Caring for our Future Care & Support Bill 2012 Presentation to - - PowerPoint PPT Presentation

Care & Support Bill 2012

Presentation to Health & Adult Services Select Committee 12 September 2012

Caring for

• ur Future

Background to the reforms

Law Commission Dilnot Commission Care & Support White Paper Care & Support Bill Position Statement

• n Funding of

Social Care

Timetable

¡ From now: Period of consultation and debate ¡ Late 2013: Introduction of the Bill to Parliament ¡ Autumn 2014: Expected Royal Assent ¡ April 2015: Introduction of the measures

Funding issues

The Government’s response to the Dilnot Commission

Accepting the case for change

¡ Care costs: unpredictable, can be very high ¡ People cannot protect themselves financially ¡ System complex and difficult to understand ¡ Need to create a market in financial services ¡ Need to ensure that the system is adequately funded

The debates that remain

¡ Government agrees Dilnot Commission principles

¡ Capped costs ¡ Extended (i.e. more generous) means test

¡ Debates remain about

¡ Who should contribute to the cost ¡ What the level of state liability should be

¡ Action taken

¡ Additional investment (ca. £2.3m p.a. to B&D) ¡ Inclusion of other specific recommendations in Care & Support Bill

Care & Support Bill

The proposals for Adult Social Care from April 2015

Duties and powers

¡ Duty around prevention and early intervention ¡ Duty to join up housing and social care ¡ Safeguarding Adults Board now statutory

Financial announcements

¡ No very significant amounts of money offered ¡ Ensuring services continue if provider goes out of business

¡ e.g. Southern Cross care home group

¡ Emphasis on ‘social action’ to support prevention agenda

Changing the system

¡ National minimum eligibility threshold ¡ Portable entitlements ¡ Entitlement to personal budget ¡ Option to borrow care costs against the value of a home

¡ Council will be able to add interest

¡ Right to assessment for more carers

¡ Clearer entitlement to support for carers’ own wellbeing

Workforce and information

¡ Chief Social Worker ¡ More care apprenticeships ¡ New code of conduct, minimum training standards ¡ National information website and more advice for care planning

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Some reactions

Every day without a funding decision is another day where people, including those with dementia, face huge costs for often substandard care.

To make the rights in the new draft care and support bill a reality, what carers also need is a social care system with the resources to overcome years of chronic underfunding and rapidly growing demand.

The success of longevity and an ageing population means that soaring care costs are inevitable and a no-cost option does not exist.

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Some reactions

the proposals brought forward today, however measured and helpful, cannot compensate for the absence of a fundamental resourcing solution which will need to sit alongside new ways of working with the NHS through joint commissioning and service reform.

• f Adult Social Services

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The government has endorsed the principle of capped exposure, and that’s quite a fundamental and important step

• forward. I personally think

it’s essential we get a settlement of this.

Questions and discussion