Annex
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Funding criteria listed in HCW’s letter of 2 January 2007 to the Welsh Consultant
- There must be 2 concurring NHS Consultant views that the patient needs to access such specialist in-patient provision (one of which must be provided from the local tertiary/secondary service). Please not [sic] we will not accept the opinion of the specialist service Consultant.
- The use of NHS facilities must be optimised. Please provide detail to evidence [sic] that this has occurred.
- All local alternative options to provide an appropriate package of care must have been explored and explicitly excluded. Please detail.
- Both the referring and receiving Consultant are of the opinion that the unit is the most appropriate unit to meet the patients needs.
- The referring and receiving Consultants will agree the milestones to be achieved by the patient, which will signify that he/she is ready for discharge.
- For CAMHS cases, [HCW] will only commission services from those units, who participate in the QNIC audit.
- [HCW] will only fund placements for patients in services where there is a written agreement from the LHBs to fund explicit follow up care packages (daycare and outpatient services) and ensure prompt transfer back to local services, as soon as the discharge criteria are met.
We would normally expect these criteria to be met within 3 months of admission. This would include the formulation and agreement of a future care plan, delivered by local services
in Wales. - [HCW] will not fund any patients or relatives travelling. Those patients/relatives eligible to claim, must do so through the appropriate channels.
- No home visits are to be funded for those patients who require special/additional/enhanced observations.
- For children and adolescents, [HCW] will consider funding home visits on a monthly basis. The patient’s Consultant at the provider unit must produce a treatment rational [sic] with supporting information in respect of the need for the home visit.
- [HCW] would expect to fund non detained patients (Mental Health Act 1983) for a maximum of 3 months. Any extension of funding must be requested by the receiving Consultant, agreed by the referring Consultant and the subject of further consideration/approval by the Commission.
- That the referring Consultant is satisfied that the proposed package of care at the unit, will fully meet the patient’s needs.
- That the referring Consultant and their team, will continue to monitor the patient’s progress and continue to engage in CPA/Case Conference/Discharge Planning Meetings as appropriate; and
- there is a nominated lead in local health (and where appropriate local authority) services for the provider to engage with.
- Could you please provide the patients [sic] name, address and date of birth. I would be grateful if you could complete the attached forms and return them to me at your earliest convenience.
