In 2022, as the health and care system faced exceptional pressure, the government announced a £500 million Adult Social Care Discharge Fund. Shortly after, it announced a further £250 million hospital discharge fund. Our research with six sites in England found that they welcomed the Adult Social Care Discharge Fund, but had too little advance notice to develop the most effective plans and ensure value for money. The subsequent £250 million hospital discharge fund was announced with even less notice, and overlapped with the plans that had just been developed to spend the first tranche of funding. To make best use of future funding for hospital discharge, we propose the following: (1) The Department of Health and Social Care should only use short-term, ring-fenced funding on an exceptional basis and should ensure sufficient notice to sites so that they can plan for it--as has now been done for funding in 2023/24 and 2024/25. (2) The Department should set funding criteria and develop guidance in ways that maximise places’ flexibility to reflect local priorities. (3) The Department should work with NHS and local government representative bodies to ensure a low-burden, value-adding approach to monitoring. (4) Places should invest effort in developing shared understanding of discharge performance, causes of delays and priorities for action. This would require agreement on which metrics to use as well as joint analysis of those metrics, and better information-sharing. (5) Places should consider partnership working on discharge as an exemplar that can help them develop greater depth of integration.
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