Better Care Fund

BCF (Better Care Fund) year-end report 2017/18

The Better Care Fund is a programme spanning both the NHS and local government which seeks to join-up health and care services, so that people can manage their own health and wellbeing, and live independently in their communities for as long as possible.

In 2017/18 £24.9m was invested across Cheshire East via the Better Care Fund. In addition to a grant allocation for iBCF in Cheshire East totalling £4.7m. Performance was monitored on a monthly basis and overseen by the Better Care Fund Governance Group. The BCF policy framework defines the national metrics for measuring progress of schemes funded via the Better Care Fund. Information on all four metrics is collected on a regular basis and reported nationally. In summary these are:

  • Non-elective admissions (General and Acute) - An admission into a hospital bed that hasn’t been arranged in advance. 
  • Admissions to residential and care homes – The number of people admitted into a residential/care homes. 
  • Effectiveness of Reablement – This is the number of older people (65 and over) who were still at home 91 days after leaving hospital into Reablement / rehabilitation services. 
  • Delayed transfers of care – When a patient is ready to transfer from a hospital bed but is still occupying the bed. 

Performance of the Better Care Fund in 2017/18 

  • Non-elective admissions (General and Acute) – target 10,072, actual 9,265 – the number of people going into a hospital bed in quarter 4 reduced however there was worsened performance for the year. 
  • Admissions to residential and care homes – target 716.9, actual 705.30 – the number of people going into long term care reduced.
  • Effectiveness of Reablement – target 88.4, actual 79.3 – the proportion of people still at home 91 days after reablement reduced, unfortunately a number of people passed away and a number could not be traced.
  • Delayed transfers of care – target 958.9, actual 865 – the number of people still occupying a hospital bed when ready to be discharged reduced.

The key benefits achieved in 2017/18 were:

  • Assistive Technology - Enabling more people to live independently and delay commencement of more intensive interventions. Average number of people supported through Telecare on a monthly basis throughout 2017/18 – circa 2358 individuals.
  • Combined Reablement - Enabling more people to live independently within the community, developing personal resilience and supporting recovery from illness. Community support Reablement – Referrals received in-year 792. Mental health Reablement – Referrals received in-year 2912. Dementia Reablement – Referrals received in-year 764.
  • Compliance with the Care Act (statutory requirement to have an Adult  Safeguarding Board locally) - Number of adult safeguarding concerns raised in-year – 3175.
  • Carers Living Well Fund - Carers wellbeing budgets confirmed for 872 carers and cared for in-year.
  • Disabled Facilities Grant (statutory requirement) - Number of disabled people enabled to live independently – 318
  • Red Cross low level care - Enabled more people to be supported at home, including patients recently discharged from hospital.
  • Home First (East Cheshire trust Community services) - Services working in integrated way with Social Care and Primary Care Colleagues in Multi-disciplinary team approach including. Provision of 58 Intermediate Care beds at East Cheshire NHS Trust and community based Intermediate Care Services. 
  • Care Package Retention of 7 Days extended to 14 days during the winter period - Number of packages retained in order to facilitate discharge from hospital back with existing domiciliary care provider – 191
  • Increasing capacity in the Care Sourcing team and Social Work Team over Bank Holiday Weekends - The number of domiciliary care packages sourced by the care sourcing team  – 995
  • The use of ‘Live Well’ Online information and advice resource - Number of page views per week – 16,000
  • Domiciliary Care Rapid Response - To ensure people received support within the first 72 hours following discharge from hospital. Often helped to bridge the commencement of longer term packages of care.
  • Additional community beds ( iBCF ) - Additional 38 beds spot purchased to aid flow within the hospital and to ensure people were receiving the right care in the right location.