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Better Care Fund Health and Wellbeing Board Wednesday 12 February 2014

Better Care Fund Health and Wellbeing Board Wednesday 12 February 2014. What we are asking from the Board:. to endorse the draft plan for the Better Care Fund for submission to NHS England and the LGA on 14 February

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Better Care Fund Health and Wellbeing Board Wednesday 12 February 2014

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  1. Better Care Fund Health and Wellbeing Board Wednesday 12 February 2014

  2. What we are asking from the Board: • to endorse the draft plan for the Better Care Fund for submission to NHS England and the LGA on 14 February • to note that the plan will be further refined before final submission on 4 April, taking account of further consultation with providers, and any comments on the draft received from NHS England

  3. Outline Better Care Fund Alignment to vision and priorities Financial implications & challenges Schemes Engagement Performance Next steps

  4. Better Care Fund 3.8bn pooled budget in 2015/16 Based on joint CCG/LA plans signed off by Health and Wellbeing Boards (and Integration Board for us) Plans must deliver on national conditions £1bn of £3.8bn is ‘payment by performance’

  5. Aims of the Better Care Fund To improve outcomes for the public, provide better value for money, and be more sustainable, health and social care services must work together to meet individuals’ needs. The Government will introduce a £3.8 billion pooled budget for health and social care services, shared between the NHS and local authorities, to deliver better outcomes and greater efficiencies through more integrated services for older and disabled people. Spending Review 2013, HMT

  6. Health & Wellbeing Board Priorities • Supporting people with long term conditions to be independent and have control • Making sure that all partners work well together and are clear about what they themselves need to do to help improve the health and wellbeing of local people • Part of the development of our five year system planning

  7. The challenge Local Authority are expecting protection for social care services Acute sector are expecting evidence of ability to reduce the demand for hospital care before any major changes are agreed to acute care Simply taking money out of the acute contracts will destabilise the system How do we do this in a way that maintains quality of care, builds on our partnerships and does not fragment or destabilise the system?

  8. The National Conditions

  9. What does this mean for Northumberland?

  10. Identifying the funding for the Better Care Fund

  11. Engagement • The importance of engagement with providers, patients/ service users and the public to shape services (citizen empowerment, ownership and choice) • Working with Healthwatch and other partners

  12. Performance Measures Permanent admissions to residential care Effectiveness of reablement (% still at home 90 days after reablement) Delayed Transfers of Care (all causes) Number of Emergency Admissions Patient Experience (Carers?) Local Measure (Dementia?) Process measures (% shared records?)

  13. Avoidable emergency admissions (composite measure) • 2012/13

  14. The challenge Scaling up and creating the space to achieve change Creating capacity here To fund capacity here/ harness experienced resources here

  15. Any questions or feedback?Endorsement of our approach?

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