FOI/2025/26/159

Request

 

1. Integrated Care Board (ICB) Involvement & Financial Rationale** 

We request: 

- All correspondence, minutes or reports in which the ICB expressed that the MCMW model is financially unsustainable or “too expensive.”

- Any financial assessments, cost‑efficiency evaluations or service reviews recommending changes to MCMW on cost grounds. 

- Documents authorising or proposing staffing reductions or model adjustments in response to ICB pressure or internal budget decisions. 

CLCH do not hold the requested information. Please contact the ICB directly for the requested information.

 

**2. Urgent Community‑Based (UCB) Service Integration** 

We request: 

- Documents or communications referencing proposed links or integrations between MCMW and the Urgent Community‑Based (UCB) service, including discussions of model alignment or merger. 

- Any strategic transformation plans or proposals involving both MCMW and UCB services. 

CLCH do not hold the requested information.

 

**3. Comparison with Other CLCH Care Models** 

We request: 

- Benchmarking data or internal reviews comparing MCMW with other care coordination models within CLCH. 

- Proposals, reports or minutes recommending the standardisation, replacement or merger of MCMW with alternative service frameworks.  

CLCH have applied FOI exemption under Section 22 (Future Publication) as this information will be published and disclosed at a later date as there are continuous work and ongoing discussions.

 

**4. Evaluation, Governance & Oversight** 

We request: 

- Any internal or external evaluations, consultancy reports or transformation proposals for the MCMW model since May 2018. 

- Minutes of Divisional Board, Executive Board or Transformation Programme meetings where MCMW changes were discussed or approved. 

- Associated Equality Impact Assessments (EIAs) and risk assessments.

CLCH have applied FOI exemption under Section 43 (commercial interest) as disclosure of this paper before the commencement of the new leadership structure in MCMW service may cause disruption in the MCMW team which will impact service delivery. For this reason, harm of disclosure outweighs the benefit of disclosure.

 

 

**5. Financial Governance & Use of MCMW Funding** 

We request: 

- Budgets, allocations and internal summaries showing how MCMW funding has been used, distributed or redirected since May 2018. 

- Any evidence that MCMW funding was used to support other service areas, particularly UCB or related models. 

- Internal communications or authorisation records involving Cora Molloy or her team regarding MCMW funding reallocation. 

- Any financial audits, whistleblowing reports or oversight reviews into the use of MCMW funds since 2018. 

 CLCH would like to confirm No funding for MCMW has been used, distributed, or redirected since May 2018. No financial audits, whistleblowing reports or oversight reviews into the use of MCMW funds have occurred since 2018.

 

 

 

Review

 

Section 43 – Commercial Interest

 

Section 43(2) exempts information whose disclosure would, or would be likely to, prejudice the commercial interests of any person (an individual, a company, the public authority itself or any other legal entity). Disclosure of the requested information could prejudice pending or future negotiations the CLCH may be subject to.  

 

This is a qualified exemption under the FOIA, which means that consideration must also be given to whether in all the circumstances of the case the public interest favouring disclosure is greater than the public interest in maintaining the exemption. The public interest means what is in the best interests of the public not what is of interest to the public.

 

 

Factors in favour of discloser:   

 

·       Disclosing information related to Q4 for the Trust would promote accountability and transparency by showing how CLCH reviews and appropriately allocates resources for the West London My Care My Way/District Nursing Integrated Care Team (MCMW/DN ICT)

 

 

Factors in favour of non-disclosure: 

 

 

·       Disclosing the information related to Q4 before the commencement of this change will cause disruption amongst staff members in the service which may impact the service delivery. This will impact patient care.  

 

·       Disclosure the information related to Q4 is likely to lead to reputational and financial damage which would affect future investments and have a knock-on effect to the money raised for the health economy.  

 

Having considered the above, we maintain that the factors in favour of upholding the exemption outweigh the factors in favour of disclosure. Therefore, the balance of the public interest test is greater in maintaining the exemption available under section 43(2) of the Freedom of Information Act 2000. 

 

This completes our response to your request for information.  We hope you are satisfied with the way in which your request was handled, if not you may request an internal review at the above email address within 40 days of this letter. When contacting the Trust please use the above reference that is unique to this request.

 

If you remain dissatisfied with the outcome of the internal review, you may seek further recourse by lodging an appeal with the Information Commissioner’s Office: