FOI Ref: 0088FOI1920 

28th August 2019 

Freedom of Information Act 2000 – Request for Information 

We are pleased to respond to your request for information and our response is set out below: 

Request/ Response  

We make this request pursuant to the Freedom of Information Act 2000. 

Our request relates to claims pursued for NHS funded continuing healthcare under the scheme announced by the Department of Health in 2012. Therefore, registered with the Clinical Commissioning Groups (CCGs) before September 2012 (for claims involving periods of care from 1 April 2004 to 31 March 2011) and 31 March 2013 (for claims involving periods of care from 1 April 2011 to 31 March 2012). 

Our request therefore relates to claims involving previously un-assessed periods of care (“PUPoC”) and claims were any assessments completed at the time were deemed flawed under the October 2012 guidance, NHS Continuing Healthcare: Dealing with requests for assessments for un-assessed periods of care. 

In respect of the claims, please provide us with the following information: 

1. How many PUPoC cases have been completed by or on behalf of the CCG - 508

2. How many PUPoC cases are still open – Less than 5

3. How many of the cases referred to in 1 above have been successful, (i.e redress paid) - 64

4. How many PUPoC cases are waiting for redress (eligibility awarded and redress to be made) – Less than 5

5. Please provide the total amount paid in redress to claimants. Please provide this amount annually.

Please see table below: 

	Principle	Interest	Gross Reimbursement	Tax Deducted	Net Paid
	£	£	£	£	£
13/14				0	135,127
14/15	448,803	117,978	576,635	0	576,635
15/16	479,202	107,062	635,209	0	635,209
16/17	437,936	82,785	520,722	0	520,722
17/18	363,318	105,125	468,443	0	468,443
18/19	40,905	16,013	56,919	(3,203)	53,716
19/20 YTD	72,077	25,642	97,719	(5,128)	92,590
	1,842,242	454,605	2,355,646	(8,331)	2,482,442

Note: We have no record of the split between principle and interest for the reimbursements made in 2013/14.

For 2014/15 and 2015/16 the Principle + Interest does not equal Gross reimbursement. This is because there are five cases for which we have no record of the split between principle and interest and, therefore those figures are missing from the totals of £479,2020 and £107,062 respectively.

6. In relation to 4 above, please provide the total amount paid in interest to claimants. Please provide this information annually. Please see response to question 5. 

7. If applicable, please confirm the total amount paid by the CCG to commission third parties (CSU and/or private companies) to undertake retrospective PUPoC claims. £1,072,444