The Better Care Fund (BCF) provides around £9 billion in 2025/26 to support integrated planning between local authorities and integrated care boards, with reducing discharge delays identified as a key priority for local BCF plans.

From 2026/27, the BCF is being reformed to support services that help people regain independence, such as intermediate care, rehabilitation and reablement services, prevent avoidable admissions, and support timely discharge from hospital. Over £9 billion will be committed to the BCF in 2026/27, and local systems will be expected to improve intermediate care by increasing capacity, ensuring services can meet demand, and strengthening both homebased and bed-based provision to reduce delays linked to social care provision.

Whilst the Department has made no specific assessment of the potential impact of the BCF on reducing hospital discharge delays caused by shortages in social care, the Government recognises the importance of supporting more timely discharge.

Previous research funded by the National Institute of Health and Care Research (NIHR) has shown that the BCF helps reducing discharge delays though it did not specify whether these were caused by social care provision. More information is available at the following link:

https://kar.kent.ac.uk/77827/1/bcf.pdf

From August 2025, NHS England has started to publish data on the cost of discharge. This is available at the following link:

https://www.england.nhs.uk/statistics/statistical-work-areas/discharge-delays/acute-discharge-situation-report/

The publication includes the estimated cost of discharge delays due to capacity for people who have been in hospital seven days or longer. However, it is not possible to say whether the delays were caused by capacity constraints in social care, the National Health Service or elsewhere.

This analysis does not include wider costs, such as opportunity cost of care foregone by not being able to admit other patients, or the cost to the patient themselves of being in an inappropriate setting. The estimates do not consider the alternative cost of providing health and care support to patients outside of the acute hospital setting if these patients were not delayed in hospital.

The following table shows the 2026/27 Better Care Fund (BCF) allocations for Essex broken down by local authority:

As set out in the 10-Year Health Plan and the 2025/26 Better Care Fund policy framework, we will reform the Better Care Fund from financial year 2026/27. An announcement with further detail on this reform will be made in due course. The reform will not impact on the level of funding intended to support unpaid carers in future financial years.

In 2025/26, health and wellbeing boards were asked what the primary objective of each scheme was. In England, £222,515,273 was allocated to schemes with the primary objective of supporting unpaid carers. Primary objectives were not requested in previous years for comparison.

Health and wellbeing boards are also asked to record information on scheme types. The most appropriate scheme type in 2025/26 was support to carers, including unpaid carers, which has a planned spend of £201,223,000. In previous years, the most appropriate scheme type was carers services. The following table shows the total planned spend on carers services for 2022/23, 2023/24, and 2024/25:

There are no sub types for planned spend on unpaid family carers or short breaks. In 2022/23, £86,394,455, or 55%, of the total planned spend on carers services was spent on the sub type respite.

Information on scheme types for carers broken down by health and wellbeing board has been published and is available for the year 2025/26 and for the years 2023 to 2025, respectively, at the following two links:

https://www.england.nhs.uk/publication/better-care-fund-2025-26-planning-data/

https://www.england.nhs.uk/publication/better-care-fund-2023-to-2025-planning-data/

As set out in the 10-Year Health Plan and the 2025/26 Better Care Fund policy framework, we will reform the Better Care Fund from financial year 2026/27. An announcement with further detail on this reform will be made in due course. The reform will not impact on the level of funding intended to support unpaid carers in future financial years.

In 2025/26, health and wellbeing boards were asked what the primary objective of each scheme was. In England, £222,515,273 was allocated to schemes with the primary objective of supporting unpaid carers. Primary objectives were not requested in previous years for comparison.

Health and wellbeing boards are also asked to record information on scheme types. The most appropriate scheme type in 2025/26 was support to carers, including unpaid carers, which has a planned spend of £201,223,000. In previous years, the most appropriate scheme type was carers services. The following table shows the total planned spend on carers services for 2022/23, 2023/24, and 2024/25:

There are no sub types for planned spend on unpaid family carers or short breaks. In 2022/23, £86,394,455, or 55%, of the total planned spend on carers services was spent on the sub type respite.

Information on scheme types for carers broken down by health and wellbeing board has been published and is available for the year 2025/26 and for the years 2023 to 2025, respectively, at the following two links:

https://www.england.nhs.uk/publication/better-care-fund-2025-26-planning-data/

https://www.england.nhs.uk/publication/better-care-fund-2023-to-2025-planning-data/

As set out in the 10-Year Health Plan and the 2025/26 Better Care Fund policy framework, we will reform the Better Care Fund from financial year 2026/27. An announcement with further detail on this reform will be made in due course. The reform will not impact on the level of funding intended to support unpaid carers in future financial years.

In 2025/26, health and wellbeing boards were asked what the primary objective of each scheme was. In England, £222,515,273 was allocated to schemes with the primary objective of supporting unpaid carers. Primary objectives were not requested in previous years for comparison.

