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The English national framework for NHS continuing healthcare came into force on 1 October 2007 as a development in the light of the case of Coughlan which established that where a person's need is primarily for health care then the health service must fund the whole cost of nursing home placement. [1]
Any Qualified Provider (AQP) is a contractual system within the NHS internal market of the English National Health Service.The system was introduced under the Labour administration in 2009/10 under the name "Any Willing Provider" and was accelerated under the coalition Government which formed in 2010.
The department published its national framework for determining funding eligibility in June 2007 and the number of NHS continuing care cases being handled by the Office shrunk from 1,500 in November 2007 to just 100 in March 2008. [7]
The NHS will potentially have a shortage of general practitioners. From 2015 to 2022, the number of GPs fell by 1,622 and some of those continuing to work have changed to work part-time. [57] In 2023, a report revealed that NHS staff had faced over incidents of 20,000 sexual misconduct from patients from 2017 to 2022 across 212 NHS Trusts.
In England, an integrated care system (ICS) is a statutory partnership of organisations who plan, buy, and provide health and care services in their geographical area. The organisations involved include the NHS , local authorities, voluntary and charity groups, and independent care providers.
PHBs have been mainly used for people with continuing health needs. The RCGP explained that "At the heart of a personal health budget is a care or support plan – an agreement between the local NHS and the individual that sets out the person’s health needs, the amount of money available to meet those needs and how this money will be spent."
Some is regarded as social care, which is means-tested. Continuing healthcare, though paid for by the NHS, is largely privately provided. NHS trusts spot purchasing from private providers, largely to meet NHS targets rose from £645 million in 2013-14 to £1.3 billion in 2018-19. In May 2018 private providers carried out 43,145 NHS day case ...
Mental health services are provided by Leicestershire Partnership NHS Trust and Nottinghamshire Healthcare NHS Foundation Trust. The Sustainability and transformation plan envisages a cut of 40%, £29 million, to the NHS Continuing healthcare programme which supports more than 1300 patients in the county. [11]