Intended Outcomes/Success Measures. This scheme will not contribute to the BCF metrics. The measures that will be used to identify whether the scheme is working include: • % of referrals acknowledged within 2 days of receipt (by email or text). • % of referrals (reviewed by the MDT Panel) with referral decision communicated to the referrer within 2 weeks. • % of EHC needs assessment reports provided within 6 weeks (statutory) by therapy type: SaLT, OT & physiotherapy. • % of parents / carers satisfied with the timeliness of the identification of their child's needs. • % of parent / carers who report that the pathway process is clear and that they feel involved in agreeing their child's intervention outcomes. • Youth Justice SaLT: 100% of young people are offered a SaLT assessment within 2 weeks of referral being accepted. • Youth Justice SaLT: 100% of all Pre-sentence Reports and Breach reports have SaLT contribution. • Youth Justice SaLT: 100% of young people are provided with a report and communication profile outlining their strengths, needs and adaptations.
Intended Outcomes/Success Measures. This scheme will contribute to the following key BCF metric:
Intended Outcomes/Success Measures. This scheme will contribute to the following key BCF metric:
a) Reduction in non-elective admissions. The following measures that link to the Hillingdon outcomes framework for older people will also be used to identify whether the scheme is working: A ceiling of 892 falls-related emergency admissions of people aged 65 and over.
Intended Outcomes/Success Measures. This scheme will contribute to the following BCF national metrics: • Admission avoidance metric: Reduction in non-elective admissions of people with ambulatory care sensitive conditions. The ceiling for 2022/23 is 874. • Percentage of people who are discharged from acute hospital to their usual place of residence: The percentage of Hillingdon residents aged 18 and above discharged to their usual home. The target for 2022/23 is 93.2%. • Permanent admissions to care homes metric: Reduction in permanent admissions to care homes per 100,000 65 + population. The ceiling for 2022/23 is 776.3. • Still at home 91 days after discharge metric: An increase in the percentage of people aged 65 + still at home 91 days after discharge. The 2022/23 target is 90.5%.
Intended Outcomes/Success Measures. This scheme will impact on the following BCF metrics: • Admission avoidance metric: Reduction in non-elective admissions of people with ambulatory care sensitive conditions. The ceiling for 2022/23 is 874. • Percentage of people who are discharged from acute hospital to their usual place of residence: The percentage of Hillingdon residents aged 18 and above discharged to their usual home. The target for 2022/23 is 93.2%. The following measures will be used to identify whether the scheme is working: • % of people with learning disabilities known to services in paid employment. • % of people with learning disabilities known to services in settled accommodation. • % of people with learning disabilities known to services receiving an annual health check. • % of Service Users with an up to date Health Action Plan.
Intended Outcomes/Success Measures. This scheme will contribute to the following key BCF metric: • Unplanned admissions for ambulatory sensitive chronic conditions (admission avoidance metric): Reduction in non-elective admissions of people with ambulatory care sensitive conditions. The ceiling for 2023/24 is 879.7 per 100,000 population aged 18 and over. • Permanent admissions to care homes by people aged 65 and over: Reduction in permanent admissions to care homes per 100,000 65 + population. The ceiling for 2023/24 is 270 admissions. • Emergency hospital admissions due to falls in people aged 65 and over: The ceiling for 2023/24 is 865 admissions.
