Eastern Region Housing LIN Overview of the Care Bill Joanna David – Assistant Director Social Care Reform DH/LGA/ADASS Joint Programme Board March 25 th

A critical time for local government Wide ranging and significant piece of legislation - major opportunity to shape the long term future of adult social care Core principles have strong sector and stakeholder support – prevention, early intervention, independence and well being Very substantial change programme – integral links to the wider health and care reforms – BCF, Pioneers, Public Health

Programme Board Joint Programme Board - formal partnership between DH, LGA and ADASS to support implementation of Care Bill - innovative, collaborative - strong buy-in from all Partners Spirit of engagement and co-production Legislation that is being shaped in partnership between central and local government, providers and the third sector

Stakeholder engagement groups Assessment & Eligibility Information & Advice Quality & Safety PreventionCare Markets Paying for Care Care Planning & Personalisation ADASS Housing Network TLAP Info, Advice & Brokerage working group Paying for Care Task & Finish Group (with input from ADASS Resources network) DCMQC Project Board Market Oversight & Provider Failure working group Charging for Care Cross-border placements Virtual reference group Care planning & personalisation Working Group Financial Services Steering Group Care & Support Programme & Implementation Board Law Reform Delegation Virtual Advice Network A&E Task & Finish Group (TG) Financial Services CEO Group Integration Implementation Board C&S in Prisons:: Health & Justice Partnership Board Inter- departmental Ministerial Group (IDMG) NHS key Stakeholder Groups Joint Transformation GroupCabinet OfficeLGA BoardsCross-sector stakeholder groups x3 sub-groups – Assessment & Eligibility, Paying for Care, Workforce InformaticsPaying for the ReformsWorkforceCommunications Outcomes & Information Development Board Adult Social Care Workforce Development Board Major Projects Authority Mkt shaping & commissioning sub-group of TLAP’s National Market Forum Info and Advice Core Advisory group Safeguarding Adult Advisory Group (SAAG) ICSG Care and Support Reform Comms Group ITF Ministerial Board Awareness- raising Working Group Continuity of care Virtual Advice Network LGA Executive (by exception) Community Wellbeing Board X-Government carers’ strategy Board Prevention Task and Finish Group HTTG Ordinary Residence Virtual reference group Advocacy Core Advisory Group ●Established non-DH forums ● Established DH-led stakeholder group ●New single purpose group ●Virtual reference groups (for Bill only) 4x Stakeholder T&F Groups: Family and Community Safeguarding Adults Multi-agency Practice Cross- Governmental officers Group Virtual reference groups: Advocacy Info & Advice Appeals & Complaints Virtual reference group Working Age Adults working group Choice of accommodation Virtual reference group Standing Commission on Carers Transition working group ADASS IMG CSA Bill Group Virtual reference group – Transitional Provision Virtual reference group – Sight Registers Improvement Board DH & LG Strategic Forum Paying for Care Task & Finish Group (with input from ADASS Resources network) Longer-term group (TBC) LGA/ADASS Working group

Key areas of change – Part 1 National eligibility threshold Legal right to a personal budget Carers to have the same rights as those they care for New duty to prevent / delay the need for care New duty to provide information and advice to all residents – not just those receiving care

Changes Part 1 Duty on councils to join up care and support with health and housing where this delivers better care and promotes well being Duty on councils to ensure there is a wide range of care and support services available that enable local people to choose the care and support services they want (market shaping)

Key changes Part 2 – funding reform Financial protection - everyone will know the maximum they will pay towards the cost of meeting their eligible care needs People will be protected from having to sell their home in their lifetime to pay for any care home costs People will be helped to take responsibility for planning and preparing for their care needs in later life

Key changes – Part 2 Cap on costs of meting eligible care needs – to be set at £72k when it is introduced (adjusted annually) No contribution expected for young people entering adulthood with an eligible care need Lower cap for adults of working age (level to be determined) Increase in capital thresholds /extension to the means test providing more support to people with modest wealth New legal basis for charging covering both residential and non-residential care Introduction of flat rate contribution towards living costs for people in residential care

The legislative timetable The Bill has now had its 3 rd reading in the Commons – Royal Assent expected mid May Regulations and guidance due to be published mid May – up to 12 weeks consultation Finalised secondary legislation October 2014 Part 1 implementation – April 2015 Part 2 – April 16

Critical areas for implementation Workforce – ensuring capacity and skills to deliver reforms IT – care records, new charging, deferred payments Advice and information - building a comprehensive and accessible service Understanding how much it is going to cost – financial modelling for the cap plus implementation costs

Building capacity DH investment in regional structures - seen as pivotal to drive preparation for implementation Sharing good practice, knowledge and learning – avoiding duplication Focal point for communication – understanding obstacles, managing risks – surfacing wicked issues

Key risks that are emerging Still a significant number of policy ‘unknowns’ – working age cap, national eligibility threshold Uncertainty about total costs of implementation Context of spending review State of readiness in adult social care – scale of change