11 Adult Social Care – Market Position Statement Martin Garnett Assistant Executive Director 27 th February 2014

Market Position Statement This Market Position Statement is aimed at existing and potential providers of adult social care services to give a general view on the vision for the future of local social care markets Primarily aiming at: Providers of Adult Social Care Independent Sector, Voluntary and Community Organisations Providers interested in local business development and social enterprise Social care providers not currently active in Tameside 2

Key Messages Health and Social Care Policy is shifting investment patterns to earlier interventions Demand for care and support will rise but not matched with increased public funding Personal Budgets will increasingly allow people wider choice – demand for traditional models such as day care expected to decrease Partnership between Adult Social Care and Health will strengthen – ongoing talks in relation to integration Council Spending on Residential and Nursing care will decrease as a proportion of spend on older people Life Expectancy is increasing and with emphasis on prevention - entry into assessed services is likely to be later in people’s lives. Greater emphasis on people maximising their natural support networks 3

4 The Future Provision of Adult Social Care Council is entering a period of significant change based on central government policy and significant reduction in the level of funding available to deliver the range of services it has historically provided. “Care and Support Bill” places a strong focus on people’s well-being and supporting them to live independently for as long as possible The Council has accepted that traditional outdated models of social care cannot be sustained and a revised approach is necessary The Council will continue to promote independence via reablement and recuperation thereby supporting people to remain at home and reduce the dependency on long term care The approach highlighted in the previous Market Position Statement will be continued in ensuring that that people get the right level of intervention, at the right time, and in the right way

Caring for our Future – Reforming Care and Support 5

Health and Social Care Integration The Health and Social Care Act 2012 outlines the imperative for greater integration between the NHS and Social Care Care and Support Bill mirroring this – emphasis on integrated delivery for Health and Social Care Funding streams beginning to influence integrated approaches Health and Social Care system currently examining what the local approach to a integrated system would look like 6

7 Demography Headlines: Total population for those aged over 65 years of age is forecast to increase by 16.4% by 2020 (5,900 additional people) Number of people aged over 85 will increase by 30.2% (1,300 additional people) Total population for those aged over years of age is forecast to increase by 1.4% by 2020 (1900 additional people) – though within these figures there is a predicted increase in Learning Disability – 2.8% Severe Physical Disability – 4.7% Common Mental Health Problem – 1.5%

8 Future Demands – Key Messages Opportunities in the coming years: Social and Community Enterprise – heightened presence of social value, social capital and co-production Community Activities – consider offering recreational, educational, social and support activities in local communities Daytime Opportunities – interest clubs or activities that appeal to people now and in the future Domestic Services – domestic support, gardening or shopping services that enable rather than maintain disability Personal Budgets – as people have personal budgets available to spend individually providers should consider offers of support in relation to information and advice, equipment provision, and transport provision

Quality The Council places great importance on quality assurance and sees its role increasing over time as the uptake of personal budgets increases. Current and potential providers should consider the following in supporting the delivery of high quality responses: Increased focus on Quality Delivery – including reviewing what people think of the service being delivered Staff Satisfaction – offering a high quality service helps to recruit good staff and improve motivation and staff retention Communication – consider how providers communicate with customers to create a personalised customer focussed experience Involving People – people value input into the design and development of services Continual Improvement – deliver support with an emphasis on continuous improvement and positive outcomes for people 9