FOI2026/1815

We are requesting this information to better understand how Continuing Healthcare / All-Age Continuing Care services are currently managed across ICBs, including systems, processes and resourcing models.

Please find our questions below.

FOI Questions for Continuing Healthcare / All-Age Continuing Care:

1. What case management system or systems does the ICB currently use for Continuing Healthcare / All-Age Continuing Care? Please provide supplier, system name, contract start date, contract end date, extension options, and whether each system is used ICB-wide or by place/locality.

2. Does the ICB have any recorded plans to procure a new CHC / All-Age Continuing Care system? If yes, please provide the expected procurement date, and whether the intention is to procure a single ICB-wide system.

3. What was the ICB’s total annual spend on Continuing Healthcare / All-Age Continuing Care in the most recent completed financial year?

4. Who is the senior person responsible for CHC / All-Age Continuing Care at the ICB? Please provide name, job title and email address. If responsibility is split by place/locality, please provide a breakdown.

5. Does the ICB use a DPS, framework, brokerage platform, e-brokerage system, or other digital tool to source CHC-funded packages? If yes, please provide supplier/system name, scope of use and contract end date.

6. Does the ICB pay CHC providers based on commissioned package values, actual care delivered, actual visit/delivery data, or another payment model? Please provide any recorded policy or description of the approach used.

7. On average how many CHC / All-Age Continuing Care provider invoices were processed in the most recent completed financial year, and what system or process is used to validate them?

8. Does the ICB collect actual care delivery data for CHC-funded packages? If yes, please state what data is collected, which system is used, and whether it is used for payment, quality monitoring, contract management or forecasting.

9. How many manual reports relating to CHC are produced per month and how long do these reports take to produce?

10. Does the ICB use digital dictation, speech recognition, AI transcription or any transcription tool to support CHC DSTs, assessments, reviews or case notes? If yes, please provide supplier, system name, contract end date and annual spend.

11. Has NHS England or the ICB set any recorded CHC savings, efficiency or cost-reduction target? If yes, please provide the value, deadline/financial year, and any relevant programme or board paper where this is recorded.

12. Does the ICB have any recorded requirements, strategies, procurement documents or board papers stating that its CHC system should integrate with Trust or Local Authority systems? If yes, please provide copies or extracts.

13. Does the ICB hold any recorded issues, improvement requirements, lessons learned, audit findings, risk-register entries, or service-improvement plans relating to its CHC / All-Age Continuing Care system? If yes, please provide copies or extracts.

14. Does the ICB currently have a CHC / All-Age Continuing Care transformation, improvement, efficiency, recovery, or digital programme in place? If yes, please provide the programme name, lead officer, objectives, expected savings, and relevant board papers or programme documents where held.

1. NHS GM ICB currently has four different digital data management systems in place, details are provided in the table below:

2. The three North West ICBs will be considering a single NW ICB-wide individualised commissioning EPR system over the next 12 months.

3. NHS GM ICB total spend on Continuing Healthcare for 2025/26 was £299,583,154m.

4. Katherine Sheerin, Chief Commissioning Officer, NHS Greater Manchester

Email: gm.icp@nhs.net (please mark for the attention of Katherine Sheerin in the subject field of the email).

Gill Gibson, Director of Nursing, Individualised Care, NHS Greater Manchester

Email: gm.icp@nhs.net (please mark for the attention of Gill Gibson in the subject field of the email).

5. No GM ICB do not use this.

6. NHS GM ICB make payments based on what is required for the individual package of care for the individuals assessed care needs.

7. NHS GM ICB have differing processes across the individual 10 places in Greater Manchester. Some providers are paid via IPF file which is one or two payments per month to a provider.

GM ICB does have one locality which is on a separate system called ADAM that reconciles direct to care packages.

On average across other localities there was c10,000 invoices processed for 2025/26. NHS GM ICB is working towards standardising the way it pays providers over 2026/27.

8. NHS GM ICB record Individual care packages on the localities digital EPR systems.

9. GM Monthly Assurance report – Completed via Futures NHS platform in an excel spreadsheet. This takes approximately 1-2 days per locality. NHS Patient Level Data Set – Extracting data from Digital EPR systems. This takes approximately 1-2 days per locality

10. No NHS GM ICB do not use any transcription tools or AI to support the CHC process.

11. Yes for 2026/27 GM ICB have a Cost Improvement Programme (CIP) target of £15.2m.

NHS GM ICB Finance team report to the People and Resources committee; link to Month 1 2026/27 report. Please use link below:

20260527-people-resource-committee-papers.pdf

12. No NHS GM ICB does not have any.

13. Any CHC Issues or improvement requirements, audit findings go to the GM ICB Audit Committee. Any meeting papers/boards papers that are accessible to the public can be found via the below link.

Meetings/Events | Greater Manchester Integrated Care Partnership

14. GM ICB have a transformation programme in place which explore how GM can reduce variation across GM. However, the papers are not accessible in public domain.

This programme is called – GM Individualised Commissioning Transformation programme.

Lead – Gill Gibson, Director of Nursing, Individualised Care.

For 2026/27 GM ICB have a Cost Improvement Programme (CIP) target of £15.2m for CHC. NHS GM ICB Finance team report to the People and Resources committee; link to Month 1 2026/27 report here –  

20260527-people-resource-committee-papers.pdf