Better Care Fund

1
Better Care Fund

• Simon Kenton
• Assistant Director Integrated Commissioning
• Warrington Borough Council/
• Warrington Clinical Commissioning Group

2
Process

• Detail and timescale
• 2014/15 - 21.1 m (686k) 2015/16 28.3 (13m)
• Assessment good narrative, direction of travel,
  collaboration and detail of schemes
• Resubmission date TBC
• Forward to ministers end October
• Winter, Elections

3
Approach

• Alignment of Commissioning intentions and WC
• Formalising existing investment
• Insulating current hospital investment
• Aspiration for wholesale integration regardless
  of BCF
• Formation of set commission principles
• Pooled budgets
• S.75

4
Ambitions

• - 3.6 reduced admissions 2015/16 but
• 5.2 9, 17.9 (spend on do nothing
  scenario)
• Separation of current investment from services
  into pooled budgets
• Parity of esteem
• Proving existing outcomes and redirecting
  resources for acknowledged gaps

5
BCF - Themes 15/16

• 1. Intermediate Care - 6.06m
• 2. Additional Schemes Hospital Discharge - 689k
• e.g.
• MDT weekend working,
• Patient Flow
• Coordinators,
• Discharge Lounge
• 3. Capital Schemes - 1.28m
• Community Capacity Grant 276k
• Care Bill cost of IT 183k
• DFG 822K

6
BCF Themes 15/16

• 4. Warrington Health Plus - 5.57m
• 5. Protecting Social Care and Care Act Duties -
  4.32m
• e.g.
• Maintaining Eligibility Criteria 2.47m
• Integrated Hospital Discharge 365k
• Adaptations 530k
• Carers Support 253k
• 6. Jointly Funded Care Packages - 6.71m
• 7. Mental Health Outreach - 1.31m
• 8. Integrated Commissioning Team - 825k

7
Better Care Fund Atlashttp//ccgtools.england.nh
s.uk/bettercare/flashtest2/atlas.html
8
Issues

• Approval with support
• Autonomy versus National Prescription
• HaWB sub committee of LA
• LA performance management of other part of the LA
  Integration regardless of BCF