WMCA news • 17 January 2023
A letter and the guidance can be found here.
The letter states that "This funding should be used to purchase bedded step down capacity plus associated clinical support for patients with no criteria to reside but who cannot be discharged with the capacity available through existing funding routes or the Adult Social Care £500m Discharge Fund announced previously'.
Some things to note:
- This fund will pay for up to four weeks of a new or extended package of care at the point of discharge from an inpatient bed for patients who no longer meet the criteria to reside in their inpatient bed. It will also pay for any clinical advice or therapeutic interventions in a step down facility to support the patient’s recovery, reconditioning, or rehabilitation, to optimise their outcome in advance of discharge from the step down facility.
- No person should experience a delay in receiving the right care because of funding agreements. On the rare occasion that ongoing care requirements and funding route for the individual have not been determined within the four week period funded under these arrangements, the £200m fund must not be used to cover the cost of care beyond that point. Any costs that the NHS or local authorities incur on care from week five onward, until ongoing care requirements and funding routes have been determined, must be met from existing local budgets.
- ICBs, working with local authorities, primary care, community services and other care at home teams in each area, will ensure that people discharged to step down placements under this scheme receive adequate care. This will include a care and support plan within 48 hours of admission and a full assessment within seven days. They will further ensure that rehabilitation care and support is in place so that patients will have a date set for return to their usual place of residence within four weeks, with appropriate medical oversight.
- Some scheme funding should be used to deliver wrap around NHS care with the purchase of additional clinical (physical and mental health) and therapeutic capacity (over and above capacity delivered through the Enhanced Health In Care Homes framework).
- ICBs have a series of metrics they need to report - some of which are daily. These don't appear to be capacity tracker questions........ which raises the question of how they get this information from hospitals/providers.
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