Better Care Fund

The £3.8 billion Better Care Fund (BCF) was announced by the Government in the June 2013 Spending Round, to support transformation and integration of health and social care services to ensure local people receive better care. The BCF is a pooled budget that shifts resources into social care and community services for the benefit of the NHS and local government.

Following agreement by Ministers in June 2014, £1 billion of the NHS additional contribution to the BCF will now either be commissioned by the NHS on out of hospital services or be linked to a corresponding reduction in total emergency admissions. Protection of social care remains a top priority, and the revised plans must reflect this clear policy intention.

Key information

BCF plan guidance and templates: issued 25 July 2014

Revised guidance and templates were issues in July. A letter from the BCF Task Force programme director, Andrew Ridley, explaining the process and copies of the submission templates can be accessed here:

The BCF Task Force has issued a range of guidance to support resubmission:

The task force has also issued the methodology that will be used to assess local plans:

Better Care Fund resubmission process

Both parts of the plans are to be submitted by 12pm on 19 September 2014. Please send as attachments to: bettercarefund@dh.gsi.gov.uk as well as to:

  • the relevant NHS England Area Team
  • the relevant local government representative.

If there are any queries about the resubmission process, please contact bettercarefund@dh.gsi.gov.uk.

BCF fast-track areas

Five fast-track areas submitted their BCF plans on 29 August and are going through the assurance process. As part of this work, some case studies were developed to share with the wider system to help disseminate the learning.

Support for completing the BCF plan

Regional and national support

You can access archived webinars on financial analysis, risk stratification and information governance, guidance and planning webinars for Health and Wellbeing Boards, the legislative framework for Section 75 agreements, including advice on risk sharing arrangements, and more at BCF webinars.

Contact details for NHS regional and local area teams, and LG regional leads

To access targeted and bespoke support, contact your relevant NHS regional team, cc'ing in your Local Area Team and local government regional lead. The email addresses you need can be found in this document.

Contact details for NHS regional and local area teams, and LG regional leads (Excel, 23KB)

Making it Better

The BCF Task Force has developed a robust programme of support, including a slide pack, titled 'Making it Better a guide to resources for improving Better Care Fund plans'. This provides more details on what support will be available and how to go about accessing it. It also brings together a selection of resources that you can access immediately that will help you in developing a robust plan and roadmap for delivering integrated care. The slide pack is updated every week as and when new resources are developed.

Making it Better – A guide to resources for improving Better Care Fund plan (Powerpoint, 56 slides, 649KB)

How to guide: the BCF technical toolkit

The task force has also developed a ‘How to' guide. The guide comprises four documents which provide advice and tips for completing the technical sections of the template. These have been developed rapidly, and in direct response to requests it has received from areas in recent weeks. It is not formal guidance and will not guarantee plans are assured, but is intended to offer practical support that can be used to develop BCF plans and wider integrated care programmes. It should be read together with the assurance process methodology referred to above.

The toolkit covers four areas:

  1. population segmentation, risk stratification and information governance
  2. evidence-based planning
  3. outcomes and impact measurement
  4. financial analysis.

The BCF technical toolkit is available on the NHS England site.

Example charts to support BCF planning

In the course of reviewing plans with HWBB we received a number of questions about how to apply suggestions from the "how to guide" in the plan submissions. To support this, we have developed a set of example charts for people to use to clearly present key aspects of their plan.

These charts may be helpful for people to either incorporate in their plans or use to support development of those plans with partners. are making these charts available to HWBB to make use of if they wish.

Please note this is not new guidance and this is not a change to the template. We do, however, hope these charts may e helpful in the development and drafting of submissions.

Example charts to support BCF planning (Powerpoint, 20 slides, 1,128KB)

Integrated care toolkit

This LGA toolkit can be used to support the development of a joint vision, through reference to the 'value case' work, as well as modelling reconfiguration across your health and care system using the modelling tool.

Integrated care toolkit

BCF and the Care Act

A short summary of the Care Act and its relationship with the Better Care Fund for those who are unfamiliar with it.

Care Act overview for BCF toolkit (PDF, 2 pages, 100KB)

Other resources on the NHS England website

NHS England has provided a range of tools and support for clinical commissioning groups (CCGs) and local authorities, including:

  • a Q&A
  • information about BCF allocations
  • BCF statististical significance calculator

NHS England Better Care Fund page

BCF webinars page

BCF FAQs

Mapping of CCGs to HWBs, and HWBs to Area Team and Local Government Region contacts (Excel, 47KB)

About the BCF

The August 2013 Spending Review established the £3.8 billion BCF "to deliver better outcomes and greater efficiencies through more integrated services for older and disabled people."

2013 Spending Review (PDF on .GOV website)

The development and implementation of this policy has been articulated through the following communications:

Contact

The LGA and NHS England will continue to provide support to local areas to ensure all areas have a completed plan in place by February. If you have any questions please contact: Tom.Shakespeare@local.gov.uk

11 September 2014

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