Transcript Care Bill Uk - Making it Real in Dudley

Making It Real Express Briefing
DACHS
Shobha Asar-Paul
Reforms the
care
sector=One
single unified
Act
Part 1: care and
support
legislation
3 parts: Care &
Support; Care
Standards;
Health.
A new wellbeing principle
at its heart.
For adult social care to respond to
demographic and financial challenges it must
help people to stay well and independent.
 Promote people’s
 Enable people to
and
the
need for care and support
of their lives so they can
pursue opportunities to realise their potential






People’s well-being will be at the heart of every
decision- an asset based approach.
Carers rights on the same footing as those they care
for-a carer's assessment should focus on the impact of
caring and on the outcomes they want to achieve.
Preventing and delaying needs for care and support
Personal budgets giving people greater control over
their care
The provision of universal information and advice and
the market-shaping role are linked to the duty of
prevention.
New guarantees to ensure continuity of care






Promoting the diversity and quality of the local care
market, shaping care and support around what
people want
Ensure that no one goes without care if their provider
fails
Puts adult safeguarding on a statutory footing for the
first time
Young adults receive care and support during
transition
Reforms what and how people pay for their care and
support
•cap on care cost £72,000
when it is introduced in
April 2016
•Deferred Payment
Agreements- Council
will recover costs plus
interest
•Care Accounts
• financial assessment will ensure that
when an adult contributes towards
their care and support they must still
be left with a certain amount of
money for themselves after the local
authority has charged them.
• Financial assessments to ensure
people can afford to pay.-
People will
contribute to care
but will be
protected from
unlimited costs
People will not
have to sell their
own home
Local authorities
will have the
power to charge
for care and
support.
Personal Budgets
and Independent
Personal Budgets
•For those who
have eligible
needs.
Issue
Potential increase in demand






Financial impact of the cap on

eligible care costs- a cap on care
cost of £72,000 to be introduced in
April 2016
Financial implications of a new
national minimum eligibility standard.
What we are doing/ have done
ASC Demand model
Forecasting with health
economy
Customer Journey projectASC redesign
Focus on prevention and
personalisation
Health integration
Efficiency recovery plan
RAS is transparent, sufficient,
simple and controlled.








What we need to do
More focus on universal
services.
Demand model to incorporate
Health economy.
Consideration of potential
financial and resource
implications.
We need to know about our
self-funders
Know and understand the
costs of supporting those who
have already reached the cap
on care
Need to assess increased
demand for services to ensure
we have resources -carry out
Financial Assessments.
Look at existing Charging
Policy and include areas
covered by the Bill.
Review the range of support
services for different client
groups to offer independent
support & advice about money
management options.
Information and advice to support
prevention and personalisation
Comprehensive range of information

and advice approaches and services
as steered through the MIR

workstream and incorporating a range 
of partners already developed e.g
DCID.
Issue
What we are doing/ have done
Increased joining with health and
other partners.
I and A to self-funders
Information for accessing
independent financial advice.
What we need to do
Workforce and culture change
prevention, personalisation, carers
rights.
The ‘well being’ principle is a new legal
requirement. Whenever a local
authority makes a decision about an

adult, they must promote that adults'
wellbeing.

Range of support and information 
including on-line training e.g carer
aware, DCID, introduction to ASC 
have continued to embed
personalisation and prevention.
New Support plan and MAF
incorporate well-being
QoL standards for provider
organisations.

Market- shaping A general duty for

local authorities to promote diversity
and quality in the market of care and 
support providers for people in their

local area. This is a new duty, which
reflects existing responsibilities of local
authorities and policy with regard to
the promotion of the market of local
services
Review of Service Level
Agreements
Development of micro-providers
Dudley Innovation Fund

Develop training and protocols for
staff on the wellbeing duty.
A framework which introduces
new competencies / training for
Social care staff focussed on
asset-based approaches to social
care and other requirementscarers assessments.
Quality is defined by people who
use services and carers- review
current practices to ensure this.
Market Position Statement that
fully encompasses requirements
of the Care Bill.






Potential increase in demand
- more people needing care and support; more
people needing care and support contacting the
Council
Financial impact of the cap on eligible care costs
Financial implications of a new national minimum
eligibility
Raising of the means testing threshold
Workforce and culture change- well being
principle and assets based approach
Managing expectations
Corp
Board
HWB
Scrutiny
Committee
DMT
Efficiency Delivery Board
Joint DMG
MIR board
Project delivery
groups




Draft regulations and draft statutory guidance
published for 3 month consultation (May
2014)
Final regulations and statutory guidance
published (October 2014)
Local implementation of new legal framework
commences (from April 2015)
Extended financial support/Cap on care
costs/Care accounts (From April 2016)