A Carer spends a significant proportion of their life providing unpaid support to a significant other Who? A Carer spends a significant proportion of their life providing unpaid support to a significant other (family and sometimes friends). i.e. caring for a relative, partner or friend who is ill, frail, disabled or has a mental health or other vulnerabilities e.g. addictions.”

Number of carers broadly stable as a proportion of population, but increasing hours of care provided (especially 50+ hours/week) This means value of care increasing. By one estimate, if all hours of care were replaced by State at market rates would cost £132bn (Carers UK 2015) ONS estimate of informal care as “household production”: £62bn Overall conclusion is clear: health and care could not function without carers

Disinvestment in carers: a false economy Increased burden on carer Decreased support for carer or person cared for Increased costs to local authority of replacing care Increased likelihood of carer health problems or breakdown Aging carer population Increased costs to NHS of meeting health needs

Informal care not increasing as fast as need Supply of unpaid care by adult children for 20 or more hours a week compared to demand for unpaid care by older people 2007-2032 Existing trends imply carers will ‘run out’ in 2017 (although heavily caveated) Care gap of 15,000 by 2017 rising to 160,000 by 2032 (Pickard 2015). Main driver is decrease in the number of adult children caring for their parents.

The population of Norfolk is projected to increase by 6 The population of Norfolk is projected to increase by 6.7% in the next 10 years. The population of older people (aged 65+) is projected to increase much more rapidly (18.5%) than the population of working age adults (1.2%). The population aged 80+ is projected to increase by 43% by 2027. Data source: ONS 2014 available through Norfolk Insight[1]

Growing pressures on older carers There are almost 1.3million people over the age of 65 providing unpaid care to a family member or friend 128% rise in carers aged over 85. Over half of carers aged over 85 provide 50 hours or more of care a week.

Only 38% of older carers feel their community supports them. 49% of older carers said that their GP practice had not informed them about how to get practical support as a carer. 33% had no information to help them keep well. Only 38% of older carers feel their community supports them. Increased number of long term health conditions, reduced social networks and increased isolation and loneliness. Many older carers disadvantage as access to services move solely online,. 6 in 10 older carers have let a health problem go untreated 59% stated their health is becoming a significant worry Horstead residential activity- zip wire

A third of carers care for a parent living in another household… External carers Within-household carers Cares for more than 1 person 39% care for someone in household 54% care for someone external 8% care for multiple people Source: Family Resources Survey 2012/13

3:5 people are carer at some point 3 million+ working carers in UK 15% of the workforce Across all sectors of society and in all sections of the workforce. Combining work and care occurs at any age. Proving unpaid care can have a significant impact on carers physical, mental and financial Can happen to anyone – Case Studies

Carers UK survey suggests 2 Carers UK survey suggests 2.3 million people have quit work to care and almost 3 million have reduced their working hours… Why are carers more likely to work part-time or not work? In the State of Caring Survey 2014: Pressures on time: 62% said it was the stress of juggling everything that meant they gave up work. A quarter (25%) blamed the difficulty of getting enough time off or negotiating suitable hours to enable them to carry out their caring responsibilities. (NB. while employees have a right to request flexi working it is not guaranteed.) 35% gave expensive or lack of suitable care services as reasons they gave up work or retired early to care. Other potential factors: Health problems – 11% of those caring for 20+ hours a week report bad or very bad health, compared to 5% non-carers (Census 2011). If receiving CA cannot be earning more than £110 pw.

Business benefits for the wider economy - Tax and national insurance revenue Loss to the economy plus additional costs. Many carers want & need to combine paid work and care Supporting carers in the workplace also has business benefits for the wider economy. Research on the economic and social benefits of investing in carer support, calculating the amount of additional earnings (between £750 million and £1.5 billion per annum) and related tax and national insurance revenue that would come into the economy if working age carers were better supported by care and support services. Loss to the economy if more people have to give up work or reduce their working hours. This includes lost tax revenue and lost contributions to the pensions pot, and there are also additional costs in the form of welfare benefit payments. The contribution of unpaid carers has been calculated to be worth an estimated £87 billion per year – nearly as much as total spending on the NHS.

Stress related absence has been reduced by 26% through flexible working alone The average increase in productivity for flexible workers is 21% – worth at least £5-6 million on the company bottom line Retaining carers through support or special leave arrangements represents a saving to the company of about £1 million a year The cost of 2-3 days emergency leave is minimal compared to the costs of re-recruitment

“Accommodating carers isn’t difficult, disruptive or expensive, it’s just plain business sense – a small change in working hours or flexible arrangements can make all the difference both to the employee, workforce and to the business.” Caroline Waters OBE, Chair of Employers for Carers Director, People and Policy for BT Group.

THINK CARER, THINK FAMILY; MAKE EVERY CONTACT COUNT NHS COMMISSIONING FOR CARERS PRINCIPLES. THINK CARER, THINK FAMILY; MAKE EVERY CONTACT COUNT SUPPORT WHAT WORKS FOR CARERS, SHARE AND LEARN FROM OTHERS RIGHT CARE, RIGHT TIME, RIGHT PLACE FOR CARERS MEASURE WHAT MATTERS TO CARERS SUPPORT FOR CARERS DEPENDS ON PARTNERSHIP WORKING LEADERSHIP FOR CARERS AT ALL LEVELS TRAIN STAFF TO IDENTIFY AND SUPPORT CARERS PRIORITISE CARERS’ HEALTH AND WELLBEING INVEST IN CARERS TO SUSTAIN AND SAVE SUPPORT CARERS TO ACCESS LOCAL RESOURCES

REQUIRES CREATIVE THINKING AND IMAGINATION

Carer and cared-for online

Focus on a person’s strengths that can help address needs Approaches to support the individual’s independence, resilience, ability to make choices and promote wellbeing. Focus on a person’s strengths that can help address needs Develop on going conversation with individuals that assist with building resilience and coping strategies Increase personal control   That we are empathetic and compassionate as an organisation Implementation of flexible working and carers’ policies dependent on the culture of the organisation; Managers play a key role in upholding organisational commitments to diversity and inclusion, and need training and support in responding to carers Creating a supportive environment for carers requires the endorsement of top-level management, input from human resources professionals, and some specialist support structures Multi-skilling, good communication and team working provide effective cover if carers have unexpected emergencies

Success? Reduce Prevent Delay Prevention & Resilience & Planning Emotional support Reduce caring responsibilities Support for families INTEGRATED HEALTH & CARE CARE BILL / CARE ASSESSMENTS SEGMENT CARERS (AGE / LTC / LOCATIONS) COLLABORATION

Ingenuity & pragmatism

Tel. 01603 219924 www.norfolkcarerssupport.org Social Care Bill, comes into effect April 2015: Automatic assessment for Carers by LAs (instead of carers’ being responsible for requesting assessment) Need for LAs ‘to have regard’ to the importance of enabling carers and disabled people to work Need for LA to make provision for ‘sufficient services’ to meet current and future (rapidly rising) needs Tel. 01603 219924 www.norfolkcarerssupport.org