FOI 2026/1780

1. How many eligible Complex Continuing Healthcare packages are commissioned for Children across GM?
2. How many eligible Complex Continuing Healthcare packages are commissioned for Adults across GM?
3. What are the average weekly hours of commissioned Complex Children package across GM and in each individual locality?
4. What are the average weekly hours of commissioned Complex Adult package across GM and in each individual locality?
5. How many have a 3^rd party of direct payment PHB?
6. How many are supported by a provider?
7. How many approved providers are on the framework in each locality?
8. What is the total value of spend across the Complex Children commissioned packages of care across GM?
9. What is the total value of spend across the Complex Adult commissioned packages of care across GM?

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. 189
2. 1,456
3. & 4.

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.

NHS GM consists of the 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, and therefore, data is held on various data bases.

As such a manual search of records would be required. It is estimated a search of each file would take approximately 15 mins and NHS GM holds hundreds of files across the 10 localities. 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.

5. 31
6. 408

7.

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.

8. £13,117,852 – 2025/26 total spend on children’s Continuing healthcare (CHC) includes Personal Health Budgets and contributions to joint funded packages commissioned by the Local authority
9. £286,084,713 – 2025/26 all adult care Continuing healthcare (CHC) includes Personal Health Budgets (PHB), Funded Nursing Care) Fastrack’s and contributions to joint funded packages commissioned by the Local authority.