‘Medical opinions ignored’ by NHS payment assessor, workers say

Benefit tales

Medical opinions have been ignored in the assessment of NHS payments to patients receiving care, it is claimed.

Three health workers said an assessor organisation discounted medical views so some patients were denied NHS care.

Norman Lamb MP said England-wide data obtained by the BBC showed a “regional disparity” and was “an injustice”.

However the assessor organisation, Arden and Greater East Midlands CSU, says it follows national guidelines to decide on payments.

Under national criteria, the NHS pays for long-term support and care if a patient’s condition is severe enough.

However, BBC Inside Out East has found a wide difference among clinical commissioning groups (CCGs) in England in the percentage of patients rejected following assessment for continuing health care (CHC).

Between July 2016 and July 2017, Birmingham South and Central CCG rejected 75% of its new CHC assessments, Manchester CCG turned down only 17% of assessments, while Tameside and Glossop…

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