Transcript The Value of Information and Advice

The Value of
Information and Advice
Jane Finnerty – Society of Later Life Advisers
Nicola Taylor – Taylored Training
Information and Advice
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What is it?
Who provides it?
Advice Gap/Drunken Walk?
Prevention services
Integration of information and advice
Standard – Care Adviser Award
Specialist Financial Advice - SOLLA
Definition
• Information is data that has been verified
to be accurate and timely, is specific and
organized for a purpose
• Advice offers guidance and direction on a
particular course of action which needs to
be undertaken in order to realise a need,
entitlement and/or access a service
Providers
• ASC - contact teams/OT’s/care
management/Brokers/PA’s……….
• NHS/Hospital Teams – GP’s/District
Nurse/Discharge coordinators…….
• Care advice agencies
• Residential/Nursing home teams
• Domiciliary care teams
• Friends/Neighbours/Carers/Family
• Financial Advisers/Solicitors
• Voluntary Organisations/Clubs/Societies
Information/Advice or both?
‘Don’t eat the pasta in the fridge,
it’s for tea”
How much
Information and Advice
do you provide daily?
Try keeping a daily tally of the
Information and Advice that you give in
any one of your working days
Information, Information, Information
without it, how can people be truly at the
heart of decisions?
“There
are some things that should be
universal – information is one”
Caring for our future: reforming care and support bill, white paper 11/7/12
Care Advice
1 in 3 of us will need long
term care but not many
people plan for a future care
need
Why? Have you?
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Perhaps because we don’t want to think about getting older
As an unforeseen need in our busy lives it is not a priority
Maybe we can’t afford to make provision for it
A lack of information or too much that isn’t appropriate
Unhelpful signposting – “passed from pillar to post”
Non personalised advice
Difficult to contact LA and often signposted elsewhere when we do
Who goes where – a drunken walk?
During recent ‘Advice Gap?’ sessions with Carers and
Care providers we asked which subjects did they need
information on or were asked by others for advice on.
Local Authority Funding - 31 chose this card
Welfare Benefits - 43 chose this card
Choosing Care/Housing – 37 chose this card
NHS Funding – 9 chose this card
Financial/Legal Advice – 3 chose this card
Information overload?
This is where they said they would go for help
or signpost residents to for advice
Welfare Benefits – Internet, Job Centre, Carers agency,
Advocacy services, CAB, Social services, Internet, Leaflets,
DWP, McMillian, AgeUK, Local Authority/District Council,
Solicitor
Choosing Care- Internet, Yellow pages, Local Authority, GP,
Hospital, Family/Friend/Carer, CQC, Church, AgeUK,
Alzheimers Society, Chemist, Internet, Solicitor, Care service
directory, Independent care agency
Local Authority Funding; Local Authority, Accountant,
Family/Friend/Carer, Internet, CQC
Care Advice gap?
There is a wealth of information available
from a variety of sources
For it to be useful it needs to be
personalised, accurate and take into
account what is available in the locality
Changing Times
• Dinot report (2010), published July 2011
• The Dilnot Commission report said “There is
confusion about the role of benefits, the NHS
and social care. People often struggle to find
financial information and advice.”
• Care Bill Information and Advice
Legal obligation - Part 1, Section 4
• Welfare Reform Act 2012 introduced
Universal Credit and PIP – Personalised
Independence Payment.
Care Bill
Part 1, Section 4 - Providing information and advice
(1) A local authority must establish and maintain a service for providing people in its area with information and
advice relating to care and support for adults and support for carers.
(2) The service must provide information and advice on the following matters in particular—
(a) the system provided for by this Part and how the system operates in the authority’s area,
(b) the choice of types of care and support, and the choice of providers, available to those who are in the
authority’s area,
(c) how to access the care and support that is available,
(d) how to access independent financial advice on matters likely to be relevant to adults who have needs for
care and support or are making plans for meeting needs for care and support that might arise, and
(e) how to raise concerns about the safety or well-being of an adult who has needs for care and support.
(3) In providing information and advice under this section, a local authority must in particular seek to ensure
that what it provides is sufficient to enable adults—
(a) to identify matters that are or might be relevant to their personal financial position that could be affected by
the system provided for by this Part, and
(b) to make plans for meeting needs for care and support that might arise.
(4) Information and advice provided under this section must be accessible to, and proportionate to the needs
of, those for whom it is being provided.
(5) In cases where a local authority performs the duty under subsection (1) jointly with one or more other local
authorities by establishing and maintaining a service for their combined area—
(a) references in this section to a local authority are to be read as references to the authorities acting jointly,
and
(b) references in this section to a local authority’s area are to be read as references to the combined area.
Attendance Allowance
Forgotten Million- Independence Payment
• Approximately four out of five AA recipients
receive care, (much of it informal).
• Only around 170,000 of the 1.3 million AA
recipients (mostly Women over 80 yrs) in
England receive local authority support.
Strategic Society Centre/Independent Age – Independence Allowance
developing a new vision for Attendance Allowance June 2013
Personal Independence Payment (PIP)
will replace DLA for eligible claimants aged
16 to 64 from 8 April 2013
This includes all new claims and existing DLA claimants
and is part of a wider reform of the welfare system
It remains non means tested and non taxable
Scenario Exercise
• Mr Smith is looking after his Wife who is 75 yrs
old and has been recently diagnosed with
Alzheimers
• He is also in his late 70’s and her main carer. He
says that he helps with all aspects of her
personal care and is with her most of the day to
make sure she is safe as she “wanders into the
street, day and night”
• Mr Smith tells you that he is exhausted and
needs some help but isn’t sure where to go
• He tells you that he has Power of Attorney for
his wife who has £100k in her own name.
Appropriate Information/Advice
Attendance Allowance
FACS Assessment
Carer Assessment/stress relief services/grant
Respite/Care and help at home
Prevention services/Assistive technology
Health Services
Specialist Services – Alzheimers Society
Financial Advice/Legal Advice services
I and A from 5 Local Authorities
I and A from 3 Vol Agencies and 2
Specialist services
Lost opportunity
• 5 out of 10 explained Attendance
Allowance. Missed potential Annual
benefit gain of £19’019 (£73.15 per week x 5 x 52)
• 5 out of 10 suggested or progressed to
allocation for LA Assessment – only 2
highlighted Carer assessment/services
• Only 2 out of 10 mentioned seeking
specialist Financial Advice
• 7 out of 10 suggested contacting the
Alzheimers Society
The need for a standard
Recognising that specific information and
advice is vital for planning how care need is
identified, met and funded
Information and advice is the foundation for
the development of better care, empowering
people to make informed decisions gives
real choice and control.
With so many services all providing
information and advice a standard has never
been more important
Care Adviser Award
The Care Adviser Award is a quality mark, a
standard across ALL sectors, giving
reassurance that those who have achieved it
will give accurate information that is relevant to
the individuals circumstances.
http://careadvisernetwork.co.uk/adviser/pages/care-adviser-award.php
Information and Advice
Integrating Provision
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Internal I and A provision
S/F ‘Champions’ within Care Management
Utilise Brokerage support
Outsourcing Advice provision to a
specialist care advice agency – First Stop
• Ensuring Financial Advice is an ‘as well
as’ not an ‘instead of’ and that this is
provided by a SOLLA accredited adviser
Funding Care Awareness©
Aims/Objectives
The aim of the training is to give a basic awareness
of the sources of funding care, helping teams to
identify potential entitlement;
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Basic Benefits
Local Authority funding
NHS Funding
Utilising Specialist Financial Advice