Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, how many and what proportion of local health communities have implemented the High Impact Change Model (23) for reducing delayed transfers of care in (a) March 2017 and (b) October 2017.

Information on High Impact Change (HIC) Model implementation for March 2017 is not available. Quarter 1 data was not collected. Self-assessed Better Care Fund quarterly reporting returns for Quarter 2 (end of September) provide information at a Health and Wellbeing Board level. This shows the number of Health and Wellbeing Board areas at ‘Established’ level (or better) in each of the HIC elements as at the end of September.

- Early discharge planning – 79/150

- Systems to monitor patient flow – 87/150

- Multi-disciplinary/ multi-agency discharge teams- 108/150

- Home first/ discharge to assess – 87/150

- Seven- day service – 62/150

- Trusted assessors- 50/150

- Focus on choice – 81/150

- Enhancing health in care homes – 81/150

The number of Health and Wellbeing Board areas expecting to have these elements in place increases significantly for quarters 3 and 4 of 2017/18.