1. Positive Ageing Shaping the future of older Londoners’ health and social care Anne Bristow Corporate Director of Adult & Community Services, LB Barking & Dagenham

2. Society is changing Advancing technology Shifting demography Rising expectations Longer lives

3. What Do Older People want? 0102030405060708090100 Would you ask this question of everyone in this age bracket? So why do we ask it about everyone in this age bracket? To stay in control? To have choices? To carry on being ‘me’?

4. The Changing Care System The cost of personal care Personal assistants Personal budgets Micro-providers

5. The Changing Care System Prevention/wellbeing Support for carers Safeguarding duties Market-shaping Information & advice Major funding reform Increasing emphasis on preventing or delaying care needs, including through better choices earlier

6. The Changing Care System Prevention/wellbeing Support for carers Safeguarding duties Market-shaping Information & advice Major funding reform Right to an assessment and a duty on the Council to provide services for carers in their own right

7. The Changing Care System Prevention/wellbeing Support for carers Safeguarding duties Market-shaping Information & advice Major funding reform Statutory basis for Safeguarding Adults Boards

8. The Changing Care System Prevention/wellbeing Support for carers Safeguarding duties Market-shaping Information & advice Major funding reform A duty on the Council to work to ‘shape’ an active market in social care services locally. Presumption everyone has a personal budget

9. The Changing Care System Prevention/wellbeing Support for carers Safeguarding duties Market-shaping Information & advice Major funding reform A duty to provide information and advice for the whole community, and independent financial advice

10. The Changing Care System Prevention/wellbeing Support for carers Safeguarding duties Market-shaping Information & advice Major funding reform A raft of funding reforms, including: cap on lifetime care costs; new financial and eligibility criteria; deferred payments; portable assessments; portable ‘Care Account’

11. Elements and timings Key requirementsTiming Duties on prevention and wellbeing From April 2015 Duties on information and advice (including on paying) Duty on market shaping National minimum threshold for eligibility Assessments (including carers’ assessments) Personal budgets and care and support plans Safeguarding Universal deferred payment agreements Extended means test From April 2016 Capped charging system Care accounts

12. Integration Avoiding the queue of professionals on the garden path A single, shared view of service user needs Care closer to home Joining up funding… …but fundamentally different funding regimes continues to be an issue

13. Challenges Loneliness and isolation Dementia Getting the funding right Getting the new system in place Supporting choice