Dear Sir or Madam,
I should be obliged if you would supply any, all or part of the listed analysis and information below.
1.Please supply all possible) information on the operational decisions of the Barnet PCT NHS Continuing Care Panel over the past 5 years in six monthly periods but monthly since July 2009.
2.How many cases have been considered monthly over five years?
3.How many MDT recommendations have been overturned monthly over five years?
4.Categorisation of reasons for overturning the MDT over five years.
5.Average number of Domains downgraded in a monthly period per case over five years.
6.Average number of Domains upgraded in a monthly period per case over five years.
8.The number of “priority” Domains recommended by the MDT reversed by the Panel monthly over five years.
9.What we need is to get the summary DST table for domains that was put to the Panel and the changes they made. If it were possible to get the name of the GP and Consultant- that would be great.
10.Please supply detail on Appeals of Panel decisions over the past 5 years with results.
11Please supply details on numbers of cases referred back to MDT’s and reasons for action monthly over the last five years.
12.Please supply minutes of the Panel meeting held on 25 September 2009.
13.Please supply detail of how Panel judgements are benchmarked to avoid the “postcode lottery”. Ie ratios of cases reversing MDT recommendations compared to those Panels in demographically/ and economically equivalent areas.
14.Please supply biographical details of Panel Members, Panel contractual and remuneration arrangements, Panel Legal Insurance policies. Detail of all ongoing legal actions and past actions/ judgements and reasoning thereto.
Details of all complaints upheld or otherwise against Panel procedural arrangements and operating process.
As a jargon buster MDT refers to Multi Disciplinary Team who complete a DST (Decision Support Tool).
1..How many MDT DST recommendations for continuing care funding have been referred to the Assessment Panel from Chase Farm Hospital monthly over the past five years. How many from Barnet Hospital.
2.How many DST’s were approved for funding in each monthly period to date for both institutions.
3.What proportion of referrals for assessment that were recommended by the MDT were refused and subsequently appealed.
4.What % of appeals were successful at first and subsequent stages.
5.Following assessment what are the number and profile of cases that were re-submitted to the Panel following a change in circumstance of the applicant.
6.In relation to the points 1- 5 above how many of these cohorts originated from referrals via the stroke unit at Chase Farm Hospital.
7.In relation to 6 above how many of these Assessments were designated with Dr Theva Nathan as Consultant
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