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

2 DH – Leading the nation’s health and care Context 2.6 million population 17.3% of population over 65s Largest proportion of over 65s Northumberland - 20%, smallest Newcastle14% 15% of population 16 – 64 with disablities – highest region Over 22,000 organisations nationally and 1.85 million jobs Increase in adult social care jobs due to direct payments and personalisation

3 DH – Leading the nation’s health and care What the White Paper sets out to achieve The White Paper, together with the draft Care and Support Bill, will shape the care sector for years to come. The draft bill sets out how these plans will be put into law. For the first time, there will be a single, modern statute for adult care and support. A statute that will be clearer, fairer, and built around people, not processes and institutions. It will empower people in the North East and across the country to take control over their care and support and to understand their entitlements. Last month, the Secretary of State for Health announced groundbreaking proposals to cap the costs of long term care. These historic reforms will give everyone more certainty and peace of mind over the cost of old age.

4 DH – Leading the nation’s health and care Funding Reform The Government has committed to a cap on care costs equivalent to £75,000 in 2017/18 prices across England The cap provides the same financial protection for people of equivalent wealth from different areas and everyone will benefit from more peace of mind. One of the consequences of the Government’s plans for funding reform is that there will be greater transparency about local prices for everyone. Both local authorities and providers will need to share more information with local people about how they calculate the costs of care.

5 DH – Leading the nation’s health and care Access to Care People have told the government that the process for determining who is eligible for care and support is confusing and unfair. Decisions are not transparent, and they vary across the country. The end result is that people can be left without the support they need. The draft Bill provides for a national threshold for eligibility, set out in clear regulations and applied fairly and consistently. This will give people a better understanding of whether they should receive local authority funded social care across England.

6 DH – Leading the nation’s health and care Carers They make a significant contribution to the care system, often with an ongoing impact on their own wellbeing The draft Bill will also benefit those with caring responsibilities. It will simplify the process of assessments and place a new duty on councils to meet a carer’s eligible needs for support. This will be underpinned by a commitment to provide new resources rising to £175m per year across the country.

7 DH – Leading the nation’s health and care Quality of Care While there are many excellent examples of high quality care, feedback indicates quality can be variable and inconsistent. These inconsistencies can ruin people’s experiences of care. Therefore as a starting point, all providers of care must meet the Care Quality Commission’s Essential Standards. In addition the National Institute for Health and Clinical Excellence will develop quality standards on a range of issues affecting older people in residential care and community settings. The White Paper sets out an ambition to shift the focus of commissioning from “contracting by the minute” to outcomes for individuals and families

8 DH – Leading the nation’s health and care Personalisation One of the best ways to improve the quality of care will be getting people to exercise choice and control over how their needs are met. The draft Care and Support Bill will place personal budgets on a legislative footing for the first time. Local authorities should also be working to meet the objective set out in the Vision for Adult Social Care and provide personal budgets for everyone eligible for ongoing social care, preferably as a direct payment, by April Personal budgets are not currently appropriate for all people and the government has agreed with the sector a realistic but challenging objective of 70% of people nationally.

9 DH – Leading the nation’s health and care Information Improved public information and knowledge are fundamental to supporting the personalisation of care and people’s ability to access the right types and level of care at the right time. From April, people will be able to access a range of easy-to-use, comparative information about all CQC-registered domiciliary and residential care providers through the new online quality profiles on the NHS Choices website. New initiatives are also popping up at a local level, so people can make effective and informed choices specific to where they live. The White Paper set out our ambition for everyone who is eligible for local authority funded support to be given the choice of access to independent advice and support.

10 DH – Leading the nation’s health and care Prevention and Housing We want a care and support system that is proactive rather than reactive, that helps people stay healthy and independent in the first place. Change that better meets and manages future demand. We need to help people to remain healthy throughout their lives, so hopefully they won’t need to go into acute hospitals in the first place. And if they do, then we need to support them to regain independence after they leave so hopefully they won’t have to go back. To support people to continue to live independently in their own homes, the Government has made £300m available to provide specialised supported housing for disabled and older people.

11 DH – Leading the nation’s health and care Integration The White Paper sets out the ambition for health, care and support to be organised around the needs of the individual user rather than focusing on organisations and services. A reformed system where organisations work together to give individuals real control and choice over the care they receive. Good practice already exists and we need to learn from and build on that. Encouraging sensible debate and collaboration about the needs of local people is a key success factor to enable real change to take place

12 DH – Leading the nation’s health and care What does this mean for providers of care services? Service users and their families more informed and in control through direct payments Mature discussion between commissioners and providers to avoid market failure and build a resilient care system Real focus on quality – driven by local leadership, clear workforce strategy, transparency of information, and quality standards

13 DH – Leading the nation’s health and care Some opportunities and challenges for care providers Continuing to develop services that meet modern expectations Working with specialised housing operators and developers. Exploring the potential for partnerships with the NHS. Building a more constructive dialogue with commissioners. Connecting care homes with the communities they serve. Improving the image of the care sector - both for service users and as a place to work.

14 DH – Leading the nation’s health and care Services that maintain dignity and respect have these things in common Recognise people’s individuality Help them a retain sense of identify and self-worth Listen and give time Be alert to emotional as well as physical needs Give people more control over their care and surrounding environment.

15 DH – Leading the nation’s health and care Thank you for listening