Transcript Stakeholder discussions - Social Partnership Forum

Social Partnership Forum’s
Staff Passport Meeting
Monday 18th August
Glen Mason
Director of People, Communities and
Local Government
Department of Health
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DH – Leading the nation’s health and care
Care and Support affect a large number of people
Many people need some extra care and support during their adult years to lead an active
and independent life. Three-quarters of people aged 65 will need care and support in
their later years…
Who needs care? At age 65, what are your chances of
needing different types of care within your lifetime?
19 per cent of men and 34
per cent of women will
need residential care
48 per cent of men and 51
per cent of women will
need domiciliary care only
33 per cent of men and 15
per cent of women will
never need formal care
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DH – Leading the nation’s health and care
Drivers for Change in the English Care System
• Demographic pressure
• Unprecedented financial challenges
• Raising expectations
• Technological Change
• Systems failure eg: Mid Staffs Hospital and Winterbourne View
• A drive to integrate services
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DH – Leading the nation’s health and care
The Care and Support Act – our vision
We will change care and support in two fundamental ways:
1. The focus of care and support will be to promote people’s
independence, connections and wellbeing by enabling them to prevent
and postpone the need for care and support.
2. We will transform people’s experience of care and support, putting
them in control and ensuring that services respond to what they want.
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DH – Leading the nation’s health and care
A shift in the care and support system
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From
To
Repair
Prevention
Focusing only on response after a crisis
Acting earlier to prevent or delay needs
Fragmentation
Integration
Isolated services focused internally
Joined-up services working as partners
Paternal
Personal
State knows best
Person knows best
Exclusive
Inclusive
“Doing to”
“Doing with”
DH – Leading the nation’s health and care
Choice, control and quality
In the new, person-centred system...
People can choose
between a range of
high quality options,
or create their own
People have
clear
information
to make
good choices
about care
i
People
develop their
own care and
support plan
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DH – Leading the nation’s health and care
People’s
views are
heard and
help improve
services
People are in
control of
their own
budget
The Care Act is built around people
•
•
•
•
•
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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
providers 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
DH – Leading the nation’s health and care
The Better Care Fund
Benefits of integrated care
Coordinated approach
Better use of resources
Organised around users
Services 7 days a week
Bring skills together around the user
Reduction in need to go to hospital
Better outcomes for users
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What is Government doing to support this?
The Better
Care Fund
June 2013
announcement:
£3.8bn to be
deployed locally in
2015/2016 on health
and social care
through pooled
budget
arrangements
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Part of the £3.8bn
allocated to local
authorities includes
a payment for
performance
element to
incentivise ambition
and real change
DH – Leading the nation’s health and care
Local authorities
and NHS Clinical
Commissioning
Groups must
agree a joint plan
to deliver better,
person-centred
care before
receiving funding
Autumn
Statement
December 2013:
Pooled budgets
will be an
enduring part of
framework in
future years
The Better Care Fund (BCF) narrative
The Better Care Fund (BCF) will accelerate the local integration of health and care services to deliver
better outcomes for people
NHS and social
care services are
now caring for
people with
increasingly
complex needs
and multiple
conditions.
As ever with
system
transformation –
success depends
on the people
who are leading it
to make it happen
locally – people
taking bold steps
to move away from
their old ways
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There is consensus
that to respond to
this care should be
organised around
the person who
needs it, and that
person’s care team
should work
together to keep
them better for
longer.
The Better Care
Fund is one of the
most concrete
steps ever towards
making this
change happen
everywhere. This
is the start and
pooled budgets
are here to stay.
Areas put in draft
plans in April, and
local areas are
now revisiting
these to make sure
they are as clear
and strong as
possible to kick
start the change
we need from next
April.
The BCF has
accelerated and
made happen
conversations
that have never
happened before
about joint working
across agencies.
Now we want this
to happen
everywhere and
we are committed
to support local
areas to achieve
this. Local areas
teams and local
government
regions will have a
crucial part to play.
It is challenging,
and will
undoubtedly get
harder before it
gets easier – but
we have seen in
small pockets the
immense value of
the prize for
patients, users,
families, carers
and staff.
DH – Leading the nation’s health and care
The Better Care Fund
Examples of where it’s happening
Greenwich – avoided 2000 patient admissions with a joint
emergency team
South Devon & Torbay – reduced physio waiting times from
8 weeks to 48 hours by bringing professionals together
Northamptonshire - targets have been exceeded by 14% on
preventing emergency inpatient admissions- targets on
preventing excess bed days exceeded by 4%
Tri-borough in London have produced new joint model to
help people manage chronic conditions
In Greater Manchester 10 local authorities and 12 CCGs have
joined forces to support a large scale reconfirguation of
hospital services
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Better Care Fund
Details of the Better Care Fund
The June 2013 SR set out the following:
2014/15
2015/16
An additional £200m transfer from the
NHS to social care, in addition to the
£900m transfer already planned
£3.8bn pooled budget to be deployed
locally on health and social care
through pooled budget arrangements
In 2015/16 the Better Care Fund will be created from the following:
£1.9bn additional NHS funding
£1.9bn based on existing funding in 2014/15 that is allocated across the health
and wider care system. Composed of:
• £130m Carers’ Breaks funding
• £300m CCG reablement funding
• £354m capital funding (including c.£220m of Disabled Facilities Grant)
• £1.1bn existing transfer from health to social care
Local areas free to add additional funds to the pooled budget
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Better Care Fund
Better Care Fund
Next Steps
Assurance process
Support available for all areas up until 19th September
Local areas to develop/agree plans and submit by
19th September 2014
Ministerial final assurance of plans
By end of October
Additional £200m NHS transfer to LAs
2014/15
£3.8bn pool to be deployed locally
2015/16
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Better Care Fund
Adult Social Care Workforce
NHS Workforce
Community 251,000
Other scientific,
therapeutic
& technical staff 47,490
Residential
675,000
Healthcare
scientists
31,173
Allied health
professionals
74,902
Other GPs 8,898
GPs 40,265
Scientific, therapeutic
& technical
153,472
Doctors
146,075
Qualified ambulance
staff 18,645
Estimated number of adult social care jobs by
employer type in England, 2011:
Professionally
qualified
clinical staff
687,810
1.85 million
Day
96,000
Right Capacity
Managerial/supervisor
y 31,700
Domiciliary
831,000
Estimated number of NHS hospital
& community health service and
general practice workforce as at
30 September 2012:
1.36 million
GP registrars
4,426
Consultants 40,394
Registrars 39,404
Other doctors in training
and equivalents 13,952
Other medical and
dental staff 12,302
Nursing
369,868
Qualified nursing, midwifery
& health visiting staff
346,410
GP practice nurses 23,458
Infrastructure support 215,071
Central functions
106,696
Other
18,400
Other GP practice staff
113,832
Professional
4,300
Direct care
776,200
Support
to clinical staff
343,927
Hotel, property and estates
71, 242
Manager and senior manager
37,314
Support to
Support to
scientific,
ambulance staff therapeutic
13,451
& technical staff
61,345
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GP providers 26,886
DH – Leading the nation’s health and care
Support to doctors &
nursing staff 269,714
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DH – Leading the nation’s health and care
Challenges to the Workforce of Integration
• Staff need to develop new skills and to work across
traditional boundaries
• Growth in personal assistants with individual care and health
budgets
• Development of new roles
• Systems leadership
• Practical issues – TUPE etc
• Developing one culture
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DH – Leading the nation’s health and care
Thank you and any questions?
Glen Mason
Director of People Communities and local Government
Department of Health
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DH – Leading the nation’s health and care