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Derbyshire Better Care Fund

The Better Care Fund (BCF) is a government programme created in 2013. The BCF was created as part of a process of change to the provision of health and social care services. As a national initiative, it is designed to make sure that health and social care services place individuals at the centre of their care.

The BCF aims to achieve this by making sure that health and social care services work together in partnership, resulting in effective and good quality services being provided by the NHS, local authorities and Clinical Commissioning Groups (CCGs).

Derbyshire BCF

In Derbyshire, the BCF has a budget of £64.9m, to help improve the health and wellbeing of the region, to help people to take ownership of their health and wellbeing, and assist individuals to live independently within their communities.

This will be achieved through health and social care working in partnership and collaboration between local authorities across the region, as well as five CCGs, both of which contribute to the BCF pooled budget.

CCGs are comprised of health professionals and are responsible for planning and commissioning health and social care services within their boundaries. There are five CCGs in Derbyshire:

  • Southern Derbyshire CCG
  • North Derbyshire CCG
  • Erewash CCG
  • Hardwick CCG
  • Tameside and Glossop CCG

Better Care Fund schemes

Better Care Fund (BCF) activity can be divided into six schemes. While these schemes are specific to BCF Derbyshire, they also promote the national vision for health and social care within NHS England.

Within these schemes there are a number of projects:

  • Enabling - self care: Projects which will allow for people to remain in their place of residence, while taking control of their health and wellbeing - £17.7m.
  • Social capital / community development:  Initiatives which support community led care solutions - £3.1m.
  • Proactive management of care:  Initiatives which identify individuals at risk of admission to hospital settings - £6.6m.
  • Reactive integrated care services:  Projects designed to prevent readmission to a hospital setting and permanent admission to care settings - £29m.
  • Diagnostic and assessment services:  Services which are provided at a scale above local teams - £4.6m.
  • Enablers / infrastructure:  Supporting mechanisms - £3.7m.

The six national metrics are:

  • Reducing non-elective (unplanned) admissions to hospital by 3.5%.
  • Ensure 82.5% of people who receive assistance in their residence after illness or injury remain at home 91 days after this period (known as re-ablement).
  • Substantially reduce the number of delayed transfers of care (when an individual is fit to be transferred from a hospital setting but arrangements are not in place to allow this to happen).
  • Reduce the number of permanent admissions to residential or nurse settings.
  • Increase the rate of dementia diagnosis where appropriate in line with prevalence rates of 69.9%.
  • Ensure 66% of those who complete the patient experience survey feel they have sufficient support from local services or organisations to manage their long term health condition.