Better Care Fund
What is the Better Care Fund?
The Better Care Fund (BCF) is a joint fund which has been created between the London Borough of Haringey and Haringey CCG. The money will be spent on improving the ways health services and social care services work together, starting with services for older people (over 65) and people with long term health conditions. We have developed plans for how we will use the Better Care Fund in Haringey. You can find out more on this page.
What do we want to achieve?
“By April 2019, we want people in Haringey to be healthier and to have a higher quality of life for longer. We want everyone to have more control over the health and social care they receive, for it to be centred on their needs, supporting their independence and provided locally wherever possible.”
This will be achieved by a reorientation of health and social care provision from reactive care (mainly provided in acute and institutional settings) to proactive care (mainly provided in people’s homes and by primary, community and social care). We will not define people by their disabilities, but by their abilities, their potential and what they can do for themselves, with and without support.
Haringey’s older people
We have focused Haringey’s Better Care Fund on older people for the following reasons:
- 13% (22,400) of the Haringey population is over 65 years old.
- Over 65s make up 56% of the High/Very High Risk categories for an emergency hospital admission
- 74% of over 65s in Haringey have one or more long term condition. This group also has poorer mental health (e.g. depression).
- There is a nine year life expectancy gap between east and west Haringey linked to preventable long term conditions (e.g. diabetes, coronary heart disease).
- There has been a recent increase in the number of over 85s having a fall.
- Haringey has recognised the need to improve the quality of health and social care services in residential and care homes to prevent emergency hospital admissions.
What do people in Haringey want?
We’ve spoken to over 200 people in Haringey about our plans for the Better Care Fund and this is what they have told us. People want:
- Easy to access services, through a single point of access
- Well managed services provided by competent professionals and staff
- Person Centred services which are personalised to the experiences and views of people who use them
- Good and timely information, from a variety of sources including the voluntary and community sector
- Individuals to be enabled to do things for themselves through prevention , self-management and reablement
- Health professionals to work together as one team, including the patient/service user, with clear and constant communication
- To use the resources in local communities to promote wellbeing and reduce loneliness
What are we doing in Haringey?
We are focusing on four things (more detail is available in the full Better Care Fund plan):
1. Hospital Admission Avoidance:
- Locality Teams (care co-ordination and care plans);
- Rapid Response service (urgent support to prevent hospital admissions);
- Dementia Day Centre (informal carers’ support service);
- Mental Health Recovery College (recovery and well-being course for mental health service users);
- Falls prevention (strength and balance exercise programme).
2. Effective Hospital Discharge:
- Reablement (support to restore independent functioning);
- Step Down (community convalescence facility);
- Home from Hospital (volunteer led befriending and home visiting).
3. Promoting Independence:
- Neighbourhood Connects (community development to reduce isolation);
- Supported self-management (expert patient programmes for long term conditions)
- Palliative Care (support for people at the end of their life)
4. Integration Enablers:
- Interoperable IT (connected health and social care IT);
- Workforce Development (seven day working and education and training);
- Disabled Facilities (environmental modifications);
- Care Act Responsibilities (supporting carers and safeguarding)
You can view the Better Care Fund presentation here or read resident Harry Gray's* story to see how the services will help local people.
* Harry Gray is based on a real person in Haringey, however his name has been changed.
- Locality Teams will be multi-disciplinary teams based around clusters of GP practices, with care co-ordinators assigned to patients at high risk of unplanned admissions
- Care co-ordinators will carry out joint assessments (with other team members) and develop person centred care and support plans.
- Locality Teams will provide a single point of access to those patients with care and support plans, through the named care co-ordinator