Government creates £170m fund to help older patients leave NHS hospitals

Councils will get £1m each to spend on social care to reduce the number of elderly patients occupying beds longer than needed

The government will announce a further £170m funding for councils on Monday, to help them improve care and support for elderly people coming out of hospital.

The boost comes after a healthcare thinktank warned that the NHS stood no chance of hitting its £20bn efficiency savings target unless steps were taken to curb a rise in elderly patients occupying hospital beds longer than necessary.

Local government leaders welcome the one-off payment, which is to be spent over the next three months, but warn that the social care funding system cannot go on being patched up without fundamental reform.

Of the £170m total, £150m will be divided among the 152 councils with social care responsibilities and will be allocated through NHS primary care trusts, which must agree how the money should best be spent to ease pressure on hospitals.

The remaining £20m will be used to top up local funding pots for the disabled facilities grant, a means-tested award administered by councils to help with the cost of adaptations to enable people to continue living at home.

All the cash is said to be coming from in-year savings in the Department of Health budget. The £20m extra for the disabled facilities grant is being passed to the Department for Communities and Local Government.

Paul Burstow, the care services minister, said: "It is absolutely crucial that the NHS and local authorities work together to help people leave hospital when they are ready. The benefits are on all sides – patients get to go home with the support they and their families need, and hospital beds are freed up."

Latest official figures show that 4,200 people are taking up hospital beds when ready for discharge. With beds costing about £200 a night, the King's Fund thinktank has warned that this will prevent the NHS achieving its target of 4% annual savings, amounting to £20bn by 2015.

According to the thinktank, more than 70% of hospital beds are occupied by patients admitted as emergencies and one in 10 of them, typically aged over 64, stay for longer than two weeks.

Peter Hay, president of the Association of Directors of Adult Social Services, said the funding boost would be put to use within days. Equally welcome was the signal it sent that the government understood the need for the health, social care and housing systems to work as one.

However, Hay added: "Pleased as we are with this helpful initiative, directors are well aware that it is a small, valuable contribution to solving a problem which goes far deeper."

Ministers are due to decide within the next two months whether to follow the recommendations of a commission led by the economist Andrew Dilnot, calling for radical reform of the funding of long-term care for elderly and disabled people.

The Treasury is known to be wary of the cost, which is an initial £1.7bn a year.

The health secretary, Andrew Lansley, said: "Savings have been made in the Department of Health's budget which we are investing to help people leave hospital as quickly as they can, when they are ready, and to receive support at home.

"Older people often need particular support after a spell in hospital to settle back into their homes, recover their strength and regain their independence. This money will enable the NHS and social care to work better together for the benefit of patients.

"This additional investment for health and care services is the result of determination to deliver savings, maintain quality and invest in services that matter to patients and their families and carers during the critical winter season."

Contributor

David Brindle

The GuardianTramp

Related Content

Article image
Letters: Deficiencies in care for older people
Letters: Most people who have visited an elderly relative in hospital will agree with the findings of the CQC: there is a dismal failure in basic care for the elderly

30, May, 2011 @11:04 PM

Older people promised new deal from NHS

Johnson calls for more preventive care so older people can live at home and stay out of hospital

Sarah Boseley, health editor

21, May, 2008 @11:04 PM

Article image
Councils get emergency £25m for social care to tackle hospital blockages
Ministerial committee approves funds to be shared between 65 councils where local hospital has the most delayed discharges

David Brindle

20, Jan, 2015 @12:24 PM

Article image
Government questions Andrew Dilnot's £1.7bn long-term care plan

More consultation needed over price tag of capping care costs and higher asset threshold, says health secretary

David Brindle and Nicholas Watt

04, Jul, 2011 @8:16 PM

Article image
Half of hospitals and care homes fail to offer proper treatment, says watchdog
Inadequacies in England's NHS hospitals and care homes highlighted by Care Quality Commission

Denis Campbell, health correspondent

15, Sep, 2011 @6:31 PM

Article image
Promises to simplify elderly care not kept, say MPs

Health select committee to say government's health reforms have failed to integrate care for a rapidly ageing population

Randeep Ramesh, social affairs editor

08, Feb, 2012 @6:00 AM

Article image
Southern Cross and Winterbourne View have tested public tolerance to destruction | Polly Toynbee

Polly Toynbee: The care homes scandal shows just what happens when financiers are free to make a profit out of the most vulnerable

Polly Toynbee

03, Jun, 2011 @6:00 PM

Letters: More thoughtful care for older people
Letters: Governments of all parties have stigmatised the elderly as 'bed-blockers'. It is hardly surprising then that health professionals regard them as squatters in a system which can no longer tolerate their needs

21, Feb, 2011 @12:05 AM

Article image
We need a commissioner for older people | Joan Bakewell

Joan Bakewell: Older people need a sympathetic individual to speak up for them, and help them navigate the complexities of social care

Joan Bakewell

14, Feb, 2012 @12:29 PM

Article image
Winterbourne View scandal prompts new care guidelines

Report warns that care sector risks slipping back into institutional culture typified by Victorian asylum system

David Brindle

10, Dec, 2012 @12:02 AM