1. The Care Act Andy Mailer Strategy Manager andrew.mailer@cambridgeshire.gov.uk 24 th March 2015

2. Background  The Care Act introduces a major set of reforms to the way that care for elderly people and other adults with care needs is provided and paid for. It is part of a bigger push to reform both social care and health and improve the way all parts of the system work together  The Care Act simplifies, consolidates and improves a confusing and sometimes conflicting legislative framework that has developed over the last 60 years  Phase 1 implementation on1 st April 2015  Phase 2 implementation on 1 st April 2016

3. Public information campaign  1 st phase (Jan-March 2015) national information campaign including;  2.5m leaflets (minimum 225,000 in Cambridgeshire)  Radio adverts  Adverts in the national press  Covering;  national eligibility criteria  deferred payment agreements  carers' entitlements  2 nd phase planned for late 2015 covering financial reforms to come in April 2016 https://www.gov.uk/careandsupport?gclid=CMT6k8rIvsQCFbQatAodjDIA OQ

4. New duties April 2015+  From the 1 st April 2015 the Care Act gives local authorities a number of new duties including;  Influencing the local care market – “ market shaping ”  To intervene in the even of “ provider failure ”

5. Market Shaping  The Care Act places a duty on local authorities to shape and develop the local care market to meet the needs of all people in their area  This applies to all people who need care and support - regardless of how the care and support is funded  High-quality, personalised care and support can only be achieved where there is a vibrant, responsive market of service providers  This involves working with  People with care and support needs  Carers and families  Partner organisations  Providers

6. Market Shaping Strategy  In early development!  Will set out Council’s approach to shaping the Cambridgeshire care market  Likely to cover;  Engagement: describing how we work with service users / carers & families / partners to identify what care and support is needed  Market intelligence: building an evidence base showing how the local care market works – and where the gaps and shortages are  Provider development: setting out how we will support the provider market to develop and support the local care market   Flexible arrangements: outlining where and how we can introduce flexible and proportionate approaches to procuring care and support

7. Market intelligence Example:  Vision for care in Cambridgeshire  How much care we have and expect to purchase in the future  How many people we support and forecast demand  Split by client group / age / location  Summarises key plans and strategies CCC Market Position Statement http://www.cambridgeshire.gov.uk/downloads/download/209/adult_social _care_market_position_statement An evolving document containing:

8. Provider failure  Interruptions, and the possibility of interruptions to care and support services causes uncertainty and anxiety for people receiving service, their carers, family and friends  The Care Act gives local authorities the duty to temporarily intervene when a provider is unable to exercise its normal day-to-day duties, due to a specific set of circumstances, such as;  the appointment of an administrator  a receiver is appointed  a winding up order is made  an application for bankruptcy is submitted  the charity trustees of the provider become unable to pay their debts  If service provision remains uninterrupted and the needs of the people using that service are still met, there is no need for local authority intervention

9. Our approach  To apply equally where failure is due to financial or quality issues  3 stages  National: work to the national CQC monitoring framework  Regional: collaborate with regional authorities to develop a monitoring framework  Local: identify and monitor “top” local providers, based on spend, criticality, and volumes  Increased regular monitoring  Opportunity if another provider fails  Early warning – talk to us early there are things we can do to help!

10. Questions ?