Continuing Health Care
CHC Fees 2019
LCA have written to all Lancashire CCGs calling on them to engage with us in a timely fashion, as provider reps for the Lancashire area, to explore CHC fees, provider sustainability and market fragility issues across Lancashire. LCA is committed to seeing engagement occur at a formative stage with commissioners (cf Gunning Principles*) and to working with evidence-based approaches to fee-setting.
We have met with CCG reps and NHS England colleagues during January to discuss clarification of the statutory obligation to consult with providers which we think is being ignored without penalty by CCGs.
On this page you can read our letter and our ‘core principles’ documents which we think sets out some markers from a provider point for view for discussions with commissioners and hopefully towards obtaining a shared view.
♦ LCA’s CHC Core Principles read here
There are longer-term issues around the integration agenda that will no doubt require a proper engagement with the Lancashire and South Cumbria ICS but there are also immediate and critical requirements if we are to avoid loss of capacity and continued downward pressure on quality and sustainability in the sector.
We can only deal with the matter properly by understanding the costs of care and for those costs to be transparent. We call for an independent costings model to be adopted that has the confidence of providers and commissioners.
We need to move away from the current ‘monopsony’ model where a number of commissioners have power over the market and are subject to no independent scrutiny over their commissioning behaviour or commissioning principles. Commissioning principles must include acting in the best interests of patients not just managing a budget.
If you have any queries about this or want to talk further contact firstname.lastname@example.org