MLCSU - NHS Continuing HealthCare (CHC) Review Services

Descriptions

To undertake case reviews for patients in receipt of either NHS Continuing Healthcare (CHC) or Funded Nursing Care (FNC) up to a delivery value of £115K . The Supplier may also be required to undertake CHC assessments for any patients who display a change in need following a Review. Pricing is to be based on a remote delivery. The Supplier can complete face to face reviews at an additional charge, to be agreed. Prioritisation as agreed with the CSU following initial caseload triage. The Supplier will develop a trusted partnership with Midlands and Lancashire CSU (MLCSU) in regard to project governance, reporting, escalation and appropriate handover of any activity required to be undertaken by MLCSU in relation to this project e.g., verification, complaints, appeals. Service Description The service will be provided by experienced clinical practitioners and operational leads who will be overseen by appropriate Senior Health & Care and Clinical Governance resource. The Suppliers Senior Health & Care and Clinical Governance resource will report into the MLCSU Project Lead/Team/Head of Service. All staff delivering this service will be suitably qualified, have been through appropriate recruitment checks including DBS, be experienced in the undertaking of reviews and assessments for CHC & FNC patients. Every clinician will hold current registration with their professional body. The Supplier will provide evidence of registration, current competency and CPD activities upon request. All staff should be subject to a current Enhanced DBS confirmation. Where a particular professional registration is indicated, The Supplier will provide appropriate staff to suit the individual needs of patients. This action is realised at the point of case triage, i.e., skill set matched to individual patient and outcomes identified. At the beginning of the contract, The Supplier team will triage the caseload provided by the CSU to understand the caseload and produce a detailed plan and trajectory that will articulate receipt timings and process flow to ensure the plan will deliver in line with the agreed timeframe, acknowledging that the plan will be subject to joint ongoing review and monitoring. The Supplier will deliver the service within the agreed timeframe utilising a 7-day service.