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Nascot Lawn engagement to inform new decision on respite funding

Herts Valleys Clinical Commissioning Group has held the latest of a series of four meetings for parents and carers with children attending Nascot Lawn. This forms part of a continued engagement process that will inform a new decision on respite funding.  

In addition to the meetings, the CCG has written to parents and carers to set out its position, to explain the decision-making process and to invite parents to submit any other views in writing.

As it pulls together the information that will be put before the Finance and Performance Committee to make a new funding decision on Nascot Lawn, the CCG is currently exploring four options which will be put before the committee.

  • Cease funding of respite provision, currently provided at Nascot Lawn.

  • Continue full funding of respite provision, currently provided at Nascot Lawn.

  • Enter into joint arrangements with Hertfordshire County Council to fund respite provision, currently provided at Nascot Lawn, recognising that the County Council has the statutory responsibility for providing short breaks.

  • Consider the family representatives’ proposal to create a flagship 0 – 25 fully integrated Overnight Short Breaks service in Hertfordshire and the funding that would be required for this.

The CCG has written to HCC to formally ask as part of the engagement process whether HCC wishes to put forward a proposal for the future commissioning of services at Nascot Lawn on an appropriate joint-funding basis. The county council has yet to respond with an offer.

As the statutory body with responsibility for the short breaks service, the county council would also need to give its support to any proposal by parents including how they intend to engage with parents on respite provision more broadly across the county.

The health assessments’ summary confirms that with the exception of children and young people who are eligible for children’s continuing care, the health needs of the children can be met through services already commissioned by the CCG and any respite care should be met through county council provision.

Chief Executive of Herts Valleys CCG, Kathryn Magson says: “I’d like to thank all of the families and others who have taken the time to meet with us over recent months under what I appreciate are difficult circumstances.

“In the interests of providing certainty for families and also for Nascot Lawn staff we want to make our new decision as quickly as we can. In making our decision we will consider the information that has been generated as a result of the recent legal proceedings, joint needs assessments and any matters arising from our various discussions with families and stakeholders.

“The county council is key to resolving much of the uncertainty for parents and I very much hope that they will engage fully with this decision-making process.

“Our decision must also reflect the CCG’s statutory responsibility to work within our allocated budget and prioritise spending on health services that we have a duty to commission.

“Whatever the decision about funding respite care, the CCG will continue to fund a range of health services to meet the needs of children, young people and their families, including mental health services, medicines, children’s community nursing, palliative care for those with life-limiting conditions, speech and language therapy, physiotherapy and occupational therapy and special school nursing.”