Update on the Better Care Fund (BCF)

City of York and the ICB collectively oversee £20m spend across Health and Social Care to support system flow, maintain independence, reduce hospital delays and admissions.

A BCF Delivery Group is in place to make collective decisions around how we spend the money allocated within the BCF and what schemes have the greatest impact.  Over the summer we have completed a review of all the schemes and categorising these into three areas. These are:

· Early intervention and prevention including core 25

· Intermediate care and reablement

· Core Schemes (these are schemes that are part of core Health and Social Care Contracts)

The reviews have been successful and have enabled a new way of delivery through an Integrated Frailty Hub together with a single team working together including the CVS, Brokerage Social Workers, Intermediate Care, PCNs, CRT, TEVW and the Acute Trust. The service went live on the 1^st October and we will look to continue to enhance this as we develop over the next few months. The Frailty Hub support around 4,400 people across York with a long-term condition.

Alongside this we are moving to Integrating Commissioning for our Dementia Support with our Place Health colleagues. This will enable a seamless approach to delivery and care for both carers and people who use Dementia Services.

As part of our commitment to Home First we are recommissioning our Reablement Services that will support all needs including Physical Disability, Learning Disability and Mental Health. We are aiming to support a majority of people coming out of Hospital through Reablement Services and Intermediate Care, as this supports our ethos of Early Intervention.

As part of the Better Care Governance, we have completed the 22/23 BCF narrative. If anyone requires a copy of this, please contact dawn.hobson@york.gov.uk

The BCF Project Manager works closely with finance and health colleagues and a monthly assurance is sent to the National BCF Team. Most recently we have completed our Winter Plan including the additional social care winter monies. The bid comprises of additional step-down beds, community support and domiciliary care.

Next steps for the BCF Delivery Group is to have discussion around further growth and pooling of monies, over the last 18 months the Group has delivered many significant changes, as the Group comprises of all partners decisions and are made collectively ensuring a whole system approach.

Further updates in regard to Winter and End of Year will be provided through the Chairs Report on a quarterly basis.