1. ITV Report

Postcode lottery for elderly care

While some patients in London are paying thousands of pounds for support at home, others are getting theirs free. Photo: ITN

An ITV News investigation has discovered that the quality of NHS care for the elderly depends on where you live.

While some patients in London are paying thousands of pounds for support at home, others are getting theirs free.

You are now nearly seven times more likely to get funding in some parts of the capital than others.

In a statement, the Department of Health said:

"We expect Trusts to provide 'NHS Continuing Healthcare' to everyone who is entitled to it, following the appropriate assessment process. To help make sure there's a consistent approach, the Department introduced national guidance and since it was introduced, around 20,000 more people are getting continuing care - and variation has reduced. There is still more to be done and we are working to spread good practice, and get all Trusts up to the standard of the best."

Mark Wadham has spent three years fighting to get Continuing Care funding for his mother Betty who is in a care home in Enfield. He says he has found the process a "nightmare".

He says the care home told him he had a good chance of getting some of the funding but he has not been able to get any so far.

NHS Enfield says it "applies the national framework for continuing health care, in line with Department of Health guidance. An eligibility panel considers all assessments and ratifies decisions through a robust governance process. An appeals process is in place, where there is any dissatisfaction with a decision, and all individuals assessed are advised of the appeals process, in writing, when they are informed of the decision. In line with best practice, NHS Enfield involves the family in the assessment process."