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34 itf presentation


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by Sandie Keene, President of ADASS

Published in: Health & Medicine
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34 itf presentation

  1. 1. Integration Transformation Fund Sandie Keene President, ADASS Director, Leeds City Council 6 December 2013
  2. 2. Integration Transformation Fund - Context • • The funding is an opportunity to improve the lives of some of the most vulnerable people in our society, giving them control, placing them at the centre of their own care and support , make their dignity paramount and in doing so provide them with a better service and better quality of life • The ITF is a joint DH and DCLG programme. • NHS England, the LGA and ADASS will work closely with DH and DCLG to shape the way the ITF works in practice. They have established a working group of CCGs, local authorities and NHS England Area Teams to help in the process. • DH and DCLG Ministers will have oversight of the arrangements, agree policy, sign off local plans, and review progress in implementation. Norman Lamb and Brandon Lewis will jointly chair the Ministerial Board. • A key milestone of the work will be agreed plans in all localities by March 2014. • 2 The Integration Transformation Fund (ITF) was announced as part of the Spending Round in June 2013. A joint statement on the ITF was issued by NHS England and the LGA on 9 August, Jon Rouse and Helen Edwards also wrote to Adult Social Care Directors and Chairs of Health and Wellbeing Boards on the same day. 2014/15 will provide a baseline year, during which local places will be supported to move to the provision of integrated models of care. Integration Transformation Fund
  3. 3. Details of the ITF Fund The June 2013 SR set out the following: 2014/15 2015/16 An additional £200m transfer from the NHS to social care, in addition to the £900m transfer already planned £3.8bn pooled budget to be deployed locally on health and social care through pooled budget arrangements In 2015/16 the ITF will be created from the following: £1.9bn additional NHS funding £1.9bn based on existing funding in 2014/15 that is allocated across the health and wider care system. Composed of: • £130m Carers’ Breaks funding • £300m CCG reablement funding • £354m capital funding (including c.£220m of Disabled Facilities Grant) • £1.1bn existing transfer from health to social care 3 Integration Transformation Fund
  4. 4. Conditions on the ITF Fund The £3.8bn pooled budget will only be released to local areas with agreed plans for how it will be used £1bn of the funding will be linked to outcomes achieved 4 Content of the plans In general, the content of the plans will be locally agreed, but there will be some nationally mandated elements. These will include: Payment for performance Payment will be based on a combination of locally and nationally set outcome measures. Half of the funding will be paid at the beginning of 201516 (based on performance in the previous year) and the remainder in the second half of the year against performance in year. In order to access all of the funding, local areas will need to meet their planned outcomes. plans to be jointly agreed; protection for social care services (not spending); As part of agreed local plans, 7 day working in health and social care to support patients being discharged and prevent unnecessary admissions at weekends, aligned to; better data sharing between health and social care, based on the NHS number ensure a joint approach to assessments and care planning; ensure that, where funding is used for integrated packages of care, there will be an accountable professional; risk-sharing principles and contingency plans if targets are not met – including redeployment of the funding if local agreement is not reached; and agreement on the consequential impact of changes in the acute sector. Integration Transformation Fund
  5. 5. Key issues to address SCOPE How best to protect social care to benefit health? OUTCOMES Who will benefit and how will we prove they have? SERVICES How will services change to deliver sustainably? REWARD How to secure and share the whole fund?
  6. 6. Building on existing strengths SCOPE Identifying people at greatest risk of hospital admission OUTCOMES Joint Commissioning to deliver better results SERVICES Re-ablement to keep people at home REWARDS CQUINN, QOF, new contract models to incentivise providers
  7. 7. The real challenges SHARING INFORMATION to plan and deliver intelligently SHARING MONEY to commission for individuals across services SHARING STAFF to enable best use of skill and resources SHARING RISK to maximise shared gain and mitigate shared losses
  8. 8. ITF Plan requirements? Metrics Ambition Population in scope Resource shifts Conditions Performance 2015/16 Choice and control Pooled budget 2014/15 Wellbeing outcomes Total social care spend 2015/16 Health outcomes Total CCG spend 2014/15 Jointly signed off  Emergency admissions Protects social care  Effective re-ablement Data sharing  Delayed transfers 7 day working  Accountable professional  Residential and nursing care admissions Impact on acute hospitals  User experience Risk sharing agreement  Local Priority
  9. 9. Next steps FEBRUARY 2014 Agree ITF Plan setting whole system goals, allocations and service levels, setting the ground for delivery in 14/15 and 15/16 SEPTEMBER 2014 Ensure delivery of the national conditions (protection of social care, data sharing, 7 day working, accountable professional, risk sharing, acute sector implications) and baseline performance. SEPTEMBER 2015 Ensure delivery of agreed performance goals to secure full payment of the ITF in 2015/16. Confirm delivery of national conditions and local whole system changes.