1. Professor Martin Green OBE Chief Executive Care England The Care Act - Challenge or Opportunity? RCPA Annual Care Seminar Taunton 26 th November 2014

2. Largest representative body in the care sector Over 6,900 care services 0.5 million service users Working on behalf of small, medium and large providers Charities/corporates/independents Care England

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

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

5. The care provider Self-funders may have LA arranging their care LA may expect all users to have LA rates No guarantee on fee rates after the cap is reached Accommodation cost cap LA 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

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

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

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

9. Professor Martin Green OBE Chief Executive Care England mgreen@careengland.org.uk @CareEnglandNews Professor Martin Green Care England