1. National Association of Financial Assessment Officers 17 October 2018
Glen Garrod
President of the Association of Directors of Adult Social Services (ADASS)
and
Executive Director of Adult Care and Community Wellbeing
Lincolnshire County Council

2. 12 White Papers, Green Papers & consultations since 1998
2000
Green Paper
2005
Green Paper
2006
White Paper
2008
Public consultation
2009
“The Big Care Debate”
2009
consultation
2010
White Paper
2010
Policy paper
2011
‘engagement exercise’
2012
White Paper
2013
Consultation on funding reform
Successive governments have tried & generally failed, huge amount of time and efforts gone into policy
1.34m was the estimated number of jobs (excluding personal assistants and NHS jobs) in the adult social care sector in England in
6.6% was the vacancy rate for jobs across the care sector in
£16.8 billion is the sum of £14.8 billion of net current expenditure on care by local authorities and £2.0 billion allocated from the NHS through the Better Care Fund in
27.8% was the turnover rate across all care jobs in
£7.50 was the median pay per hour for a care worker in the independent care sector in
11.3% was the vacancy rate for registered managers in , the highest vacancy rate in care
16% of registered nurses in who were non-British European Economic Area nationals, the highest percentage for any care job
2 million was the Centre for Workforce Intelligence’s 2014 principal projection of the demand for full-time equivalent jobs in adult social care by 2035
The Adult Social Care Workforce in England NAO 2018

3. Social Care: ? In virtual worlds
State Funded
Self Funding
DWP
Carers Allowance
IPC PHB DP
PiPs
ISF
Attendance Allowance
Continuing Health Care?
Nb. Insurance schemes in self-funding and private pensions
Nb. In DWP state pensions

4. So, What’s Next Green Paper for Adult Social Care
Green Paper on Supported Housing
Fair Funding Review
National Programmes (STP v BCF)
The £20 Billion
Integration
The Comprehensive Spending Review (CSR)
Nb. LGA, CCN and Independent Age have all produced ‘contributions’ to the Green Paper
Not just older people but WAA – Nb. budget survey – WAA 2nd greatest budget pressure after unit prices
Housing is part of our solution to manage budgets and better meet needs
A national tax/hypothecated or local taxation (inherent problems) – Barker versus Dilnot
The experience of council’s of the two
Ensuring the NHS spends it on primary/community/prevention
Integration (the narrative has become more deterministic) and Integrated Care (500,000 PHBs)
CSR – The ask of the Treasury just got harder

5. Towards the Green Paper – what should sustainable social care look like
a long term approach to funding reform
recognises needs of working age as well as older people
addresses costs of a sustainable & valued workforce
seeks to achieve a stable and responsive provider market
ensures a fair balance between individuals, families and the state in how care is funded
educates the public about the value of social care
Source: ADASS evidence to Communities and Local Government and Health Select Committees Joint inquiry on the long-term funding of adult social care
You should also note that ADASS believes the Care Act (2014 but enacted 2015 – so very recent) represents good contemporary legislation – it’s just that Part 2 never was enacted.
ADASS submission to the Select Committee

6. Paying for Adult Social Care
Nine different policy options have been proposed at various times during the prolonged discussion of the future funding of social care. They were analysed by both organisations:
Increasing Income Tax by 1%
Increasing National Insurance for both employees and employers by 0.5%
Charging National Insurance to the working population over the age of 65
Introducing an age-related levy of 0.7% to the working population aged 40 and over
Introducing a one-off payment at age 65
Increasing Inheritance Tax by 2%
Increasing Council Tax by 3%
Increasing Corporation Tax by 1%
Increasing business rates by 3%
Source: Independent Age Report published September 2018
Not just the mechanism but the quantum as well

7. Cash for care – who gets what?
Several Green paper contributions – CCN, LGA, Independent Age
I have now had a response from Penderels regarding the total number of PA's in Lincolnshire, please see below;
Personal Assistants Totals
DP/CHEQUE 750
TPSA 875
BACS 333
Grand Total 1958
Attendance Allowance £4.6b
Carers Allowance £2.3b
LA Managed PB ?
LA Direct Payments £1.2b (direct payments)
NHS Personal Budgets ?
Independent Living Fund £0.16b

8. Carers ‘Scotcash’ Transition Increased use of Digital Technology
Some Final Thoughts…
Carers
‘Scotcash’
Transition
Increased use of Digital Technology
Experience of running a WRU in Durham in the late 80’s/early 90’s – mostly campaigns and tribunals/reviews/appeals

9. Nb. my experience of working in Falkirk in the 90’s
On Thursday 30 August, Scotcash were pleased to welcome a ministerial visit to their Glasgow office