1 Department of Health’s Care Markets Work Programme Tabitha Brufal, Deputy Director Stephen Airey, Head of Care Markets Policy Social Care Policy and.

Slides:

Advertisements

Similar presentations

Provider Forum A Joint Commissioning Strategy – planning for better lives and better health for Adults with Learning Disabilities.

Advertisements

Market Position Statements. About IPC We work for well run evidence based public care We are part of Oxford Brookes University We work with national and.

Local Education and Training Boards Adam C Wardle Managing Director, Yorkshire and the Humber Local Education and Training Board.

A national perspective on information and technology in adult social care Charlotte Buckley DH.

The Future of Social Care Rebecca Matthews, Policy Manager - North of England, Social Care & Partnerships 25 April2013 DH – Leading the nation’s health.

East of England Implications of the Care Bill for Market Shaping Activity March 2014.

People, families and communities NHS Commissioning Board Children’s Trust Westminster’s Joint Health and Wellbeing Board Local Healthwatch Providers West.

Good Commissioning? Wendy Fabbro Strategic Director, People Group Warwickshire County Council Commissioning and Contracting conference 11 September 2014.

1 The Care Act and Social Care Markets July 2014.

The Care Act Reforming care and support Older People’s Provider Forum 11 February 2015 Vicky Smith, Head of Policy and Strategic Development.

RCVS Network Meeting - Health & Social Care 3 rd June 2014 Richmond Council Update Cathy Kerr, Director Adult & Community Services.

Transforming health and social care in East Sussex East Sussex Better Together.

December Network Meetings Older People Care Homes.

Rural Generic Support Worker Opportunities and Synergies Dr Anne Hendry National Clinical Lead for Integrated Care Joint Improvement Team.

Social Care and Health working together 00A – 31 Jan Care at Home in England 4 th February 2010, Edinburgh Janet Crampton DH National Programme Manager,

The Care Act: Reforming Care & Support Staff Conference 10 November 2014 Cathy Kerr, Director, Adult and Community Services.

1 The role of social work in personalised adult social care and support Social Work and Personalisation: Skills for Care Wednesday 25 th June 2014 Lyn.

The Care Act Reforming care and support Vicky Smith, Head of Policy and Strategic Development Older People’s Provider Forum 8 October 2014.

Commissioning for Better Outcomes – a route map ADASS /SCIE event – January 9 th Sandie Keene.

NAFAO Conference 18 th October 2012 Clare Hensman, Social Care Funding Reform Department of Health Social Care Funding Reform: Current state of play.

The Care Act 2014 Barbara Booton

The Torbay Model – meeting people’s needs and expectations Dr Carol Tozer People Commissioner.

Safeguarding Adults at Risk in the new commissioning landscape Stephan Brusch Professional Safeguarding Adult Advisor.

Safeguarding Adults Board 6 th Annual Conference Adult Safeguarding and the NHS Alison Knowles Commissioning Director NHS England, West Yorkshire.

The Future of Adult Social Care John Crook March 2011.

Better Care Fund John Webster – Director of Commissioning Chris Badger – Assistant Director – Health and Social Care Integration.

Darzi Review and The End of Life Care Strategy A summary and initial analysis Graham Elderfield Chief Executive Earl Mountbatten Hospice

Putting People First – SW region update Feb 2010.

A better life for every young person : Reform.

Market Development Strategy & Market Position Statement Part 2 Vicky Smith, Head of Policy & Service Development Debbie Endersby, Head of Strategic Commissioning.

Market Development Strategy & Market Position Statement Part 2 Vicky Smith, Head of Policy & Service Development Bianca Byrne, Project Manager - Choice,

Budget Survey 2015 A call to government to protect vital care and support services for the most vulnerable members of our community.

Department of Health The Role of the DPH and Joint Strategic Needs Assessment George Leahy Head of Public Health Development Department of Health PUBLIC.

Market Shaping and Market Position Statements Why now and what for? November 2014.

