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<p>The Better Care Fund (BCF) brings together health and social care funding. As set
out in the Integration and BCF Policy Frameworks for each of 2015-16<sup>1</sup>,
2016-17<sup>2</sup> and 2017-18<sup>3</sup>, the breakdown of the BCF by the mandatory
funding streams is shown in the following table.</p><p> </p><table><tbody><tr><td><p>Mandatory
BCF funding streams</p></td><td><p>2015-16</p></td><td><p>2016-17</p></td><td><p>2017-18</p></td></tr><tr><td><p>Minimum
clinical commissioning groups (CCG) contribution</p></td><td><p>£3.46 billion</p></td><td><p>£3.519
billion</p></td><td><p>£3.582 billion</p></td></tr><tr><td><p>Disabled Facilities
Grant (DFG)</p></td><td><p>£0.354 billion<sup>4</sup></p></td><td><p>£0.394 billion</p></td><td><p>£0.431
billion</p></td></tr><tr><td><p>Grant allocation for adult social care – Improved
Better Care Fund (IBCF)</p></td><td><p>-</p></td><td><p>-</p></td><td><p>£1.115 billion</p></td></tr><tr><td><p>Total
mandatory size of the BCF</p></td><td><p>£3.8 billion</p></td><td><p>£3.9 billion</p></td><td><p>£5.128
billion</p></td></tr></tbody></table><p> </p><p>Notes:</p><p> </p><p><sup>1</sup>Better
Care Fund Policy Framework 2015-16</p><p> </p><p><a href="https://www.gov.uk/government/publications/better-care-fund-how-it-will-work-in-2015-to-2016"
target="_blank">https://www.gov.uk/government/publications/better-care-fund-how-it-will-work-in-2015-to-2016</a></p><p>
</p><p><sup>2</sup>Better Care Fund Policy Framework 2016-17</p><p> </p><p><a href="https://www.gov.uk/government/publications/better-care-fund-how-it-will-work-in-2016-to-2017"
target="_blank">https://www.gov.uk/government/publications/better-care-fund-how-it-will-work-in-2016-to-2017</a></p><p>
</p><p><sup>3</sup>Integration and Better Care Fund Policy Framework 2017-19</p><p>
</p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/605164/Integration_and_BCF_policy_framework_2017-19.pdf"
target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/605164/Integration_and_BCF_policy_framework_2017-19.pdf</a></p><p>
</p><p><sup>4</sup>This includes £0.22 billion DFG and £0.134 billion Social Care
Capital Grant.</p><p> </p><p>As one of the conditions for the BCF, each Health and
Wellbeing Board agrees a contribution to social care from the minimum CCG contribution,
and must maintain this contribution at least in real terms in each year subsequent
to 2015-16. The overall contributions from the minimum CCG BCF funding stream to social
care from 2015-16 to 2017-18 are as follows:</p><table><tbody><tr><td><p> </p></td><td><p>2015-16</p></td><td><p>2016-17</p></td><td><p>2017-18</p></td></tr><tr><td><p>Social
care contribution from minimum CCG contribution<sup>5</sup></p></td><td><p>£1.410
billion</p></td><td><p>£1.541 billion</p></td><td><p>£1.594 billion</p></td></tr></tbody></table><p>
</p><p>Note:</p><p> </p><p><sup>5</sup>Figures in this table are information collected
under standard national BCF planning and quarterly reporting cycles for the respective
years by the Better Care Support Team, hosted by NHS England, and planned to be published
in due course.</p><p> </p><p>Improved Better Care Fund (IBCF) grants and the DFG are
paid directly to local authorities, with a condition that they are pooled into local
BCF spending plans. The DFG is paid to local authorities with social care responsibilities
to pay for capital costs related to housing adaptations for people with care needs.
IBCF grant must be used to deliver services for the three purposes set out in the
grant conditions, i.e.:</p><p>- Meeting adult social care needs;</p><p>- Reducing
pressure on the National Health Service, including supporting more people to be discharged
from hospital when they are ready; and</p><p>- Ensuring that the local social care
provider market is supported.</p><p> </p><p>Beyond the mandated minimum for the BCF,
local authorities and CCGs often agree to voluntarily make additional contributions
to their BCF plans, and use them to fund and deliver services, including integrated
services delivered through local authorities. While these voluntary contributions
are not subject to the BCF national conditions and the requirements of the fund, they
are planned and pooled within the BCF and signify the commitment towards joint working
and integrated approaches.</p><p> </p><table><tbody><tr><td><p>Voluntary additional
BCF funding components<sup>6</sup></p></td><td><p>2015-16</p></td><td><p>2016-17</p></td><td><p>2017-18</p></td></tr><tr><td><p>From
CCGs</p></td><td><p>£745 million</p></td><td><p>£1,048 million</p></td><td><p>£1,101
million</p></td></tr><tr><td><p>From Local Authorities</p></td><td><p>£782 million</p></td><td><p>£941
million</p></td><td><p>£1,093 million</p></td></tr></tbody></table><p> </p><p>A Quality
and Outcomes of Person-centred Care Policy Research Unit system-level evaluation of
the BCF is underway, with the final report planned for this summer. This will contain
information on different categories of BCF spend, including social care.</p><p> </p><p>Note:</p><p>
</p><p><sup>6</sup>Figures in this table are information collected under standard
national BCF planning and quarterly reporting cycles for the respective years by the
Better Care Support Team, hosted by NHS England, and planned to be published in due
course.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p>
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