The Department is working closely with NHS England and local authorities to improve social care capacity and reduce delayed discharges.

The Market Sustainability and Improvement Fund (MSIF) provided over £1 billion to local authorities for adult social care over 2025/26, based on their areas’ needs, to target increasing fee rates paid to adult social care providers, increasing adult social care workforce recruitment and retention, and reducing waiting times for care.

We are also supporting the digitisation of adult social care, which can strengthen capacity within the social care system through productivity improvements. 80% of registered care providers now have digitised care records, benefitting 89% of people who draw on care. Digital care records can save time spent on administrative tasks, releasing over 20 minutes per care worker, per shift.

The Urgent and Emergency Care Plan for 2025/26 identifies reducing delays in hospital discharge as a key priority. Hospitals are expected to eliminate discharge delays of more than 48 hours caused by in-hospital issues, to work with local authorities to tackle the longest delays, starting with those over 21 days, and to profile discharges by pathway to support local planning. In addition, the 2025/26 policy framework for the £9 billion Better Care Fund requires the National Health Service and local authorities to jointly agree local goals for reducing discharge delays.

Starting in the financial year 2026/27, we will reform the Better Care Fund. This reform will provide a sharper focus on ensuring consistent joint NHS and local authority funding for those services that are essential for integrated health and social care, such as hospital discharge, intermediate care, rehabilitation and reablement. We will set out further details in due course.

We will tackle delayed discharges by developing local partnerships between the National Health Service and social care, and making sure people get the right support to return home.

Every acute hospital trust has access to a care transfer hub. These hubs bring together professionals across health, social care and other partners, including community providers, to manage discharges for people with more complex needs.

We have published Neighbourhood Health Guidelines to help local health and care systems progress neighbourhood health in 2025/26. Integrated intermediate care supports hospital discharge and is a core component that we are asking systems to focus on this year. Close partnership working between adult social care, the NHS and other community partners is vital to the successful delivery of intermediate care.