Transcript Overview of Care Act and Richmond Council Programme
OVERVIEW OF CARE ACT AND RICHMOND COUNCIL PROGRAMME
Staff Conference 10 November 2014 Derek Oliver, Assistant Director, Adult and Community Services
Structure of Presentation
Provide details about the key changes Council`s programme and readiness
Aims of the Care Act
Provide
clearer
and Promote people’s
fairer
offer
wellbeing
Enable people to
prevent and delay
the need for care and support, Enable
Carers
to maintain their caring role Put
people in control
of their lives so they can pursue opportunities to realise their potential 3
Legal framework of Care Act
Underpinning principle Wellbeing General responsibilities and key duties Prevention Key processes Assessment and eligibility Information, advice and advocacy Charging and financial assessment Integration, partnerships and transitions Care and support planning Diversity of provision and market oversight Personal budgets and direct payments Review Safeguarding
4
The wellbeing principle
Personal dignity Physical and mental health and emotional wellbeing Protection from abuse and neglect Control over day-to-day life Participation in work, education, training or recreation Social and economic wellbeing Domestic, family and personal Suitability of living accommodation Individual’s contribution to society 5
New responsibilities for local authorities towards all local people
Prevent, reduce or delay
peoples’ needs for care and support Provide
information and advice
, including independent financial advice
Collaborate
and
cooperate
with other public authorities, including integration with NHS and other services Promote
diversity and quality in the market
of care providers Ensure that no one is left without care if their service closes because of
business failure
6
New duties for local authorities
Duty to meet
carers’
eligible needs and prepare a support plan Duty to arrange
independent advocacy
if person unable to participate in or understand the care and support system New statutory framework for
protecting adults from neglect and abuse
. Duty to investigate suspected abuse or neglect, past or present, experienced by adults still living and deceased Duty to assess young people and their carers in advance of
transition
from children’s to adult services, where likely to need care and support as an adult 7
New duties in relation to safeguarding
Statutory guidance replaces ‘No Secrets’ guidance To make enquiries, or cause others to do so Set up a Safeguarding Adults Board (SAB), with core membership from the local authority, the Police and the NHS Arrange, where appropriate, for an independent advocate to represent and support an adult who is the subject of a safeguarding enquiry or Safeguarding Adult Review Core partners to co-operate in order to protect adults experiencing or at risk of abuse or neglect
Safeguarding Adult Boards (SAB) must
Publish a
strategic plan
for each financial year that sets out how it will meet its main objective.
Publish an
annual report
detailing what the SAB has done during the year to achieve its objective and what it and each member has done to implement its strategy.
Decide when a
Safeguarding Adults Review
is necessary, arrange for its conduct and implement the findings.
(The purpose of an SAR must be to learn lessons and improve practice and inter agency working.) The SAB can require information from an organisation or individual relevant to its functions
Assessment and Eligibility process
Assessment
• What are the needs and outcomes the person wants to achieve?
Eligibility determination
• Are the person’s needs eligible?
Financial Assessment
• Charges based on charging policy and subject to limits
Deferred payment agreement
• Must be offered to anyone who meets the criteria 1 0
Care and Support Planning process
Care and support planning should put people in control of care Person must be actively involved and influential throughout the planning process Independent advocates must be instructed early in planning process for people with substantial difficulty and no other means of accessing support to facilitate involvement 1 1
Personal Budgets, Direct Payments and Review
The personal budget and direct payments must be
sufficient
to meet eligible care and support needs The overall cost must be broken down into: the amount the person
must
pay the amount the authority
w
ill pay The review process should be: person-centred outcomes focused accessible proportionate to the needs to be met 1 2
Implications for people needing care and support
Better access to information and advice, preventative services, and assessment of need An
entitlement to care and support
A
cap
on care expenditure which an individual is liable for comes into effect from April 2016 A common system across the country:
Continuity of care
Fair Access to Care Services (FACS) replaced by a
eligibility threshold national
1 3
Vision
Enabling a full life
We aim to offer the right amount of care and support at the right time and place.
We are committed to supporting citizens in their journey and enabling them to be in control of their wellbeing.
Richmond`s programme work streams and lead officers
Programme Sponsor with overall responsibility:
Derek Oliver
Programme Manager for delivery:
Gill Ford Community Offer Market Shaping Prevention Safeguarding Social care charging Lynn Wild Amanda McGlennon Janet Cole Jon Norris Jeremy DeSouza Di Manning Anna Raleigh Andrew Rhodes
Key deliverables (1)
Adult Prevention Strategy Enhanced provision of information and advice (including financial advice) Reviewing Safeguarding Board Reviewing safeguarding interventions - Making Safeguarding Personal Reviewing and streamlining how adult social care is delivered to service users and carers Implementing new eligibility framework for users and carers Devising fair and equitable system for allocating Personal Budgets
Key deliverables (2)
Enhanced advocacy offer Changed carers offer to ensure more carers are reached and duties fully met New charging policy Wider availability of deferred payments Introduction of Care Accounts to track progress towards Care Cap in 2016 Market Position Statement
Readiness check
Programme and implementation plan in place Local health and social care systems leadership awareness and engagement Progress in forecasting future demand and implications Concerns regarding cost of reforms, immediate and on-going Workforce IT systems Unknown risks
Summary
Significant modernising legislation incorporating : New duties for local authorities New rights for service users and carers Aims to make care and support clearer and fairer and put wellbeing at centre of decisions and extend personalisation Local authorities have new responsibilities to all local people, including self funders Significant changes to the way that people will access the care and support system 1 9