better care fund (bcf) update dr sharon hadley gp lead for unplanned care 11 th june 2015 1
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Better Care Fund (BCF) Update
Dr Sharon HadleyGP lead for Unplanned Care
11th June 2015
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Better Care Fund (BCF)• New initiative
announced in June 2013 • The NHS and Social Care
will share £3.8bn in 2015/16
• Every CCG + LA has to jointly agree a spending plan for integrated care
“A lack of joined up care is one of the biggest
frustrations for patients, service users and carers.
Getting it right will make a huge difference to quality,
safety and people’s experience of care.”
(Jeremy Taylor, CEO National Voices)
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Agreed Spend
National Conditions
Plans will be locally determined, but with some nationally mandated elements: plans to be jointly agreed between the LA and CCG protection for social care services (not spending); 7 day working in health and social care to support patients being
discharged and prevent unnecessary admissions at weekends, aligned to; better data sharing between health and social care, based on the NHS
number to ensure a joint approach to assessments and care planning; a lead accountable professional for integrated care packages agreement on the consequential impact of changes in the acute sector.
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Local ChallengesHigh levels of Emergency Admissions Target reduction is 656 emergency
admissions for 15/16 (3.5%)High levels of residential placements Target reduction is 23 residential
placements for 15/16High levels of complex care packages Target reduction is 39 complex care
packagesBCF funds committed to existing services No new funding
Achieving truly integrated teams/services New ways of contracting services for true integration
Data sharing Consent & inter-operability
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BCF for Southend1. Community Recovery Pathway
2. Primary Care Hub
3. Redesigning Social Services
4. End of Life Services
5. Prevention & Engagement
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Community Recovery Pathway - 1First Contact, admission avoidance/prevention, urgent response- Review of SPOR and SBC Access Team format and
function.- Potential to pool resource and co-locate to improve
effectiveness- Review access to crisis response for admission
avoidance- Review discharge process and protocols- Review MDTs in Primary Care
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Community Recovery Pathway - 2Reablement, Intermediate Care beds, Step up/down beds, Short term placements- Review current reablement capacity and contract
terms/performance- Review current bed capacity (intermediate care, step
up/down) and contract terms/performance- Develop the market to find new providers, promote
innovation and new ways of working.- Consider re-commissioning of reablement and bed
based services
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Community Recovery Pathway – 3Long term community support- Frail elderly & Long term conditions focus- Maximise independence by supporting people in
the community wherever possible- Bring together health & social care functions- Reduce fragmentation and duplication- Scope options for care co-ordination- Closely aligned to Multi disciplinary teams &
Primary Care Hub
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Primary Care HubProvide proactive health and social care and support, to avoid health crises and improve person/family/carer experience- GP practices are the entry point into the health system,
accounting for 80% of patient contact.- Patients will only go into hospital when they need specialist
care and there is no alternative available in the community- Appropriate services are available and accessible to the local
population – right care, right place, right time. - 7 day services where possible- Personalisation, care planning & support to self manage- Partnership working with all stakeholders
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End of LifeRedesign services to increase the number of people supported to remain in their home and community setting who achieve their preferred place of care during the final stages of their lives.- Increase patient numbers on EOL register- Review current service provision- Redesign new model of care/pathways- Reduce the number of emergency admissions for patients
during end of life phase- Increased compliance with patients preferred place of care- Personalisation, ensure the person and those important to
them are involved in planning and care.
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Redesign of Social ServicesRedesign of social care services, contributing to admission avoidance and timely hospital discharge- Review & redesign of social work model- Review of current contractual arrangements
with care homes- Contribute to reduction in complex care
placements and residential care placements
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Prevention & EngagementOffering effective solutions for lifestyle related health behaviours- Led by Public Health- Lifestyle hub for assessment and treatment or
onward referral for intervention- Patient activation measures, 8 practices signed up
to pilot encouraging self care- Social prescribing- Falls prevention and postural stability