Better Care Fund
The £5.3bn Better Care Fund was announced by the Government in the June 2013 spending round, to ensure a transformation in integrated health and social care.
The Better Care Fund (BCF) is one of the most ambitious programmes across the NHS and local government to date. It creates a local single pooled budget to incentivise the NHS and local government to work more closely together around people, placing their wellbeing as the focus of health and care services, and shifting resources into social care and community services for the benefit of the people, communities and health and care systems
For more detail about the background to the BCF, please visit NHSE webpage.
The LGA and ADASS have published a statement on expectations for the continuation of the fund from 2017 onward.
For the latest news and announcements about BCF, please sign up to BCF programme director Anthony Kealy's weekly note by contacting email@example.com.
The Better Care Exchange (BCE) is a collaborative online community workspace designed for everyone involved or interested in working to integrate health and social care services.
Designed to be a constantly evolving learning hub allowing members to share queries, concerns, knowledge and experience around BCF implementation good practice, the BCE has a similar look and feel to Facebook and provides a vital virtual networking tool.
BCE membership is free – for more details, see http://bettercare.tibbr.com
The Better Care Support Team has produced BCF Planning 2016-17: Approach to regional assurance of Better Care Fund plans which outlines the assurance process and suggests key lines of enquiry to support local government and NHS regional leads in the assurance of BCF plans. It is intended to be a helpful guide that sets out what a plan should include as a minimum.
The full Better Care Fund allocations for 2016-17, broken down by Health and Wellbeing Board area, have been published. Access the spreadsheet.
Technical Guidance Annex 4: Better Care Fund planning requirements for 2016-17 sets out the expectations for planning for the BCF in 2016/17.
There is £138m of Care Act money in BCF in 16/17 (up from £135m in 15/16). The money is within CCG allocations and is calculated on the relative needs formula (RNF) (not CCG formula). The specific uses of that money have changed from 15/16 to focus on support for carers and advocacy. The Department of Health are yet to confirm how the other components of the Care Act are being funded – a letter is expected on this soon. In the meantime, and as per last year, the LGA has produced a ready reckoner to support areas in their local budget setting. The ready reckoner provides an illustrative breakdown on Care Act funding through the BCF and general council funding in 2016/17 based on latest discussions with the Department of Health. The ready reckoner will be updated as DH confirms further funding decisions.
BCF data collection and performance reports.
Regional Better Care leads
- London: Jane Hannon
- North: Tim Barton
- South: Sarah Reese
- Midlands and East: Melanie De Smith
|South Central||Hilary Turnerfirstname.lastname@example.org|
|North East||Bernard Groenemail@example.com|
|South (Wessex)||Judith Mayfirstname.lastname@example.org|
|South East||Mary Hillemail@example.com|
|North West||Justine Howefirstname.lastname@example.org|
|Yorkshire & Humber||Jenny Sleight||Jenny.email@example.com|
|West Midlands||Steve Cortonfirstname.lastname@example.org|
|East Midlands||Wendy Houltemail@example.com|
|East of England||Jonathan Matthews||Jonathan.firstname.lastname@example.org|
Better Care Support Offer
The Better Care Support Team (BCST) is committed to ensuring that local areas have the relevant support available to them, as they work towards delivering their Better Care Fund plans in 2016/17 and beyond.
The Better Care support offer for 2016/17 is delivered through two streams; the centrally-led national support programme and the regionally-led support offer.
The Centrally-led National Support consists of a number of elements:
- Better Care Exchange: an online hub to enable collaboration and sharing between different areas – https://bettercare.tibbr.com (Launched in 2015/16).
- Better Care Advisers: a pool of advisers that localities can draw upon to provide senior level facilitation in instances where it is required, that will provide local areas with the hands-on support in plan implementation and preparing the next round of Better Care plans.
- Multi-disciplinary Consultancy Support: a flexible support resource working either in conjunction with the Better Care Advisers or independently, with the aim of sharing learning from all strands of support. The consultancy support offer will focus on:
- Project and Programme Management
- Analytical Expertise
- Technical Support
- Case study development
- Thematic masterclasses: a programme of masterclasses focussing on the key challenges associated with integrated care. Enabling local areas to access expertise in an opt-in way and which have been developed based on areas' needs.
- Regional networking events: providing additional capacity for regions to draw on and support their own support local learning events. These locally led events will be focused on highlighting successes, progress and shareable solutions to encourage case study development for wider knowledge sharing.
- Programme of case studies, guidance, insight bulletins: providing access to technical solutions, insight and examples of what works focusing (although not exclusively) on:
- integrated datasets and IT
- aligned financial incentives and risk sharing
- integrated workforce and culture
Better Care Managers have been recruited in each region to gather learning and coordinate support to local areas.
Funding has been allocated to each region, in order to enhance and support regions' capacity and capability to achieve the overall aims and vision for the Better Care Fund. Regions can commission bespoke packages of support to respond to regionally identified needs, generate shared solutions at a regional level and tailor national resources and products to regional needs.
The Better Care Support Team recognises that there are limitations in how much it can tailor its support package to the needs of individual areas and regions. We believe that it is essential to continue with enabling places to customise support that meets its specific needs.
Signposting tool to available support
The Better Care Support Team has produced a tool to signpost available support to address the biggest barriers to integrated care.
How to guides
A series of how to guides were produced to help areas with the implementation of their BCF plan. These documents are working drafts based on the best evidence available. If you have any feedback please email email@example.com.
- How to lead and manage Better Care implementation (PDF, 32 pages, 1,751KB)
- How to bring budgets together and use them to develop coordinated care provision (PDF, 30 pages,1,234KB)
- How to work together across health, care and beyond (PDF, 33 pages, 1,305KB)
- How to understand and measure impact (PDF, 43 pages, 1,894KB)
Other useful tools and documents
- Readiness for implementing the BCF: Aggregate national analysis of local self assessments March 2015
- Mapping of CCGs to HWBs, and HWBs to Area Team and Local Government Region contacts (Excel, 47KB)
- Care Act overview for BCF toolkit (PDF, 2 pages, 100KB)
- BCF plan review template
If you have any questions please contact: firstname.lastname@example.org
For local government specific queries, please email email@example.com.
9 December 2016
Better Care Exchange
The Better Care Exchange brings together all key documents related to integrated care and provides a platform for collaboration and shared learning. We would encourage you to register and get involved with others across the country to highlight best practices, share your successes and support one another's progress.