FOI Ref: 0140FOI1920

3rd December 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  

In accordance with the Act I should be grateful if you would let me have information for Sheffield CCG.

For the periods 1st April 2016 - 31st March 2017 and 1st April 2017 - 31st March 2018 please provide the following information.

1. How many individuals with a diagnosis of mental illness have been placed in private Nursing Homes who are wholly funded by your CCG

2016/17 - 86 admitted to care homes

2017/18 - 61 admitted to care homes

2018/19 - 45 admitted to care homes

All of these are defined by a Mental Health Fully Funded category on our database.

Section 117 eligible patients – since May 2015 the cost of care for patients eligible funding under section 117 aftercare is shared with Sheffield City Council on a 50% share basis.

a) How many of these individuals have challenging behaviour? 

Our database doesn't allow reporting on individual diagnosis characteristic types other than a medical diagnosis field in the database options. However all patients will have some form of Mental Health diagnosis which could include challenging behaviour as an example.  

Section 117 eligible patients - see response to Q1.

b) What is the most expensive placement cost?

2016/2017 - £3791 per week

2017/2018 - £3791 per week

2018/2019 - £2374 per week

All nursing care home provision

Section 117 eligible patients - none fully funded by CCG.

c) What is the average cost of these placements? 

2016/2017 - £769 per week

2017/2018 - £764 per week

2018/2019 - £838 per week

Section 117 eligible patients - none fully funded by CCG.

2. How many individuals with a diagnosis of mental illness have been placed in private Nursing Homes who are partially funded by your CCGs?

	Number of individuals placed	Section 117 eligible patients
2016/17	33*	121
2017/18	5*	119
2018/19	21*	96

* Patients who are jointly funded (excludes Funded Nursing Care). This includes client category types of Mental Health jointly funded.

a) How many of these individuals have been placed in a specialist mental health nursing home?

The CCG places patients in nursing homes where the CCG has a standard contract and also those classed as Non-Standard.

b) What is the CCG's average contribution to the cost of these placements? 

Average contribution per week:  

	Average Contribution	For Section 117 eligible patients
2016/17	£512	£511
2017/18	£124	£524
2018/19	£177	£589

 

3. How many individuals with a diagnosis of dementia have been placed in a private Nursing Homes who are funded either wholly or partially by your CCG?

	Number of individuals placed	Number of Section 117 eligible patients placed
2016/17	71	5
2017/18	75	less than 5
2018/19	90	less than 5

a) How many of these individuals have been placed in specialist mental health nursing home?

The CCG places patients in nursing homes where the CCG has a standard contract and also those classed as Non-Standard.  

b) What is the average cost of these placements? 

Costs per week are: 

	Cost	For Section 117 eligible patients
2016/17	£656	£506
2017/18	£599	£514
2018/19	£638	£578

 

4 How many individuals with a diagnosis of mental illness or dementia have been placed in private Nursing Homes outside of the Sheffield CCG area?

	Number of individuals - this includes all client category types not just Mental Health but those with a diagnosis of dementia according to our database.	Number of Section 117 eligible patients
2016/17	less than 5	8
2017/18	0	less than 5
2018/19	0	less than 5

a) What is the average cost of these placements?

Costs per week are: 

	Cost	For Section 117 eligible patients
2016/17	£583	£591
2017/18	£0	£802
2018/19	£0	£1658

 

With regard to the above responses, please be advised that the CCG does not commission or arrange placements for individuals eligible for section 117 aftercare. This duty is delegated to Sheffield City Council and Sheffield Health and Social Care NHS Foundation Trust on behalf of the CCG. The information we have provided has been taken from our finance database.