[IL1: PROTECT] Care Act 2014 – Summary of Reforms 1.Adults’ well-being, and outcomes, is at the centre of every decision; 2.Focus on preventing and delaying needs, and integration and partnership working is reinforced; 3.Carers placed on same footing as those they care for; 4.Embedding the right to choice through care plans and personal budgets; 5.New national eligibility criteria; 6.From April 2016, a ceiling on care costs incurred by adults; 7.Deferred payments scheme with wider range of opportunities; 8.Self-funders entitled to ask the local authority to procure services to meet their needs; 9.Places adult safeguarding on a statutory footing; 10.Extends the opportunity for independent advocacy;

[IL1: PROTECT] Key Strategic Challenges Phase 1 – April 2015 Understanding the nature of change and increase in demand Understanding the impact on market and how to sustain Understanding the impact on the (wider) workforce and planning to meet the change Accounting for the cost of change Communicating and engaging with the right people at the right time Managing the change: understanding the priorities and the sequencing thereof Policy decisions; changes to procedures; guidance ….. Less than 200 days to implementation!!!

[IL1: PROTECT] Key Strategic Challenges Phase 2 – April 2016 Managing the April 2015 changes and preparing for the next set of reforms Understanding the impact of the charges and cap ASC systems to accommodate the changes (portability December 2015) Repeat of much in phase 1 e.g. financial impact, workforce ….

[IL1: PROTECT] Cost of Implementing Reforms

[IL1: PROTECT] Demand New eligibility criteria for clients unlikely to affect the majority of councils (?) Self-funders: increase in numbers seeking assessments arising from incentives –Number in residential care range from 15% to 55% –Numbers in receipt of home care approximately half the figure for residential care Carers: No published work available but a significant increase for assessments arising from the incentives on offer to those meeting eligibility criteria Commissioning & Procurement: Services for self-funders and carers Direct Payments: increase in demand potentially from carers The Cap & Extended Means Test will increase numbers receiving State support nationally from 38,000 in 2016/17, to 98,000 in 2025/26

[IL1: PROTECT] Care Act 2014: Managing The Change in Sandwell Work-streams: –Understanding the nature of changes and volume demand –Carers –Market Management & Sustainability –Prevention & Early Intervention –Workforce Development –Financial Impact of Changes –Systems adaptations –Communications