The new 2021-22 BCF Policy Framework was published on 19.8.21.

It sets four national conditions for local plans:

  1. A jointly agreed plan between local health and social care commissioners, signed off by the HWB 
  2. NHS contribution to adult social care to be maintained in line with the uplift to CCG minimum contribution 
  3. Invest in NHS-commissioned out-of-hospital services 
  4. A plan for improving outcomes for people being discharged from hospital 

There is a focus on reducing length of stay in hospital, plus increasing the numbers of people discharged to their usual home, both reflected in the metrics for BCF plans, which will have to show how performance will improve based on:

  1. Hospital discharge indicators (noted above) 
  2. Avoidable admissions to hospital 
  3. Admissions to residential and care homes
  4. Effectiveness of reablement  

The previous non-elective admissions metric is replaced by a metric for avoidable admissions, with a focus on efforts to support people to live independently in their own home and prevent avoidable stays in hospital.

As previously announced, the 2021-22 BCF budget is £6.9 billion [£4.3 billion NHS funding, £2.1 billion improved Better Care Fund (iBCF) grant to local authorities and £573 million for Disabled Facilities Grant].

The BCF Review of the future of the BCF from April 2022 onwards is ongoing.
[August 2021]