Better Care Plan continues strong progress

Wiltshire’s Better Care Plan, which underpins care and support in the county, continues to make strong progress and maintain its national reputation, with plans in place for that to continue in 2016/17.

This was highlighted in a report to Wiltshire Council leaders this week, which outlined how the plan will continue to support residents in the coming financial year.

The Better Care Plan was developed by the council and the NHS Wiltshire Clinical Commissioning Group (CCG) in consultation with a wide range of local stakeholders.

It has already been held up as one of the top five care plans in the country and fast-tracked for sign-off by government ministers. The plan lays out how the council and the CCG will change how health and care services are provided, with the overriding focus being on ensuring people are cared for as close to home as possible, with home always the first option.

In a relatively short space of time the plan has had a positive impact. Over the past year the number of people who have been delayed in hospital has reduced significantly, with no delayed transfers of care at all in certain weeks. Recent figures show that in England the average for all delays has increased while in Wiltshire there has been a substantial decrease.

The national spending review confirmed the Better Care Fund will continue in 2016/17 and plans are now being put together on how this will be managed locally, with a proposed total Better Care Plan budget of almost £33m.

The performance targets for the plan in 2016/17 have also been set out. These include reducing permanent admissions to nursing and residential care, achieving the agreed dementia diagnosis rate for Wiltshire (which is 65%), continuing to reduce delayed transfers of care and ensuring high satisfaction with the services people receive.

Wiltshire Council corporate director, Maggie Rae, said:
“Our Better Care Plan is well established in Wiltshire and we will now build on what we have done so far and continue to deliver an effective, joined up service.

“The plan is about joint working with partners and provides the best opportunity for positive outcomes for vulnerable and elderly people.”

Wiltshire Council cabinet member for public health and adult care, Keith Humphries, said:
“We have made good progress and our plan continues to compliment and inform our way of working.

“Our adult social care staff have been integral to the positive performance since the plan has been in place and I’m sure going forward that will continue.”

NHS Wiltshire Clinical Commissioning Group’s chief financial officer, Simon Truelove comments:
“It’s really encouraging to see that our plan is starting to deliver real results. The confirmation of the Better Care Plan funding for the next year means that we are able to continue making positive progress towards achieving our vision of providing care as close to home as possible. We have gone some considerable way in achieving this however, we cannot be complacent, NHS and local authority finances are extremely challenging, the success of the Better Care Plan is crucial to our future sustainability.”


Notes to editors:

This week, Wiltshire’s Health and Wellbeing Board, who put the Better Care Plan in place, won ‘Effective Health and Wellbeing Board’ at the LGC Awards 2016.

The key national targets and indicators for the Better Care Plan for 2016/17 are:

  • Achieve reduction in non-elective admissions in local target set
  • Delivery of the 91 day indicator
  • Reduction in delayed transfers of care ( days and people ) in line with local target set
  • Reduction in permanent admissions to nursing and residential care in line with local target set
  • Achieve the agreed dementia diagnosis rate for Wiltshire which is 65%
  • Ensure there are fewer hospital admissions from nursing and care homes (local targets set for each GP locality area)
  • Ensure at least 85% of those patients surveyed express satisfaction with the integrated services they receive.

The Comprehensive Spending Review confirmed that the Better Care Fund will continue into 2016/17, with a mandated minimum of £3.9 billion to be deployed locally on health and social care through pooled budget arrangements between local authorities and clinical commissioning groups.

The Wiltshire Health and Wellbeing Board, CCG Governing Board, and the Better Care Plan Task Group will receive regular progress reports on the implementation of the plan.