FOI/2025/26/268

Request

Under the Freedom of Information Act 2000 I request the most recent snapshot you hold (ide-date: 1 November 2025 or latest available day). Please give one number per question (or “not held” + sign-post). Excel / CSV ideal; plain text fine.

1. Complex physical healthcare packages How many adult Continuing Healthcare (CHC) or jointly-funded packages are currently live where the primary need is recorded as complex physical (not mental health / LDA)?
2. >4-week allocation delays Of the packages in Q3, how many have waited >28 calendar days from “fully funded” date to “provider accepted & started care”?
3. Bed-blocking / delayed discharge Latest daily average (or total bed-days last month) where the primary reason is “awaiting community care package” (acute + community beds).
4. Patients stuck in hospital On the snapshot date, how many in-patients are medically fit (“No Criteria to Reside”) but delayed solely because no community package is available?
5. Tier 4 LDA waiting list (ICB only) Current total number of patients waiting for a Tier 4 LDA bed commissioned by your ICB (CAMHS + adult secure).
6. Tier 4 enhanced staffing On the snapshot date, how many Tier 4 in-patients (any unit) require 2:1, 3:1 or 4:1+ staffing (exclude standard 1:1)?
7. Procurement pipeline – next 6 months Please attach (or paste) your anonymised re-procurement tracker:
   • Package ref
   • Postcode sector
   • Weekly hours
   • Current provider (or “spot”)
   • Expected tender month (Redact any personal data.)
8. Best contact Name, job title, email & phone of the commissioner who awards complex care packages in your ICB/Trust.

 

Response

 

Central London Community Healthcare NHS Trust (CLCH) is a community based organisation which specialises in providing care in the community, the above questions are more suited to an Acute Trust.

 

There are zero pipeline procurements of Complex Care Packages, Delayed Discharges & Tier 4 Inpatient Capacity. These care packages are commissioned directly by the ICB.