Intended Outcomes/Success Measures. This scheme will impact on the following BCF metrics: • Discharge to usual places of residence: This is the percentage of people aged 18 and above discharged from hospital to their usual place of residence. The target for 2023/24 is 91.9%. • The proportion of older people who were still at home 91 days after discharge from hospital into reablement: The 2023/24 target is 94.9%. 2023/24 is the final year of this metric. • Proportion of people discharged who are still at home after 91 days: This new metric is due to replace the above measure from 2024/25. • Discharge metric ahead of winter 2023. This new metric is intended to measure the period between the ‘discharge ready date’, i.e., the date when it is expected that a person will be ready for discharge and when they are actually discharged. Other success measures include:
Intended Outcomes/Success Measures. This scheme will contribute to the following national BCF metrics: • Admission avoidance metric: Reduction in non-elective admissions of people with ambulatory care sensitive conditions. See scheme 1. • Percentage of people who are discharged from acute hospital to their usual place of residence: The percentage of Hillingdon residents aged 18 and above discharged to their usual home. See scheme 3. • Permanent admissions to care homes metric: See scheme 1. The following measures will be used to identify whether the scheme is working: • Number of CQC registered care providers that experience business failure. • Reduction in inappropriate non-elective admissions from extra care sheltered housing schemes. • Proportion of people on an end of life pathway on CMC who achieved their preferred place of death.
Intended Outcomes/Success Measures. This scheme will impact on the following BCF metrics: • Admission avoidance metric: See scheme 1. • Percentage of people who are discharged from acute hospital to their usual place of residence: See scheme 3. The following measures will be used to identify whether the scheme is working: • % of people with learning disabilities known to services in paid employment. • % of people with learning disabilities known to services in settled accommodation. • % of people with learning disabilities known to services receiving an annual health check. • % of Service Users with an up to date Health Action Plan.
1. Figures in the tables within this Schedule are subject to rounding and therefore totals given may not be the sum of the numbers provided.
2. Table 1 summarises the total contribution by organisations in 2023/24. NHS 29,658,745 LBH 66,875,873 3. Table 2 below provides a breakdown by BCF funding stream for 2023/24. Minimum NHS Contribution 22,869,590 Additional NHS Contribution 5,524,379 ICB Discharge Fund 1,264,776 Minimum LBH Contribution 12,578,861 Additional LBH Contribution 53,250,038 LBH Discharge Fund 1,046,974 4. Table 3 below summarises the Council and NHS contributions for 2023/24. 1. Neighourhood development 3,052 3,025 6,077 2. Supporting carers 690 471 1,161 3. Reactive care 5,489 19,990 25,479 4. Improving care market management and development. 26,232 5,083 31,315
Intended Outcomes/Success Measures. This scheme will impact on the following BCF metrics: Reduction in permanent admissions to care homes. Protecting Social Care 6,085 6,201 6,696 CCG Share of Minimum Contribution 10,769 10,974 11,666 Disabled Facilities Grant 3,815 4,174 4,505 Additional Council Contribution 5,702 11,646 35,086 Winter Pressures 0 0 1,041 IBCF Section 31 Grant 4,054 5,258 6,207 Additional CCG Contribution 6,639 15,796 25,887 Additional CCG Contribution - Discharge to Assess 0 239 239 Additional CCG Contribution - Integrated therapies for children and young people 0 0 2,231 Additional CCG Contribution - Integrated care and support for people with learning disabilities 0 0 138 Funding to be transferred to LBH from HCCG 23,243 34,201 46,114 Funding to be repaid to HCCG to cover contract/service obligations shown in Table 2 below. 17,158 26,770 37,553 Funding retained by LBH to cover contract/service obligations shown in Table 2 below. 6,085 6,440 8,560 iBCF (£,000) Winter Pressures (£,000) TOTAL (£,000) 5 Residential Care Homes 862 189 1,051 Nursing Care Homes 1,817 386 2,203 Homecare care hours 3,528 466 3,994 1.1 Wellbeing Service H4All 0 351 351 1.3 Falls Prevention Age UK 0 127 127 1.4 Integrated Care Programme HCCG 1,755 1,755 1.5 Care Connection Teams HHCP 332 332 1.6 Core Grant Age UK 582 0 582 1.7 Core Grant DASH 98 0 98 1.8 Core Grant Mind 80 0 80 1.9 Connect to Support Shop4Support 45 0 45 1.10 Online Services Coordinator LBH 48 0 48 1.12 Telecare - DFG LBH 360 0 360 1.13 Major Adaptations - DFG LBH 2,120 0 2,120
