1. A Carer spends a significant proportion of their life providing unpaid support to a significant other
Who?
A Carer spends a significant proportion of their life providing unpaid support to a significant other (family and sometimes friends).
i.e. caring for a relative, partner or friend who is ill, frail, disabled or has a mental health or other vulnerabilities e.g. addictions.”

2. Number of carers broadly stable as a proportion of population, but increasing hours of care provided (especially 50+ hours/week)
This means value of care increasing.
By one estimate, if all hours of care were replaced by State at market rates would cost £132bn (Carers UK 2015)
ONS estimate of informal care as “household production”: £62bn
Overall conclusion is clear: health and care could not function without carers

3. Disinvestment in carers: a false economy
Increased burden on carer
Decreased support for carer or person cared for
Increased costs to local authority of replacing care
Increased likelihood of carer health problems or breakdown
Aging carer population
Increased costs to NHS of meeting health needs

4. Informal care not increasing as fast as need
Supply of unpaid care by adult children for 20 or more hours a week compared to demand for unpaid care by older people
Existing trends imply carers will ‘run out’ in 2017 (although heavily caveated)
Care gap of 15,000 by 2017 rising to 160,000 by 2032 (Pickard 2015).
Main driver is decrease in the number of adult children caring for their parents.

5. The population of Norfolk is projected to increase by 6
The population of Norfolk is projected to increase by 6.7% in the next 10 years. The population of older people (aged 65+) is projected to increase much more rapidly (18.5%) than the population of working age adults (1.2%). The population aged 80+ is projected to increase by 43% by Data source: ONS 2014 available through Norfolk Insight[1]

6. Growing pressures on older carers
There are almost 1.3million people over the age of 65 providing unpaid care to a family member or friend 128% rise in carers aged over Over half of carers aged over 85 provide 50 hours or more of care a week.

7. Only 38% of older carers feel their community supports them.
49% of older carers said that their GP practice had not informed them about how to get practical support as a carer. 33% had no information to help them keep well.
Only 38% of older carers feel their community supports them.
Increased number of long term health conditions, reduced social networks and increased isolation and loneliness.
Many older carers disadvantage as access to services move solely online,.
6 in 10 older carers have let a health problem go untreated
59% stated their health is becoming a significant worry
Horstead residential activity- zip wire

8. A third of carers care for a parent living in another household…
External carers
Within-household carers
Cares for more than 1 person
39% care for someone in household
54% care for someone external
8% care for multiple people
Source: Family Resources Survey 2012/13

9. 3:5 people are carer at some point
3 million+ working carers in UK 15% of the workforce
Across all sectors of society and in all sections of the workforce. Combining work and care occurs at any age.
Proving unpaid care can have a significant impact on carers physical, mental and financial
Can happen to anyone – Case Studies

10. Carers UK survey suggests 2
Carers UK survey suggests 2.3 million people have quit work to care and almost 3 million have reduced their working hours…
Why are carers more likely to work part-time or not work?
In the State of Caring Survey 2014:
Pressures on time: 62% said it was the stress of juggling everything that meant they gave up work.
A quarter (25%) blamed the difficulty of getting enough time off or negotiating suitable hours to enable them to carry out their caring responsibilities. (NB. while employees have a right to request flexi working it is not guaranteed.)
35% gave expensive or lack of suitable care services as reasons they gave up work or retired early to care.
Other potential factors:
Health problems – 11% of those caring for 20+ hours a week report bad or very bad health, compared to 5% non-carers (Census 2011).
If receiving CA cannot be earning more than £110 pw.

11. Business benefits for the wider economy
- Tax and national insurance revenue
Loss to the economy plus additional costs.
Many carers want & need to combine paid work and care
Supporting carers in the workplace also has business benefits for the wider economy.
Research on the economic and social benefits of investing in carer support, calculating the amount of additional earnings (between £750 million and £1.5 billion per annum) and related tax and national insurance revenue that would come into the economy if working age carers were better supported by care and support services.
Loss to the economy if more people have to give up work or reduce their working hours. This includes lost tax revenue and lost contributions to the pensions pot, and there are also additional costs in the form of welfare benefit payments.
The contribution of unpaid carers has been calculated to be worth an estimated £87 billion per year – nearly as much as total spending on the NHS.

12. Stress related absence has been reduced by 26% through flexible working alone
The average increase in productivity for flexible workers is 21% – worth at least £5-6 million on the company bottom line
Retaining carers through support or special leave arrangements represents a saving to the company of about £1 million a year
The cost of 2-3 days emergency leave is minimal compared to the costs of re-recruitment

14. “Accommodating carers isn’t difficult, disruptive or expensive, it’s just plain business sense – a small change in working hours or flexible arrangements can make all the difference both to the employee, workforce and to the business.”
Caroline Waters OBE,
Chair of Employers for Carers
Director, People and Policy for BT Group.

15. THINK CARER, THINK FAMILY; MAKE EVERY CONTACT COUNT
NHS COMMISSIONING FOR CARERS PRINCIPLES.
THINK CARER, THINK FAMILY; MAKE EVERY CONTACT COUNT
SUPPORT WHAT WORKS FOR CARERS, SHARE AND LEARN FROM OTHERS
RIGHT CARE, RIGHT TIME, RIGHT PLACE FOR CARERS
MEASURE WHAT MATTERS TO CARERS
SUPPORT FOR CARERS DEPENDS ON PARTNERSHIP WORKING
LEADERSHIP FOR CARERS AT ALL LEVELS
TRAIN STAFF TO IDENTIFY AND SUPPORT CARERS
PRIORITISE CARERS’ HEALTH AND WELLBEING
INVEST IN CARERS TO SUSTAIN AND SAVE
SUPPORT CARERS TO ACCESS LOCAL RESOURCES

16. REQUIRES CREATIVE THINKING AND IMAGINATION

17. Carer and cared-for online

18. Focus on a person’s strengths that can help address needs
Approaches to support the individual’s independence, resilience, ability to make choices and promote wellbeing.
Focus on a person’s strengths that can help address needs
Develop on going conversation with individuals that assist with building resilience and coping strategies
Increase personal control  
That we are empathetic and compassionate as an organisation
Implementation of flexible working and carers’ policies dependent on the culture of the organisation;
Managers play a key role in upholding organisational commitments to diversity and inclusion, and need training and support in responding to carers
Creating a supportive environment for carers requires the endorsement of top-level management, input from human resources professionals, and some specialist support structures
Multi-skilling, good communication and team working provide effective cover if carers have unexpected emergencies

19. Success? Reduce Prevent Delay Prevention & Resilience & Planning
Emotional support
Reduce caring responsibilities
Support for families
INTEGRATED HEALTH & CARE
CARE BILL / CARE ASSESSMENTS
SEGMENT CARERS (AGE / LTC / LOCATIONS)
COLLABORATION

20. Ingenuity & pragmatism

21. Tel. 01603 219924 www.norfolkcarerssupport.org
Social Care Bill, comes into effect April 2015:
Automatic assessment for Carers by LAs (instead of carers’ being responsible for requesting assessment)
Need for LAs ‘to have regard’ to the importance of enabling carers and disabled people to work
Need for LA to make provision for ‘sufficient services’ to meet current and future (rapidly rising) needs
Tel