The Care Act in Reading. National Assistance Act 1948: established the welfare state Why do we need the Care Act? … Legal framework is out of.

Read and delete this slide In the April 2013 edition of CPN and on the PSNC website, a short contractor briefing on the new healthcare system was published.contractor.

1 The Care Act and Social Care Markets June 2014.

FUNDING SOCIAL POLICY. CENTRAL GOVERNMENT A large part of Central Governments funding is derived from Income Tax, VAT and National Insurance. Most individuals.

Implications of the Green Paper Jeni Bremner Programme Director.

Getting it right for people with complex needs: whose responsibility? David Behan, Director General Social Care Local Government and Care Partnerships.

Local Authority implementation of the Care Act 2014 Hazel Summers Head of Strategy Commissioning.

Families and Social Care Strategic Commissioning Accommodation Strategy Christy Holden Head of Strategic Commissioning (Accommodation Solutions) 11 March.

Health and Safety Executive Health and Safety Executive General update, current issues and future challenges in the health and social care sectors. RCN.

Integration of Adult Health and Social Care. What is the problem we are trying to solve? Too much variability of health and social care in different parts.

Care Act implementation support – care markets and commissioningSlide 1 University of Wolverhampton MSc Commissioning in Health and Social Care Tuesday.

MQNF Helen Coombes – Interim DASS, Staffordshire Council.

Anne Foley Senior Advisor, Ministry of Health New Zealand Framework for Dementia Care.

People Group The Care Act 2014 David Soley Service Manager Social Care and Support Warwickshire County Council

Formal agreement between the CCG, City Council, Salford Royal and Greater Manchester West –Pooled health & social care budget and financial risk share.

NHS Education & Training Operating Model from April 2013 Liberating the NHS: Developing the Healthcare Workforce From Design to Delivery.

4 Countries Project: Modernising Learning Disability Nursing Dr Ben Thomas Director of Mental Health & Learning Disability Nursing 16 December, 2011.

Developing an integrated care model Clare Henderson Assistant Director Strategic Commissioning.

NHS Reform Update October Context Health Reform Agenda Significant pace of change Clear focus on supporting the Transition Process At the same time.

Better Together Integrated health and social care Integrated health and social care across Bournemouth, Dorset and Poole Sally-Ann Webb Better Together.

The Care Act The Key Changes, Challenges and Opportunities Bev Jocelyn – Commissioning Manager.

The power of Partnership!. The journey so far Established a powerful partnership Achieved legislative and policy change Progress with embedding co-production.

Commissioning for Better Outcomes Dr Karen Newbigging Health Services Management Centre.

Integration of Adult Health and Social Care. Social Work Services 11 'Stand Alone‘ departments 5 Social Work and Education 4 Social Work and Housing 2.

Local care markets Unintended consequences of the Care Act and risk mitigation.

SOCIAL CARE CURRENT DATA AND GAPS RAPHAEL WITTENBERG PERSONAL SOCIAL SERVICES RESEARCH UNIT ROYAL STATISTICAL SOCIETY CONFERENCE 29 JANUARY 2013.

‘Review of the Care & Welfare Regulations & Financing of Long-term Care under the Nursing Homes Support Scheme’ NHI Annual Conference - 10 th November.

Ian Ayres Accountable Officer West Kent Clinical Commissioning Group.

Quality, Standards, Regulation and Ratings an essential policy update for frontline managers Venue: London Date: 2 March 2016.

National Adult’s Commissioning and Contracting Training Conference Programme 24th November 2016 Margaret Willcox ADASS Vice President.

A Blueprint for Change: The West Wales Area Plan

Why Social Care Matters

D1 How agencies work.

The DCMQC programme National programme running for one year to provide support to LAs in developing an MPS / delivering market facilitation. Part of the.

