Issue details

23/00098 - Urgent and Emergency Care Support Fund

Proposed Decision:


Accept the Urgent and Emergency Care Funding under the terms set out by the Department of Health and Social Care and delegate authority to the Corporate Director Adult Social Care and Health to develop plans to deploy the grant funding and take relevant actions, including but not limited to entering into and finalising the terms of relevant contracts or other legal agreements, as necessary to implement the decision.




In July 2023 the Department of Health and Social Care (DHSC) announced £600m of funding over two years to enable local authorities to go further in improving adult social care capacity. In that announcement, the DHSC said that it intended to make £30m of this funding available this year to local authorities in areas with the greatest health and care challenges. The DHSC subsequently increased the available funding by £10m to provide for a £40m fund. The £40 million will enable selected local authorities to support urgent and emergency care performance and resilience for residents over the winter period. The intention is to provide targeted funding for local authorities in areas with the greatest urgent and emergency care challenges.


Local authorities were invited to develop proposals, in which they were expected to agree with the relevant Integrated Care Board (ICB) and provide evidence of ICB views on the proposals in their application form.


Assessment criteria for proposals:

·         Impact on urgent and emergency care resilience and performance over the winter  period, whether by helping prevent avoidable admissions or by reducing discharge delays

·         Are deliverable over the winter 2023/24 period

·         Are additional to existing LA expenditure and capacity plans and linked to NHS winter surge plans and Better Care Fund demand and capacity plans, for example by addressing gaps identified in those plans. Section 151 officers will be required to assure that funding has been used to purchase additional services and capacity in line with the MoU


Adult social care, in agreement with the Kent and Medway Integrated Care Board, has submitted a proposal to support the resilience of urgent and emergency care services across Kent. The funding will be targeted in areas of Kent with the most challenged performance (East Kent) of urgent and emergency care services and to address capacity gaps across the county.


The alternative was to not submit a proposal, however this would have a significant negative impact on the resilience of urgent and emergency care services in Kent over the winter period.


The proposed decision supports Priority 4 of Framing Kent’s Future to ensure that adults who draw on social care support lead the lives they want to live, by putting their needs at the heart of everything we do, whilst successfully innovating and responding to the challenges to social care funding.





Decision type: Key

Decision status: For Determination

Notice of proposed decision first published: 31/10/2023

Decision due: Not before 29th Nov 2023 by Cabinet Member for Adult Social Care and Public Health
Reason: To allow the required 28 day notice period under Executive Decision arrangements

Lead member: Cabinet Member for Adult Social Care and Public Health

Lead director: Richard Smith

Department: Social Care, Health & Wellbeing

Contact: Email: or 03000 417473.


The proposed decision was discussed at the Adult Social Care Cabinet Committee meeting on 23 November 2023.

Financial implications: The indicative allocation for Kent County Council (KCC) is £2,892,188. This allocation has been calculated based on a share of the indicative £40 million funding that is proportional to KCC’s adult social care relative needs formula share.

Legal implications: A Memorandum of Understanding (MoU) will be put in place for each local authority, setting out how funding will be used and what information the local authority will be expected to provide to demonstrate impact and value for money. Local authorities will be asked to report on any discharge capacity they buy with this funding within their monthly Discharge Fund capacity returns. Local authorities will also be expected to provide an interim report (in January 2024) to report on progress against planned spend and a final report in May 2024.

Equalities implications: Equalities implications: A full equality impact assessment has been undertaken as is included within the Adult Social Care Pressures Plan 2023/2024. Data Protection implications: There are no anticipated data implications associated with this decision.