | Do not hold accurate information around respite / day care. Supported living – <5 |
| Manchester | Respite, supported living and short breaks placement are not consistently logged, as on our packages. |
| Oldham | Respite care – <5 Supported Living – 7Short breaks – 0 |
| Salford | Respite/short stay – 39 Supported living – <5 |
| Stockport | Respite care – <5 Supported Living – 25 |
| Tameside | Short Breaks / Respite is recorded the same as standard care on our data system so cannot be separated out for this purpose – 0
Supported Living – 18 |
| Trafford | Respite – 0 Supported living – 9Short breaks – 0 |
| Wigan | Respite – 32
Supported Living – 36 Short breaks – this data is not recorded in our patient management system
**Data provided is for all CHC/Fast Track funded patients only who are residing in supported living and for patients who have had a period of respite whether in a homecare setting or in a care home setting from October 2024- October 2025. This is the number of patients who have had a period of respite not the number of respite stays** |
Please note – Where patient data is 5 or less, 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. As such we will display the data as <5.
This exemption is not subject to the public interest test.
