1. Adult, Health and Community Services 1 Consultation on Charging for Community Care and Support Warwickshire County Council Adult Health and Community Services

2. Adult, Health and Community Services 2 What do we charge for? Most of adult social care is paid for by the government through grants or by council tax payers. People receiving services need to pay towards the cost of these services depending on how much money they have. There are two types of services: Charges for residential care Charges for community care This consultation is looking at community care.

3. Adult, Health and Community Services 3 These suggestions will affect people who receive: home care day care transport to day care services/respite respite care in a care home and all direct payments Other services are NOT affected such as: residential care, equipment and adaptations to your home, telecare, reablement and carer sitting services. Who will it affect?

4. Adult, Health and Community Services 4 What do people pay at the moment? £9 a journey £51.80 to £180/day £25 to £103 a day £16.45 an hour What it costs the council The most that anyone can pay is £387.13 per week £1.33 a journeyTransport £4.13 a dayRespite care £5.50 a dayDay Care £9.66 an hourHome Care What you payService

5. Adult, Health and Community Services 5 No People with low incomes pay nothing People with savings or those who have money over £23,250 pay the full amount of the charge Other people will be means tested, this means they will look to see how much money they have and charge them with what they can afford At present the 3 groups have roughly the same amount of people in each of them. Do all people pay these charges?

6. Adult, Health and Community Services 6 Warwickshire County Council is looking at the charges that customers pay towards the costs of their adult social care services. The main things we are suggesting are that we:  Remove subsidies (discount on services)  Protect people who are on low incomes What are we consulting on?

7. Adult, Health and Community Services 7 Warwickshire can no longer afford to subsidise care and support services The new government says that there will be no council tax rises next year and councils will be asked to reduce their spending We also need new charging policies, as we will start ‘personal budgets’ for all customers. Why change?

8. Adult, Health and Community Services 8 Most of Warwickshire's neighbours charge a lot more and either have removed subsidies for care and support or are heading that way. Only 1 authority out of 7 charges less than Warwickshire What do other councils do?

9. Adult, Health and Community Services 9 What are we consulting on? 1.That subsidies (discounts) in charges should be reduced or removed What do you think of this?

10. Adult, Health and Community Services 10 CHARGES July 2010 December 2010 April 2011 Paying Full Cost? Home Care per hour £9.66£12.34£16.45Full Cost Day Care per day£5.55£20.00£25.00Nearly Half Respite Care per day*£4.13£51.80 Half Transport each way£1.33£6.75£9.00Full Cost Direct Payments per hour £9.66£10.00£10.53Full Cost Telecare per week£4.76 Full Cost What will this mean if you pay the full charge already? * This is the charge for respite in a residential place. The current charge is in addition to any charges for community care. Future charges will be stand alone

11. Adult, Health and Community Services 11 What are we consulting on? 2. This means moving towards paying the full cost in two steps: 75% by December 2010 100% by April 2011 What do you think of these steps?

12. Adult, Health and Community Services 12 What are we consulting on? 3.The maximum weekly charge that someone pays at the moment is £387.13. Even if your care and support costs more than this, you will not be charged any more. The suggestion is to get rid of the maximum weekly charge in the future so people pay for services they receive. Do you think the maximum charge should remain or be removed? £387.13

13. Adult, Health and Community Services 13 4.At the moment people don’t have to pay charges if they receive income support plus 40% and below. The Government guidance is that it should be income support plus 25%. Most other councils charge this way. The proposal is to follow the Government guidance which means that more people will have to pay for services in the future. Do you agree that the Council should make this change? What are we consulting on? Income Support + 25% Income Support + 40%

14. Adult, Health and Community Services 14 These are examples of levels below which people will not pay: Single adult 60+ £165.75 Adult 60+ in a couple £126.50 Single adult (25 to 59) £116.81 Single adult (18 to 24) £99.81 Income Examples

15. Adult, Health and Community Services 15 5.The Council has very few options. It can charge people more for services. It could provide services to less people by changing how you qualify to get services. Which do you think is the best option or are there other suggestions which you would make? What are we consulting on?

16. Adult, Health and Community Services 16 For service users – by responding to the survey sent out By responding to the survey electronically on www.warwickshire.gov.uk www.warwickshire.gov.uk Ask for information and advice by phoning our Help Line (01926 418661) Fax a message to 01926 742976 Email customerfirst@warwickshire.gov.ukcustomerfirst@warwickshire.gov.uk How To Respond

17. Adult, Health and Community Services 17 The Customer First Team Adult Health and Community Services Warwickshire County Council Saltisford Office Park Ansell Way Warwick CV34 4UL You Can Also Write To…

18. Adult, Health and Community Services 18 It is very important that the Council knows how you feel about the issues in this consultation. We need to know how these changes could affect you. The Cabinet will listen to your views and try to use them where possible.