Health and wellbeing boards are also asked to record information on scheme types. The most appropriate scheme type in 2025/26 was support to carers, including unpaid carers, which has a planned spend of £201,223,000. In previous years, the most appropriate scheme type was carers services. The following table shows the total planned spend on carers services for 2022/23, 2023/24, and 2024/25:

There are no sub types for planned spend on unpaid family carers or short breaks. In 2022/23, £86,394,455, or 55%, of the total planned spend on carers services was spent on the sub type respite.

Information on scheme types for carers broken down by health and wellbeing board has been published and is available for the year 2025/26 and for the years 2023 to 2025, respectively, at the following two links:

https://www.england.nhs.uk/publication/better-care-fund-2025-26-planning-data/

https://www.england.nhs.uk/publication/better-care-fund-2023-to-2025-planning-data/

As set out in the 10-Year Health Plan and the 2025/26 Better Care Fund policy framework, we will reform the Better Care Fund from financial year 2026/27. An announcement with further detail on this reform will be made in due course. The reform will not impact on the level of funding intended to support unpaid carers in future financial years.

In 2025/26, health and wellbeing boards were asked what the primary objective of each scheme was. In England, £222,515,273 was allocated to schemes with the primary objective of supporting unpaid carers. Primary objectives were not requested in previous years for comparison.

Health and wellbeing boards are also asked to record information on scheme types. The most appropriate scheme type in 2025/26 was support to carers, including unpaid carers, which has a planned spend of £201,223,000. In previous years, the most appropriate scheme type was carers services. The following table shows the total planned spend on carers services for 2022/23, 2023/24, and 2024/25:

There are no sub types for planned spend on unpaid family carers or short breaks. In 2022/23, £86,394,455, or 55%, of the total planned spend on carers services was spent on the sub type respite.

Information on scheme types for carers broken down by health and wellbeing board has been published and is available for the year 2025/26 and for the years 2023 to 2025, respectively, at the following two links:

https://www.england.nhs.uk/publication/better-care-fund-2025-26-planning-data/

https://www.england.nhs.uk/publication/better-care-fund-2023-to-2025-planning-data/

The Department funds independent research through its research delivery arm, the National Institute of Health and Care Research (NIHR). This project is funded through the NIHR Policy Research Programme.

The research undertaken in 2023/24 was a development phase, which is the preparatory stage for a larger research project, with findings available at the following link:

https://www.lse.ac.uk/cpec/assets/documents/CPEC-Briefing-Note-2-Support-for-unpaid-carers.pdf

The second phase of the evaluation is ongoing. Findings from the second phase will be made publicly available after research is completed in July 2028.

The publication of research is led by the research team and in line with NIHR commitments to the transparent and independent publication of high-quality research. The views expressed in research outputs are those of the authors and not necessarily those of the NIHR or the Department.

As set out in the 10-Year Health Plan and in the 2025/26 Better Care Fund policy framework, we will reform the Better Care Fund from the 2026/27 financial year. An announcement with further detail on this reform will be made in due course.

For 2025/26, approximately £9 billion is committed to the Better Care Fund (BCF). This includes approximately £3.3 billion provided to local authorities through the local authority BCF Grant, as well as the £5.6 billion NHS Minimum Contribution.

2025/26 allocations for the NHS Minimum Contribution by integrated care board and upper tier local authority are available on the NHS England website, at the following link:

https://www.england.nhs.uk/publication/better-care-fund-minimum-nhs-contributions-from-integrated-care-boards/.

Data from the monitoring of BCF spending is also available on the NHS England website, at the following link:

https://www.england.nhs.uk/ourwork/part-rel/transformation-fund/better-care-fund/better-care-fund-reporting-and-insight/

The planned expenditure data for 2025/26 will be published on the same website in due course.

I refer the hon. Member to the answer I gave on 3 March 2025 to Question 33291.

NHS England publishes planning data for the Better Care Fund, by region and local authority. This provides a breakdown of income, planned expenditure by different types of activity and planned performance against agreed metrics. The latest data is available at the following link:

https://www.england.nhs.uk/publication/better-care-fund-2023-to-2025-planning-data/

The publication includes data on planned expenditure on ‘carers services’, including by region. This expenditure will include spend on unpaid carers, but it is not possible to provide a figure for spend on unpaid carers specifically.

The Better Care Fund (BCF) includes funding that can be used for unpaid carer support, including short breaks and respite services for carers. As set out in the BCF policy framework published on 30 January 2025, to meet the objectives of the BCF, local areas should provide support for unpaid carers.

Funding for supporting unpaid carers is not ringfenced within the BCF. Local authorities and integrated care boards agree the amount of BCF funding in their locality that will be committed to support carers, in the context of other sources of funding and with reference to their statutory duties to support unpaid carers. As a result, actual spend by local authorities on services to support carers may differ.