How will the Better Care Plan change your care?

Carer in the home

Frequently asked questions:


How will we support care closer to home?

  • We will review processes for hospital discharge so that people do not make a decision about their long-term care arrangements in an acute hospital. This will reduce delays in hospital.
  • We will implement our model of local multi-disciplinary team working, moving staff and services into local clusters.
  • We will realign investment in community health services to ensure we address inequity of provision across the county.
  • We will review the provision of bed-based care in the county, including the commissioning of care home beds. We will re- commission care home beds using an outcomes-based approach to ensure that all care takes a enabling approach and achieves the right outcomes to maximise independence. The council and the CCG will ensure care home beds are commissioned in a consistent way.
  • We will make the best use of telecare and telehealth services to increase the range of equipment used and the number of people benefited.
  • We will increase investment in capacity and skills for intermediate care and reablement in the community. This will be through a review of our existing STARR step up and step-down bedded scheme with a view to moving more of the investment from beds to support in people’s own homes.
  • We will review the implementation of Help to Live at Home processes to improve outcomes for intermediate care.
  • We will ensure the availability of additional capacity within intermediate care services for escalation beds in the community, when the whole system is under pressure, for example, over the winter period.
  • We will work explicitly with NHS England to develop capacity in General Practice in Wiltshire.
  • We will implement new contracts for care home beds.
  • We will continue to increase investment in community-based therapy and support for rehabilitation and re-ablement and further shift to more re-ablement at home rather than in hospital or care home beds.


How will we ensure the right support when people need it?

  • We will continue to invest in 24/7 rapid response services
  • We will continue to invest in acute liaison services to support hospital discharge at weekends


How will we deliver Shared Assessments and Support Plans?

  • We will develop and pilot a single support plan record which is held by the patient/service user.
  • We will scope requirements for information systems to allow people to share information at a local level about patients and service users. This will avoid the need for people to repeat their story to different agencies.
  • We will implement a single assessment and support plan.
  • We will implement information sharing systems.


If you would like to know more about the plan please click on the following link Better care plan. If you wish to go back to the plan’s home page please click here.