Transcript Key White Paper issues on developing diverse markets

‘Caring for our future’ - the White Paper engagement
exercise: the market in care services
Name of presenter, as part of the Department of Health engagement
exercise
What is ‘Caring for our future’?
• Caring for our future: Shared ambitions for care and support was
launched on Thursday 15th September. It is a three month discussion
with service users, carers, local councils, care providers, and the
voluntary sector
• We need to identify the priorities for action across the key areas for
reform in social care, building on the Commission on the Funding of Care
and Support’s report, the Law Commission report and the Vision for Adult
Social Care
• How a programme of reform could meet these priorities, who should
be responsible for taking action and the phasing of this; and
• How to make sure the programme of reform recognises the current
economic environment, focusing on the right priorities and identifying
trade-offs which need to be made
‘Caring for our Future’ - the timeframe
for reform
Law
Commission
Report
__________
May 2011
Social Care
Vision
__________
Nov 2010
•Caring for our future brings together the
recommendations from the Law Commission,
Commission on the Funding of Care and Support with
the Government’s Vision for Adult Social Care, to
discuss with stakeholders what the priorities for reform
should be.
Caring for
our future engagement
_________
Sept - Dec
2011
Dilnot
Commission
Report
___________
July 2011
Care and
Support
White Paper
and progress
report on
funding
__________
April 2012
Legislation
The social care market
• Shaping local care services: how could we ensure there is a
wide range of organisations that provide innovative and
responsive care services and that respond to people’s needs
and choices?
• Co-lead - Peter Hay (President, ADASS)
Reference group members
• Andrew Kerslake – Director, Institute of Public Care, Oxford
Brookes University
• Des Kelly - Executive Director, National Care Forum
• Bridget Warr – Chief Executive, UK Home Care Association
• George McFarlane – Policy Advisor, CBI
Six engagement themes and discussion leaders
•
Shaping local care services
•
Quality: how could we improve the quality of care and how could we support the care workforce
to do this?
Imelda Redmond (Chief Executive, Carers UK)
•
Personalisation: how could we give people more choice and control over the care and support
they use, and help them to make informed decisions?
Jeremy Hughes (Chief Executive, Alzheimer’s Society)
•
Prevention: how could we support more effective prevention and early intervention to keep
people independent and in good health for as long as possible? Alex Fox (Chief Executive,
NAAPS)
•
Integration (in partnership with the NHS Future Forum): how could we build better
connections locally between the NHS and other care services? Geoff Alltimes (CE,
Hammersmith & Fulham Council) (Robert Varnam, GP, Manchester)
•
The role of the financial services: what role could the financial services sector play in
supporting care users, carers and their families? Nick Kirwan (Association of British Insurers)
Making changes to the funding system for care and support, as discussed in the
Commission on Funding of Care and Support’s report, would impact on all aspects of the
system. So we also want to consider the implications of the Commission’s
recommendations as part of these discussions.
What are the priorities for creating a more
diverse and responsive care market?
• 1. How would you define the social care market? What are the different
dimensions we need to consider when assessing the market (e.g. type of
provision, client group, size of provider, market share)?
• 2. How could we make the market work more effectively including promoting
growth, better information for commissioners (local authorities and individuals),
improved quality and choice and innovation?
• 3. Does there need to be further oversight of the care market, including
measures to address provider failure? If so, what elements should this
approach include, and who should do it?
• 4. Looking to the future, what could be the impacts of wider reforms on the
market? What possible effects would the following have on the market: the
recommendations of the Dilnot Commission's report, the roll out of personal
budgets and direct payments, and the drive to improve quality and the
workforce?
Care Markets
• The social care market has been operating for almost twenty
years. The sector is now estimated to be worth up to £23 billion
annually.
• Care and support is currently purchased by private individuals
using their own funds, directly by the state (by Local Authorities
and the NHS) or, increasingly, via direct payments.
• There is currently diversity of provision in both residential and
domiciliary care, with over 40,000 separate organisations
delivering care. These range from large national providers to
micro providers.
Market Oversight
• There are currently a number of measures to promote and protect the
interests of those using adult social care services. This includes the CQC
regulatory framework, and existing Local Authority powers.
• However, in the light of Southern Cross, the Government is considering
whether further market oversight, including measures to ensure service
continuity, is required.
• A discussion paper will shortly be published (on the engagement website)
on a continuity regime in social care, outlining policy options and inviting
views.
Some key questions?
1. In real markets organisations grow and fail how do we manage this when
service users are dependent on their supplier?
2. To have choice in the market you must have vacancies to have vacancies
you must have higher charges. Discuss?
3. Is there real choice in the market and if not how do we stimulate this?
4. Can we deliver quality at the price we currently pay?
5. How do we grow consumerism?
9
Next Steps
• The engagement exercise runs until the start of
December
• The Government will publish a White Paper in
April 2012, alongside a progress report on
funding reform. The Government is committed
to legislating at the earliest opportunity
Getting Involved
• Complete the feedback form on the website
[www.caringforourfuture.dh.gov.uk]
• Return it by email to [[email protected]]
• or by post to: Caring for our future, Area 117, Wellington
House, 133-155 Waterloo Road, London, SE1 8UG.
• Send your feedback using the automatic online form.
• Post your comments directly onto the priorities for change
pages on our website, or email or post them to the
addresses above