b) Authorisation and sign off ________________________________ Dr Fiona Butler Chair, NHS West London CCG Date ____________________________ ________________________________ Councillor Mary Weale Cabinet Member for Adult Social Care & Public Health, RB Kensington and Chelsea And Chair, RBKC Health & Wellbeing Board Date ____________________________ ________________________________ Dr Ruth O’Hare Chair, NHS Central London CCG Date ____________________________ ________________________________ Councillor Rachael Robathan Cabinet Member for Adults & Public Health, Westminster City Council And Chair, WCC Health & Wellbeing Board Date ____________________________ ________________________________ Dr Tim Spicer Chair, NHS Hammersmith & Fulham CCG Date ____________________________ ________________________________ Councillor Marcus Ginn Cabinet Member for Community Care, LB Hammersmith and Fulham And Chair, LBHF Health & Wellbeing Board Date ____________________________
Community, social care services and specialist mental and physical health services will be organised to work effectively with these networks, enabling GPs to ensure their patients are getting the very best person-centred care. We will deliver on the new provisions of GMS, including named GP for patients aged 75 and over; and practices will take responsibility for out of hours services and individuals will be able to register with a GP away from their home. We will be investing in co-ordinated care that promotes a holistic view of individual needs and works with people to empower them and enable them to stay as independent as possible. This means ensuring there is a good quality care plan in place for all those at risk, backed by co-ordinated provision commissioned to deliver on the required support and outcomes envisaged in each and every plan. The volume of emergency and planned care activity in hospitals, together with the number of residential and nursing care placements, will be reduced through enhanced preventative and community independence functions, and improved support in the community and in the home. By improving individual health and wellbeing, and access to home and community based services, we will relieve pressures on our acute services and help to eliminate the costs that arise from failures to provide adequate help to those at greatest risk of deterioration. In parallel, results of investment in 7 day social care provision and critical capacity areas such as neuro-rehabilitation will help us to eliminate delayed transfers of care. In order to manage and track outcomes, we will leverage investments in data warehousing, including total activity and cost data across health and social care for individuals and whole segments of our local populations. We are developing interoperability between all systems to provide both real time information and managerial analytics. By autumn 2014, our GP practices will all be using the same IT system, providing the opportunity for our care providers to all use the same patient record; the BCF will help ensure this happens by joining up Health and Social Care data across the linked via the NHS number. We will guarantee that individual information is shared in an appropriate and timely way to maximise safeguarding, wellbeing and user experience; and aggregated to allow effective identification and management of need and outcomes across our health and care economy as a whole.
Group C – Integrated contracting and commissioning BCF Scheme Scheme Description Condition/ Metric relevant Milestones Timeframe BCF03 – Transforming Nursing and Care Home Contracting Create a single care home placement contracting team across health and social care; develop outcomes based specifications, maximise value and ensure appropriate and timely provision reduces pressure on hospitals Admissions to care homes; delayed transfers of care Business case developed Consultation on changes Implementation Jan-March 2014 April – June 2014 October 2014 BCF07 – Review Portfolio of Jointly Commissioned Services Review all existing jointly commissioned services with S75 and S256 partnership arrangements, to ensure services provide value for money and are aligned with the objective of integrated working Plans to be jointly agreed; joint approach to assessment and care panning; reablement Review programmes Include in Commissioning Intentions April – August 2014 Sept 2014 BCF09 – Integrated Commissioning Review range of health and social care services to be jointly commissioned and infrastructure required including establishment of an Integrated Commissioning Team Links to BCF programme implementation and joint commissioning review Plans to be jointly agreed; data sharing; joint approach to assessment and care planning Scoping future integrated commissioning programme Identifying infrastructure required March-May 2014 BCF17 – Whole Systems Integrated Care Early Adopter Pilots Incorporating current investment in the Whole Systems Integrated Care programme into the BCF, to build fully integrated and sustainable risk stratification, care planning, care coordination, and multi-disciplinary team working across health and social care Plans to be joint agreed; integrated approach to assessment and care planning; service user experience Early adopter pilots agreed Pilots under way Evaluation and roll out March 2014 April 2014 April 2015 Group D – Programme Delivery BCF Scheme Scheme Description Condition/ Metric relevant Milestones Timeframe BCF04 – Better Care Fund Programme - including Performance and Governance Programme for development, implementation and monitoring of delivery of the BCF Plans to be jointly agreed; all elements Programme developed Governance structure in place Implementation and reporting Nov 2013 – March 2014 March 2014 April 2015 onwards BCF05 – Information Technology and Information Governance Implementation of IT and IG solutions to link tri-borough social care systems to the GP systems and to ensure consistent use of the NHS number as primary identifier Data sharing; joint approach to assessment and care planning Implementation plans developed Implementation to be completed March 2014 March 2015 BCF18 – Care Programme of work to implement Protection for Preparatory Oct 2013 –
BCF09 - Integrated Commissioning N/A BCF10 - Rehabilitation and Reablement Services Costs based on estimated requirement of 18 new beds N/A BCF13 - Psychiatric Liaison Costs reflect existing investment in Psychiatric Liaison plus an additional 0.5m investment by H&F CCG in Hammersmith and Charing Cross Hospitals. N/A BCF15 - GP 7-Day Access Costs based on 2 practices per locality open 8 hours a day Sat and Sun Assumes that 10% of the additional capacity is used by people diverting from UCC where providers are reimbursed on a cost per case. BCF16 - Developing Personal Health and Care Budgets Costs as per PID N/A BCF17 - Whole System Integration N/A BCF18 - Implementation of Care Bill Costs as per PID N/A BCF14/19 - Developing integrated services for people with Long Term Conditions N/A Disabled Facilities Grants As per notified allocations N/A Community Capacity Grant As per notified allocations N/A