1. Professor Martin Green OBE Chief Executive Care England
The “Partial” Care Act: Implications for the Future of Social Care
London Care & Support Forum Spring Conference
11th May 2016

2. Care England Largest representative body in the care sector
Over 7,900 care services
0.5 million service users
Working on behalf of small, medium and large providers
Charities/corporates/independents

3. The Care Act – The Pause Implications for the citizen
Implications for the care provider
Implications for the local authority
Contradictions & missed opportunities

4. The citizen Cap on costs £72,000? (paused)
Accommodation costs (paused)
National eligibility criteria
Portability
Government communication (chaos)
Lack of insurance options (due to pause)
No integrated approach to pension/care planning
Postcode lottery on fees & costs
No need to sell your home ? (paused)

5. The care provider
Self-funders may have LA arranging their care (paused?)
LA may expect all users to have LA rates (happening)
No guarantee on fee rates
Accommodation cost cap (paused – no link to housing
benefit)
Eligibility criteria applied to self-funders
Development of a 2 tier system (public/private)
North/south divide on service development
Embargoes and safeguarding used to control costs
Market oversight regime
Duty of Candour

6. Local authorities Market shaping Information & advocacy
Care broker & advocate
Care provider & commissioner
Budget pressures
Increased needs
Prevention & integration

7. Contradictions & missed opportunities
Cap not reached by most citizens (only 11% of service users will reach the cap)
Accommodation costs
Prevention vs substantial criteria
Market shaping not connected to an economic model & not enforced
Underfunding & demographic pressures not acknowledged
No independent advocacy requirements
Social care precept – not seen at the front line

8. Contradictions & missed opportunities
Portability not consistent with local delivery patterns
Postcode lottery on services
Postcode lottery on market development
No LA monitoring or accountability
Insurance industry lukewarm
Equality & access issues
Wellbeing
House sale after death

9. Professor Martin Green OBE
Chief Executive
Care England
@CareEnglandNews
Professor Martin Green
Care England