1. Implementation of Care and Support Reform
Regional meetings – Care Act June/July 2014
To cover:
The role of the Programme Management Office
Context for the discussion today
What the stocktake is telling us so far
What the plans are for tools and support
What support there will be for comms – a hot topic in discussion among local authorities
A thanks to the region for organising

2. Content Context for implementation Key implementation milestones
Our approach to implementation
Headlines from 1st readiness stocktake
Purpose of today
Our plea

3. Context for change: financial pressures
Councils are facing significant and increasing demand and financial pressure.
Adult social care spending has fallen by c8.5% in real terms from 2011/12 to end of 2013/14 (2013/14 prices)
Since 2011/12 central revenue support for councils has reduced by c10% each year (c39% by end of 2014/15). This is equivalent to a reduction in spending power of c4-5%.
Impact varies locally – some councils have seen spending power reduce by c7% each year.
Many councils have still given relative protection to ASC compared to some other services.
Overall councils have reduced spending on ASC by c8.5% in real terms over three years to end 2013/14, consistent with 3% national efficiency assumption.
User numbers have also reduced significantly over the SR period, particularly for +65s:
19% fewer over-65s receiving community care
2% fewer over-65s receiving residential/nursing care
Reported outcomes and satisfaction have remained stable, but data limited to people receiving care.
Overall councils have done very well in delivering savings whilst maintaining outcomes and satisfaction levels. However, picture varies locally and councils have relied on significant support from the NHS.

4. Key implementation milestones
Introduction Key milestones
Date
Introduction Key milestones
Other Milestones (Assurance/Context)   
BCF draft plans
Feb-14
Care Bill Royal Assent
May-14
Local implementation stocktake
Apr-14
BCF final plans
Consult draft regulations, guidance and IAs
Jun-14
L&D capacity planning tools & resources
Consultation ends
Aug-14
Consult allocations formulae for 15/16
Oct-14
Publish regulations, guidance and IA
LA IT systems in place
Comms for people with care needs/carers
Parliamentary debates on regulations
Nov-14
Consult draft regulations, guidance and IA
2015/16 Finance Allocations
Dec-14
Jan-15
Go Live
Apr-15
General election
May-15
Oct-15
Consult allocations formulae for 16/17
Oct-15 
Public awareness campaign
Dec-15
Apr-16

5. Our approach – Leadership & partnership
Care and Support Reform Board oversees implementation and brings together those with specific implementation responsibility or system leadership role
Supported by the unprecedented partnership between DH, ADASS and LGA
Partnership ensures shared ownership and of a programme management approach to implementation
Joint programme management office supports Board oversee planning for implementation and assurance
Ian Turner from the Registered Nursing Homes Association has been seconded to the team on behalf of care providers.

6. Our approach – Co-production
National and local co-production and engagement across the care sector will remain central to delivery
Engagement with sector groups such as Think TLAP, TEASC, and provider / user groups essential for ongoing delivery
Build new relationships with ADASS Policy Leads and Regional Leads and others to complement the partnership

7. Our approach – Implementation Support
Co-produce a package of support to enable local authorities to prepare, plan and deliver the Care Act
Focusing resource on areas of highest risk / impact where clear national role and no other investment
Initial priorities identified as: Workforce; Communications; Informatics; Understanding implementation costs
Stocktake survey of DASSs in every council which closed 21 May key evidence to inform our decisions
Supporting regional activity which we see as a critical enabler to delivery of the reforms
NB don’t need to run through every point on the following two slides but useful for people to have in their packs

8. Headlines from 1st readiness stocktake
Almost all councils have a plan/programme
Around 9/10 said they were fairly or very confident that they will be able to deliver
Roughly 3/4 have started to estimate the number of requests for carers’ assessments, and most of those yet to complete this expect to have done so by January 2015
Roughly 3/4 have started to estimate the likely cost of implementing the Care Act in 2015/16, and most of those yet to start work on this expect to have done so by January 2015

9. Our approach - Communication
Focus on implementation communications to share information and engage those responsible for delivery
Regional activity is key to ensuring two-way engagement
Delivery of a public awareness campaign to increase understanding of the reforms, how to access them and encourage behaviour change
Phase 1 for people receiving care or about to (late Apr 2016)
“Locally driven with national support” – building on resources that can be adapted and used locally
Effective communications to leaders and partners responsible for delivery and to users and carers on the changes coming will be key
The types of support you might expect:
A care costs calculator
“what it means” leaflets
Newspaper, poster & radio resources to be adapted locally
Case studies for briefing local press

10. Purpose of today
Direct conversations between local authorities, voluntary and private sector and DH to seek to views on how to improve the draft regulations and guidance
Discussion about some of the more difficult implementation issues, with national colleagues and each other
Thank you to all involved in setting up today’s event and to participants for willingness to give time to this important agenda

11. Our plea
We want to hear what you are doing, the challenges you are facing, and how you are overcoming them
We want to capture and share your learning and tools so others can benefit
So that together we can…
…support each other to implement these reforms
…grasp this opportunity to shape care and support delivery for the next 30+ years!

12. Further information Care and support reform web pages:
Enquiries, comments and to subscribe to bulletin:
Please submit your comments on the draft regulations and guidance to: or online at