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<p>Following a review of the first set of local plans for the Better Care Fund (BCF),
it has become clear that while the majority of areas have made good progress, there
is more we need to do to ensure every area is on track to deliver from next April.</p><p>
</p><p>As part of this, Ministers have agreed revised arrangements for the pay for
performance scheme to ensure that financial benefits linked to reductions in emergency
admissions can be clearly demonstrated and that health services and councils share
the financial responsibility if emergency admissions are not reduced.</p><p> </p><p>Key
elements of the agreement are:</p><p> </p><p>- BCF performance payments will now be
linked to reducing emergency admissions;</p><p>- the size of the performance payment
will be determined by local decisions on the level of ambition for the reduction in
emergency admissions and the amount spent on local NHS services, as set out in the
plan agreed by the local Health and Wellbeing Board;</p><p>- the remaining money from
the performance pot not earned through reducing emergency admissions will be used
to support local NHS services, as agreed by Health and Wellbeing Boards; and</p><p>-
the wider metrics in the initial performance framework will continue to be used to
monitor progress, but will not be used in assessments for the pay for performance
scheme.</p><p> </p><p>Revised guidance on the new pay for performance scheme and further
information required to improve BCF plans will be provided to the sector in coming
weeks, alongside details of support available and the timetable for submitting revised
plans.</p>
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