Integrated Care – The Shape of Adult Social Care in Torbay

HELEN SIMPSON AND MARY GOGARTY

Presentation transcript:

1 Department of Health’s Care Markets Work Programme Tabitha Brufal, Deputy Director Stephen Airey, Head of Care Markets Policy Social Care Policy and Legislation

2 A challenging current context… DH Care Markets Work Programme ASC Market SR settlement National Living Wage Fees Fragmented market QualityWorkforceDevolution

3 Context: Provision and Funding DH Care Markets Work Programme Around 7,000 independent residential homes and 5,000 with nursing; 10 largest providers cover 25% of the market; 395,000 older people are state-funded for support in the community and 330,000 are self- funded Around 7,000 independent residential homes and 5,000 with nursing; 10 largest providers cover 25% of the market; 395,000 older people are state-funded for support in the community and 330,000 are self- funded Spend on care and support is split between state and individual LA £15.5bn £8.4bn working age £7.1bn older adults Individual £9.5bn NHS £2.5bn £7bn self- funders £2.5bn user charges £2bn CHC £0.5bn FNC FNC = NHS-Funded Nursing Care CHC = NHS Continuing Health Care Private sector Older people’s care home market is dominated by private providers Voluntary sector 380,000 beds 70,000 LA and NHS 38,000 Working age share is higher than in 2010 (was 47%, now 54%)

4 Context: The supply side consists of many small providers and a few brand names DH Care Markets Work Programme -CQC record 5,800 different providers of care homes for older people and people with dementia (counting the brands as single providers) -Laing and Buisson (2015) report that: -The top 10 for-profit providers have a market share of 25% by value -For-profit sector has 86% of beds, not for-profit 14% of beds The 5,300 providers with fewer than 100 beds account for 42% of total beds Top 10 providers Next 915 providers (50-99 beds each) Final 2,186 providers (24 beds or fewer each) Biggest provider: BUPA Group, 4.4% of beds. Then Four Seasons, 4.1% Next 90 providers Next 391 providers ( beds each) Next 2,220 providers (25 to 49 beds each)

5 Context: First round of ASC CQC inspections will be complete by September 2016 DH Care Markets Work Programme Community social care is performing best overall with 68% ratings outstanding or good, nursing homes perform worst with 46% outstanding or good. March 2015

6 DH Care Markets Work Programme Context: a larger workforce than the NHS…

7 Markets - roles and responsibilities DH Care Markets Work Programme Care Act (2014) sets out duties and responsibilities for market related issues: DH: Lead government department for adult social care market and system steward, and provides national leadership and co-ordination of national level contingencies CQC: Quality regulator and market oversight scheme LAs: Commissioners, care planning, DPs, local contingency planning, working with providers on market shaping, universal preventative services.

8 Aims and objectives of the DH markets work programme DH Care Markets Work Programme Primary aim is to mitigate risks to the availability of affordable, high quality adult social care and to ensure markets are sustainable and able to meet the needs of the population over the short, medium and longer term Deepen understanding of the market, including current trends and risks Provide appropriate support to market actors – on the commissioning and supply side Ensure appropriate contingency plans are in place to handle significant provider failure(s) Proactively assess, review and develop markets policy Support Ministers in their duty to be accountable for care markets to parliament and the public

9 Delivery of the programme will be managed through 6 workstreams DH Care Markets Work Programme Data, intelligence and AnalysisContingency planning and CQC market oversight interfaceSupport for commissionersSupport for the supply side National Market Position Statement New approaches to care

10 Highlights of work underway DH Care Markets Work Programme Commissioning for Better Outcomes Peer challenges and other sector- led improvement Getting the price right Guidance to support informed fee negotiations Best practice in market shaping (Market ShaRe) IPC guidance for local authorities- focus on market positions statements Build on DCMQC and MaST

11 Discussion DH Care Markets Work Programme What do you think are the priorities for the DH care markets programme? What role could the NMDF play to support these priorities? What would you like the forum to achieve in partnership with the markets work programme over the next 12 months?