1. Staffordshire County Council Update Martin Samuels Commissioner for Care (MQNF October 2014)

2. Key Issues Funding Care Act Better Care Fund Market Position Statement

3. Funding Ongoing Pressures – Further reductions in budgets Net 3-4% in 2015/16, no end in sight – Continuing increase in demand Demography, public expectations Challenges – Controlling cost while maintaining quality Prevention & person-centred care – Incentives for providers & staff Maximise personal independence Operational sustainability

4. Care Act First Phase from April 2015 – Focus on prevention & early intervention – More regular reviews of needs – Carers entitled to assessment of own needs – Entitlement to Personal Budget / Direct Payment Second Phase from April 2016 – Care Accounts: £72k lifetime cap May draw people into system earlier Issues over £10k pa ‘hotel costs’ disregard – Self-funders call on Council contracts Price issues

5. Better Care Fund New Pooled Fund Across Health & Social Care – £3.8bn nationally / £56m in Staffordshire – Incorporates Disability Facilities Grant Key Features – No new money Reallocation of existing (reduced) funding – Focus on reducing hospital admissions Scope for closer working with NHS community services Limited scope for invest to save ideas

6. Market Position Statement Significant Challenges for System – Tight financial constraints – Growing public expectations – Shift towards choice & control MPS as Statement of Council Direction – Trends in demand – Philosophy for care – Market approach – Promote dialogue with sector – Regular editions / supplements

7. Questions?