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To ask the Secretary of State for Health and Social Care, with reference to the policy paper entitled 2023 to 2025 Better Care Fund policy framework, published on 5 April 2023, how his Department is using the additional £1.6 billion funding for the discharge of hospital patients into social care.
To ask the Secretary of State for Health and Social Care, with reference to the policy paper entitled 2023 to 2025 Better Care Fund policy framework, published on 5 April 2023, how his Department is using the additional £1.6 billion funding for the discharge of hospital patients into social care.
The 2023 to 2025 Better Care Fund policy framework allows areas to plan more strategically over a longer period. We have committed at least £16.8 billion to improve discharge, as well as reduce pressure on urgent and emergency care, social care, intermediate care, unpaid carers and housing. This includes an extra £600 million in 2023/24 and £1 billion in 2024/25 allocated via the Discharge Fund to local authorities and integrated care boards. They have the flexibility to spend this in ways they deem most appropriate to assist local areas in freeing up the maximum number of hospital beds and reducing bed days lost through, for example, short-term packages of care, community-based reablement capacity or building the workforce capacity needed to continue to support care users.
To ask the Secretary of State for Health and Social Care, how many and what proportion of hospitals (a) have and (b) do not have care transfer hubs.
To ask the Secretary of State for Health and Social Care, how many and what proportion of hospitals (a) have and (b) do not have care transfer hubs.
Care transfer hubs are local health and social care coordinating centres linking all relevant services across sectors to manage complex discharges. As of May 2023, 167 National Health Service acute trusts (99%) self-assessed as aligned to a care transfer hub, and one was in the process of setting one up.
As of May 2023, 19 community hospital trusts said they were not yet aligned to a care transfer hub, and these will be a focus for the next phase.
We have since provided support to local systems to strengthen their care transfer hubs ahead of this winter. This support is provided through the Urgent and Emergency Care Recovery Plan support offer, and includes webinars, action learning sets and access to case studies and best practice.
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to (a) discharge patients from hospitals and (b) reduce the number of patients in hospital who do not meet residency criteria.
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to (a) discharge patients from hospitals and (b) reduce the number of patients in hospital who do not meet residency criteria.
The Government is investing £600 million this year and £1 billion next year through the Discharge Fund for local authorities and National Health Service integrated care boards to spend flexibly based on their local needs. This will include the purchase of short-term packages of care, community-based reablement capacity and building the workforce capacity needed to continue to support care users.
We are also supporting all systems to improve their care transfer hubs through the support offer set out in the 'Delivery plan for recovering urgent and emergency care', which includes webinars, actions learning sets and sharing best practice. Care transfer hubs link across health, social care, the voluntary sector and housing partners to coordinate complex discharges. This will help to ensure patients are discharged safely and to the right setting as soon as possible.
To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 12 September 2023 to Question 198332 on Community Hospitals: Discharges, what steps his Department is taking to help reduce the level of delayed discharges in community hospitals.
To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 12 September 2023 to Question 198332 on Community Hospitals: Discharges, what steps his Department is taking to help reduce the level of delayed discharges in community hospitals.
On 15 September 2023, NHS England published the Intermediate Care Framework for Rehabilitation, Reablement and Recovery following Hospital Discharge. This best practice guidance aims to improve patient experience and outcomes, as well as improving flow and discharge from acute and community hospitals, freeing-up National Health Service hospital capacity for those who need it most.
Additionally, the Better Care Fund Policy Framework sets out the government’s priorities for 2023-25. These include tackling delayed discharge and bringing about sustained improvements in discharge outcomes and wider system flow. For 2023-25, we have committed at least £16.8 billion to the Better Care Fund. As in previous years, areas are free to contribute further voluntary contributions.
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to reduce unsafe early discharges from hospitals.
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to reduce unsafe early discharges from hospitals.
It is important that people are discharged safely from hospital, when they are clinically ready, to the most appropriate place, with timely and appropriate recovery support if needed. From the outset of a patient’s hospital admission it is the role of the multi-disciplinary team leading the care, plus the patient, their family and carers, to set the clinical criteria for discharge, and the expected date of discharge should be set by the consultant at the first review. Clinicians decide the point when a patient is medically ready for discharge, and the discharge is carried out once suitable onward care is arranged as needed by the care transfer hub.
To ask the Secretary of State for Health and Social Care, if he will make an estimate of the number of hospital process-related delays to discharge in each of the last 12 months.
To ask the Secretary of State for Health and Social Care, if he will make an estimate of the number of hospital process-related delays to discharge in each of the last 12 months.
NHS England publishes monthly management information on the reason for discharge delays. The data, along with information on how it should be interpreted, is available at the following link:
https://www.england.nhs.uk/statistics/statistical-work-areas/discharge-delays-acute-data/
What recent progress his Department has made on discharging patients from hospital into social care.
What recent progress his Department has made on discharging patients from hospital into social care.
I am pleased to inform the House today that we are spending an additional £240 million to support health and care services over winter.
This includes:
- £200 million in new and additional funding for the NHS to ensure patients continue to get the care they need through its busiest period, and
- £40 million...
I am pleased to inform the House today that we are spending an additional £240 million to support health and care services over winter.
This includes:
- £200 million in new and additional funding for the NHS to ensure patients continue to get the care they need through its busiest period, and
- £40 million...
My Rt. Hon Friend the Secretary of State for Health and Social Care (Steve Barclay) has made the following written statement:
I am pleased to inform the House today that we are spending an additional £240 million to support health and care services over winter.
