1. The Transformation of Social Care Janet Walden 13th November 2008

2. UK Population The UK Population is projected to increase significantly over the next 10-15 years on current assumptions. The number of those aged over 65 will increase by almost a third by 2020.

3. Expectation and Demand The higher expectations of baby boomers in old age will create demands for new and higher-quality services. Demand for Housing will outstrip supply due to a combination of population change and increasing numbers of smaller households.

4. What are we doing? Transformation through Putting People First Care and Support Green Paper Current system is not sustainable Two stage strategy

5. Care and Support Green Paper  Stakeholder and Public Engagement Process  Consideration of how best to allocate state funding  Balancing responsibility between the family, individual and government  Balancing local flexibility with national consistency  Underpinned by 3 principles:  Promote independence, choice and control  Everyone to receive the care and support they need while State support is targeted at those most in need  Affordable for government, individuals and families in the long term

6. Putting People First  Establishes a collaborative approach between central and local government, the sector’s professional leadership, providers and the regulator  Sets out shared aims and values to guide transformation of adult social care

7. The Shared Vision for Social Care  Everyone who receives social care support will have choice and control over how that support is delivered, regardless of: -their level of need -their home environment -whether they receive support from statutory services, the third and community or the private sector -whether they fund themselves.  People will be able to exercise choice and control, confident that services are of high quality, are safe and promote their own individual requirements for independence, well-being and dignity  There will be access to support for those who need assistance to exercise choice and control

8. Shift in Focus 1 World class personalised services to meet future challenges 2 Value for money and productivity through greater efficiency and better targeting of resources 3 Shift of focus and resources to prevention and earlier intervention 4 New forms of support and encouragement for people to improve their own health, well-being and skills

10. Support to deliver  Support for reform: -Social Care Reform Grant, [LAC(DH)(2008)1] -DH working with consortium of LGA, ADASS and IDeA to develop regional support -New skills academy to support world class commissioning and leadership in social care -Cross Government ministerial engagement -Explicit link to NHS Operating Framework  Timescales: significant progress expected by March 2011  Engagement and consultation: fundamental throughout process, from design stage onwards

11. Place Shaping Health and well-being commissioning framework Joint strategic needs assessment Clear commissioning strategy Wider role of councils to create economic climate in which diverse services can develop Better understanding of whole community needs and how health and universal LA services contribute to personalisation agenda

12. Housing and Transformation “Shifting care closer to home is one of the pillars that supports our vision of improved community health and social care”. - White Paper, Our Health, Our Care, Our Say, DH 2006  Housing providers’ role in personalised services  JSNA to take into account local housing strategy  Extra Care Housing helps older people to live on their own with support, encouraging self-care and promoting choice and independence  Joined up commissioning across housing, health and social care  Partnership working – eg Home Improvement Agencies, Citizens Advice Bureaus, PCTs, police and fire services  Supporting People and Individual Budget pilots

13. Benefits housing can bring Increased independence  Eg. investment in accessible housing, adaptations and equipment, access to sheltered or extra care services Focus on outcomes  Joined up services which place the person at the centre Improved mental health  Strong link shown between mental health and housing circumstances Early intervention  Investment in housing allows other service interventions to be effective, prevention of hospital readmissions Greater community and social capital  Quality of neighbourhood affects social inclusion, likelihood of citizens doing physical exercise, participation and general well- being

14. Housing supporting early intervention and prevention Early intervention and prevention Telecare Floating Support Services Extra Care Housing Low level universal services Home Improvement Agencies

15. In Conclusion  Philosophy of personalisation is clear – major shift in approach and transfer of control  Whole system reform – looking beyond personal budgets to universal services and partnership working  Driven by new Local Performance Framework and integral to local government agenda  Vital role of housing  Putting People First makes it clear it is not about if transformation happens, but when and how  Green Paper debate on longer-term arrangements, still centred on high quality, personalised services shaped to the needs of the user