presentation by Cathy Kerr - Richmond Council for Voluntary Service
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Transcript presentation by Cathy Kerr - Richmond Council for Voluntary Service
RCVS Network Meeting - Health & Social
Care
3rd June 2014
Richmond Council Update
Cathy Kerr, Director Adult & Community Services
What I Will Cover
Overview of policy direction for adult
social care
Local elections
Health partnerships
Care Act 2014
What all this means for Voluntary &
Community Sector (VCS)
Direction of Travel for Adult Social Care
Focus on prevention
Promoting independence
Choice & control
Inclusion
‘Joined up’ care & support
Local Elections
May 2014, Conservative party retain council control
Seats - Conservative - 39, Lib Dem -15
Cross party support for health & social care policy
direction
Administration priorities include:
Caring for vulnerable people, prevention, an age friendly
borough, tenants champion, role of voluntary sector,
commissioning council, sharing with others.
National elections by May 2015
Public sector financial position
Health & Social Care Integration
Why?
People want joined up support
It makes best use of our collective resources
New local authority powers arising from H&SC Act 2012
Health & Wellbeing Board & HWB Strategy
Public Health in local authority
Integration
Work with our health partners to integrate
Commissioning – JCC
Delivery – joint teams – RRRT
Local joint strategies eg Better Care Closer to Home
The Care Act 2014 - What is it?
Biggest change in adult social care legislation
for 60 years
Based on principle of wellbeing
Encompasses whole population
A new policy framework (from April 2015) and
A new funding framework (most from April
2016)
Local implementation arrangements including
co production group. Newsletter imminent
The Care Act – key changes
Personal budgets on a legislative footing and right to a
direct payment. Direct payments for residential care
Carers rights on the same footing as the people they
care for.
Changing eligibility criteria for services.
New assessment framework
Preventing and delaying needs for care and support
& providing these services for the whole community
Provide comprehensive information and advice
including independent financial advice. A web based
resource directory
The Care Act – key changes
Self funder rights to assessment, support plan and
care management (councils could charge)
Adult safeguarding on a statutory footing.
Duty to shape the market (wider than just the services
we commission directly)
Ensure no one goes without care if providers fail,
regardless of who pays
Transition from children to adults – right to assessment
before age 18
Portability – for service users transferring from one
LA to another to ensure continuity of care
Duty to promote integration running through all
The Care Act - Funding Reforms
To give more certainty and peace of mind over the
costs of old age or living with a disability
Everyone receives the care and support they need and
more support to those in greatest need
End to limitless care costs
People protected from having to sell their home in their
lifetime to pay for care
Improved options for those who pay for their care
Consistency between different areas and for nonresidential and residential care
What is changing? Funding Cap
Capped Lifetime Care Costs - £72,000 –
currently no limit for people with assets
Lower cap to be set for people with care
needs before old age
No costs for people with on-going care
needs from childhood
What is changing? Extended Means Test
More people to receive state-funded support
with changes to the means test
Capital limit increased from £23,250 to
£118,000 (for care homes)
Capital limit increased from £23,250 to £27,000
for non-residential care (Richmond’s current
limit is £35,000)
Assets below are £14,250 are not included in
the means test - this will be £17,000
What is Changing? Care Homes
Deferred Payments from 2015
no one will have to sell their home in their lifetime
Councils will be able to charge interest during the
period of the agreement – currently no interest
applies during care home stay
Care Homes from 2016
Contribution to Daily Living Costs (around £12,000
pa) separate from care costs
Daily living costs not subject to the cap
Direct Payments for Residential Care from 2016
Case study – Mrs B
Has capital of £20k, property of 200k and weekly
income of £260 a week
Has homecare of £100pw & contributes £64. After 3
years moves to care home @ £630 pw.
Current system: in care home pays full cost of £630
until capital falls below £23,250
New system: Reaches funding cap of £72k after 5years
8 months, after which she pays £230 pw. Care costs of
£400 met by the council.
The Care Act – Local Implications
We expect substantial increase in demand from self
funders but impossible to accurately predict the
financial impact
Self funders – occupy 51% of care home beds & only
13.5% of people 80+ currently receive care from the
council.
Substantial growth in older population, high proportion
of people age 85+; many age 75+ living alone
What Does This Mean for the VCS?
A Key Partner for the Council (and CCG)
As commissioned provider of services:
Particularly supporting independence and prevention
Learning from work to date – CILS
Future opportunities
As voice of the sector and bringing service user / carer voice
Engagement routes:
Health & Wellbeing Board
Contribution to strategy development and key programme
of work
Care and Support Partnership