This includes:
- £200 million in new and additional...
My Rt. Hon Friend the Secretary of State for Health and Social Care (Steve Barclay) has made the following written statement:
I am pleased to inform the House today that we are spending an additional £240 million to support health and care services over winter.
This includes:
- £200 million in new and additional...
To ask the Secretary of State for Health and Social Care, how many and what proportion of patients in community hospitals had their discharges delayed since January 2023.
To ask the Secretary of State for Health and Social Care, how many and what proportion of patients in community hospitals had their discharges delayed since January 2023.
On average, since January 2023, 1,956 patients per week, with a length of stay of 14 days or over in a community hospital, no longer met the criteria to reside but had not been discharged. Data is not available on the proportion of beds occupied by those that no longer meet the criteria to reside in a community hospital.
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure rough sleepers are not discharged from hospital back onto the streets.
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure rough sleepers are not discharged from hospital back onto the streets.
The Department is committed to promoting safe and timely discharge for people experiencing, or at risk of, homelessness, to appropriate accommodation. During 2020/21 and 2021/22, the Department, through the Shared Outcomes Fund, provided a total of £15.85 million to 17 sites to pilot Out of Hospital Care Models supporting people at risk of homelessness.
These models provide interim accommodation and care and support while full assessments of individual needs are carried out. Feedback from sites suggests these models are important in supporting discharge and maintain flow.
Whilst full evaluation is still underway, there are positive preliminary findings, including savings to the National Health Service and other public services due to the programme. A final evaluation of the programme will be delivered in December 2023 and from this we will share learning to encourage local areas to adopt similar models.
In addition, we will continue to work to improve the effectiveness and efficiency of the Duty to Refer people believed to be homeless or at risk of homelessness, from NHS services to local authorities with their consent.
Improving how discharges are arranged for people experiencing, or at risk of homelessness, will also be supported by our wider work to improve discharge processes. This includes ensuring effective care transfer hubs are in place for every system ahead of winter to coordinate and support timely discharge to the right setting for people with more complex needs.
First, I add my thanks to the noble Baroness, Lady Armstrong, and all the contributors to the report. It was a thoughtful and constructive report, just as today’s debate has been. I thank noble Lords for that.
Probably one of the benefits of debating the report now, a few months later,...
First, I add my thanks to the noble Baroness, Lady Armstrong, and all the contributors to the report. It was a thoughtful and constructive report, just as today’s debate has been. I thank noble Lords for that.
Probably one of the benefits of debating the report now, a few months later,...
I thank the noble Baroness for being here to chair this debate; I know that this is an area in which she, too, has a strong interest. I apologise to her and to other members of the Committee, in that more people who were members of the Public Services Committee...
I thank the noble Baroness for being here to chair this debate; I know that this is an area in which she, too, has a strong interest. I apologise to her and to other members of the Committee, in that more people who were members of the Public Services Committee...
My Lords, I thank the noble Baroness, Lady Armstrong of Hill Top, not only for chairing this committee and producing an excellent report but on now bringing it to your Lordships’ committee for us to debate. I declare my interest as president of the Rural Coalition and a vice-president of...
My Lords, I thank the noble Baroness, Lady Armstrong of Hill Top, not only for chairing this committee and producing an excellent report but on now bringing it to your Lordships’ committee for us to debate. I declare my interest as president of the Rural Coalition and a vice-president of...
My Lords, I am also pleased to be able to contribute to this debate as a member of the committee. I pay tribute to my noble friend Lady Armstrong, who was the inaugural chair of the Public Services Committee and has led it through its first years. Indeed, this report...
My Lords, I am also pleased to be able to contribute to this debate as a member of the committee. I pay tribute to my noble friend Lady Armstrong, who was the inaugural chair of the Public Services Committee and has led it through its first years. Indeed, this report...
My Lords, it is a pleasure to follow the noble Baroness, Lady Morris of Yardley, and to join others in thanking the noble Baroness, Lady Armstrong of Hill Top, for this report. I share the reflection that it is a great pity that there is no capacity for people to...
My Lords, it is a pleasure to follow the noble Baroness, Lady Morris of Yardley, and to join others in thanking the noble Baroness, Lady Armstrong of Hill Top, for this report. I share the reflection that it is a great pity that there is no capacity for people to...
My Lords, we are all grateful to the members and staff of the Public Services Committee for producing this excellent report and to the noble Baroness, Lady Armstrong, for introducing it. I want to explore five issues that arise from it.
First, I was very much struck by the comments in...
My Lords, we are all grateful to the members and staff of the Public Services Committee for producing this excellent report and to the noble Baroness, Lady Armstrong, for introducing it. I want to explore five issues that arise from it.
First, I was very much struck by the comments in...
My Lords, I thank everyone who has been involved today. There are lots of issues that have come up, but I hope that the Minister understands that we saw this as a national emergency. I do not meet anyone now, who, if they begin to talk to you about the...
My Lords, I thank everyone who has been involved today. There are lots of issues that have come up, but I hope that the Minister understands that we saw this as a national emergency. I do not meet anyone now, who, if they begin to talk to you about the...
Lords motion to take note of the second report of the Public Services Committee on Emergency healthcare: a national emergency (HL 130). Agreed to on question.
Lords motion to take note of the second report of the Public Services Committee on Emergency healthcare: a national emergency (HL 130). Agreed to on question.