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Local CCG mental health declined my funding ! Help?!


Guest Charmainee

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Hello,

In my experience the CCG's say 'no' by automatic default, however that does not mean they can't change that to a 'yes', the main issue is what we need to do and how long it will take to change that no to a yes.

Did the CCG give a reason for saying no?

Usually, a patient needs to have explored all local options first before they will agree to referring to a specialist national service. There is also the option of national HSS treatment (whilst that service still exists) which means if you have had 2 or more courses of CBT and at least three meds (inc anti-psychotic) then you don't need the CCG to pay.

But assuming you are going through the CCG option. Who made the referral for you, GP or a mental health professional? I can advise further, but I think it would be helpful to know why they said no first to better direct you.

Ashley.

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Guest Charmainee

No they didn't give me a reason I got a letter from the maudsley and they just said the CCG said no.

I've stayed in hospital in 2008 for 5 months I've had five different psychologists and a bunch of psychiatrists, I went private to get help but that didn't work. I've been on five different meds. Currently I'm on 200mg of sertraline and 5mg of aripiprazole.

My GP and psychiatrist both wrote letters but originally my GP sent a referral .

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Well I think it sounds like you meet the criteria to be seen at CADAT (Maudsley) via the Dept of Health 'Highly Specialised Service' funding pot, which does not require local NHS funding. If you do meet those criteria the waiting time is several months, but at least you would be on it.

The other option is to work at getting the local CCG to agree to fund it, and if they do say yes, the waiting time at CADAT under that funding stream is much less.

I am not totally sure why CADAT wrote to you about CCG funding, as that needs to come from the local services. It's up to you which funding stream you apply for, but just because the CCG said no does not mean you can't get the funding. You need to get your local psychiatrist to reapply to the CCG explaining that the level of specialist treatment they offer is what is felt is most appropriate for you right now, and get the physiatrist to CC you in on the application so if they say no, they should confirm in writing to you why, and depending why it can be appealed.

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  • 3 weeks later...
Guest ironduke

I too have been denied funding for treatment at the Springfield. I've got to increase meds to extreme levels and spend inpatient time in a general mental health ward in Sheffield. Not sure how that will help without specialist therapy but hey. Too many patients not enough beds.

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I think you have it Duke.

The charity received a letter from the secretary of state basically confirming more funding was being lined up (but there is an election coming up!) but the problem (in terms of people with anxiety-related illnesses as well as OCD) still outstrips the resources.

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  • 2 weeks later...
  • 1 month later...
Guest Charmainee

So it turns out they got the funding for an assessment not to be an inpatient. I don't think I'm going to get the funding no-one gives a ******* **** and I've had enough

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