David Behan The Future of Social Care National Care Association 1 st November 2007

What is Social Care? What are the Challenges for Social Care? Reform CSR Priorities

Social care is defined as: the wide range of services designed to support people to maintain their independence, enable them to play a fuller part in society, protect them in vulnerable situations and manage complex relationships

Services for individuals with special needs Home care/day care for people with disabilities Services for children in care or at risk Home care/day care for older people Day/community/lunch centres for older people Basic needs such as food, shelter and medical care Meals on wheels Residential/nursing care for older people March – April 2007/1000 English adults interviewed face-to-face Residential/nursing care for people with disabilities Support to stay in work for those with a disability/long-term illness Day/community/lunch centres for people with disabilities Transport services for older people/people with disabilities Care available to all/anyone who needs it Most people do not understand what social care is and how it works Community health care

Home care/day care for people with disabilities Home care/day care for older people Day/community/luncheon centres for older people Basic needs such as food, shelter and medical care Direct payment/individual budgets Transport services for older people/people with disabilities Residential/nursing care for people with disabilities Support to stay in work for those with a disability/long- term illness Day/community/luncheon centres for people with disabilities Meals on wheels Residential/nursing care for older people Assisted technology (eg automatic sensors to say if lights left on/fridge door open) Relatively few have direct contact with social care services Which of these services have you or your family or friends used in the last year or so? July 2007/1000 English adults interviewed face-to-face

Very satisfied Neither satisfied nor dissatisfied Dont know Quite satisfied Quite dissatisfied Very dissatisfied Satisfied: 68% Dissatisfied: 13% Net satisfied: +60% (up 5%) People are quite happy with services when they use them July 2007/387 people with recent experience of social care services

Satisfied Base: 980 social care users in England, adults age 16+, Winter 2006, March 2007 & July 2007 Gender Dissatisfied Male Female Age AB C1C2 DE Social grade Proportion who are satisfied Are some groups who use services more satisfied?

% Agree % Disagree People are treated with dignity and respect when they use NHS services People are treated with dignity and respect when they use social care services NHS and social care services work well together to give people co-ordinated care If people are depressed or anxious, they can access support quickly from NHS 33% 13% 26% Net (+%) +6% Public perceptions – do you agree or disagree that … ? July 2007/1000 English adults interviewed face-to-face

Social care is responding to demographic pressures and changing attitudes: By 2025, a quarter of the entire adult population will be over 65 Projected % of England's adult population aged 65 and over There are now 17 million baby boomers marching towards retirement with a high set of demands and a clear expectation of what they want in retirement… (Age Concern 2004) And expectations of public services will rise

There are several major challenges facing adult social care Funding target to those most in need Little public understanding of the funding system Little public awareness of the need to save Inequalities in access caused by local eligibility criteria Variable standards amongst providers Low skilled and low paid workforce

One system to drive reform, which will benefit all users of services: Better LA commissioning will strengthen the market in local areas, benefiting all people Inspection will judge how everyone experiences care services Better information and mechanisms such as direct payments will help users to shape services Everyone will benefit from better trained staff across the profession, and the development of new technologies Privately funded and State funded users will follow slightly different routes through a single system. Many of the reforms will address the needs of both groups of users Strengthening performance management Shaping and building the market Better care and support Increasing capability People Shaping the Service from Below

The Settlement Part 1: CLG Average 1% real per annum £2.6 bn per year by 2010/11 –Pay Prices –Demography –Policy Pressures Statutory Leave Mental Health Act Bournewood Part 2: DH DEL Average 2.3% Real Per Annum - £190m per year by 2010/11 –Continued Grants for Carers and Mental Health –Campus Closure –Registration of Workforce –Further Personalisation

Green Paper on Reform of the Care and Support System A New Offer Engagement: 2008 Green Paper: 2008 Affordable Progressive Universalism Promote Independence, Wellbeing, Control Outcome – New System for Social Care and its Funding

Priorities Policy Personalisation Early Intervention Dementia Dignity Carers Enablers The Workforce and Status of Social Care Commissioning New Performance Framework Delivery of CSR and Efficiency Reform of care and Support system – Green Paper Strengthening performance management Shaping and building the market Better care and support Increasing capability People Shaping the Service from Below

Priorities 36 people used to visit me now it is 5 – Wajid We dont want anything special, we want to be ordinary – Gavin My cancer is not operable, so I choose assistance which improves the quality of my life – Janice I want to be able to control my life - Janet

David Behan, Director General Social Care, Local Government and Care Partnerships Thank you