Transcript No Slide Title

David Behan
The Future of Social Care
National Care Association
1st November 2007
• What is Social Care?
• What are the Challenges for Social
Care?
• Reform
• CSR
• Priorities
Social care is defined as:
“the wide range of services designed
to support people to maintain their
independence, enable them to play a
fuller part in society, protect them in
vulnerable situations and manage
complex relationships”
Most people do not understand
what social care is and how it works
Home care/day care for older people
49%
Home care/day care for people with disabilities
30%
Residential/nursing care for older people
Services for children in care or “at risk”
Residential/nursing care for people with
disabilities
Services for individuals with special needs
Basic needs such as food, shelter and medical
care
Day/community/lunch centres for older people
Day/community/lunch centres for people
with disabilities
Meals on wheels
Support to stay in work for those with a
disability/long-term illness
Transport services for older people/people
with disabilities
Care available to all/anyone who needs it
Community health care
21%
16%
14%
14%
14%
9%
8%
7%
4%
4%
4%
4%
March – April 2007/1000 English adults interviewed face-to-face
Relatively few have direct
contact with social care services
Which of these services have you or your family or
friends used in the last year or so?
Home care/day care for older people
9%
Residential/nursing care for older people
8%
Transport services for older people/people
with disabilities
Home care/day care for people with disabilities
Meals on wheels
Direct payment/individual budgets
7%
6%
5%
4%
Basic needs such as food, shelter and medical
care
Day/community/luncheon centres for older people
3%
Residential/nursing care for people with
disabilities
Day/community/luncheon centres for people with
disabilities
Assisted technology (eg automatic sensors to say if
lights left on/fridge door open)
Support to stay in work for those with a disability/longterm illness
July 2007/1000 English adults interviewed face-to-face
3%
3%
2%
2%
2%
People are quite happy with
services when they use them
Don’t know
Very
dissatisfied
7%
Very satisfied
6%
Quite
dissatisfied
Neither satisfied
nor dissatisfied
33%
9%
Satisfied: 68%
Dissatisfied: 13%
Net satisfied:
+60% (up 5%)
11%
35%
Quite satisfied
July 2007/387 people with recent experience of social care services
Are some groups who use
services more satisfied?
Gender
Satisfied
Male
Female
69%
72%
Age
16-24
73%
25-34
71%
35-54
Proportion
who are
satisfied
55-64
74%
66%
70%
75%
65+
Social grade
AB
15%
Dissatisfied
C1C2
DE
Base: 980 social care users in England, adults age
16+, Winter 2006, March 2007 & July 2007
66%
73%
71%
Public perceptions – do you
agree or disagree that … ?
People are treated with
dignity and respect
when they use NHS
services
% Disagree
If people are depressed or
anxious, they can access
support quickly from NHS
Net (+%)
60% 33%
27%
People are treated with
dignity and respect
when they use social
care services
NHS and social care services
work well together to give
people co-ordinated care
% Agree
14%
25%
29%
July 2007/1000 English adults interviewed face-to-face
40%
38%
35%
26%
13%
+6%
Social care is responding to
demographic pressures and
changing attitudes:
By 2025, a quarter of the entire adult
population will be over 65
30%
20%
10%
0%
2004
2014
2024
Projected % of England's
adult population aged 65
and over
And expectations of public services
will rise
“There are now 17
million baby boomers
marching towards
retirement with a high
set of demands and a
clear expectation of
what they want in
retirement…”
(Age Concern 2004)
There are several major challenges
facing adult social care
•
•
•
•
Funding target to those most in need
Little public understanding of the funding system
Little public awareness of the need to save
Inequalities in access caused by local eligibility
criteria
• Variable standards amongst providers
• Low skilled and low paid workforce
One system to drive reform, which
will benefit all users of services:
Inspection will judge how
everyone experiences care
services
Better LA
commissioning
will strengthen
the market in
local areas,
benefiting all
people
Strengthening
performance
management
Shaping and
building the
market
Better
care and
support
Increasing
capability
People
Shaping the
Service from
Below
Better information and
mechanisms such as direct
payments will help users to shape
services
Everyone will
benefit from
better trained
staff across the
profession, and
the development
of new
technologies
Privately funded and State
funded users will follow
slightly different routes
through a single system.
Many of the reforms will
address the needs of both
groups of users
The Settlement
• Part 1: CLG Average 1% real per annum £2.6 bn per year
by 2010/11
– Pay Prices
– Demography
– Policy Pressures
• Statutory Leave
• Mental Health Act
• Bournewood
• Part 2: DH DEL Average 2.3% Real Per Annum - £190m per
year by 2010/11
– Continued Grants for Carers and Mental Health
– Campus Closure
– Registration of Workforce
– Further Personalisation
Green Paper on Reform of the
Care and Support System
• A “New Offer”
• Engagement: 2008
• Green Paper: 2008
Affordable
Progressive Universalism
Promote Independence, Wellbeing, Control
• Outcome – New System for Social Care and its
Funding
Priorities
Policy
Strengthening
performance
management
• Personalisation
• Early Intervention
Better
Shaping and
Increasing
care
building the
capability
and
market
• Dementia
support
People
• Dignity
Shaping the
Service from
Below
• Carers
Enablers
• The Workforce and Status of Social Care
• Commissioning
• New Performance Framework
• Delivery of CSR and Efficiency
• Reform of care and Support system – Green Paper
Priorities
“36 people used to visit me now it is 5” – Wajid
“We don’t want anything special, we want to be
ordinary” – Gavin
“My cancer is not operable, so I choose assistance
which improves the quality of my life” – Janice
“I want to be able to control my life” - Janet
Thank you
David Behan, Director General
Social Care, Local Government and Care Partnerships