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Care Act update
Thursday, 02 April 2015
Summary of ReformsHealth and Wellbeing Board 31st March 2015
Introduction
The Care Act received Royal Assent on 14 May 2014
The Act modernises the framework of care and support
law:
New duties for local authorities
New rights for service users and carersNew rights for service users and carers
New care standards
The social care reforms come into effect April 2015
The financial reforms and a new appeals system are due to
come into effect April 2016
• A duty to provide prevention, information and advice services.
• A national minimum threshold for eligibility for both service users
and carers.
• The entitlement for carers to assessment, support services and
review equal to that of the service user.
• The right for people who pay for their own care to receive advice
and support planning.
Care Act 2014 Summary of the Social Care Reforms – Phase 1
and support planning.
• A universal system for deferred payments for residential care.
• The introduction of statutory Adult Safeguarding Boards and
associated responsibilities for adult protection.
• Transitional arrangements/assessments for children moving to
adult social care and support
• Care and support duties to prisoners.
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Care Act 2014 Summary of the Financial Reforms and Appeals
System - Phase 2
• A cap on the costs that people have to pay to meet their
eligible needs
• A ‘Care Account’ giving people with eligible social care
needs an annual statement of their progress towards
reaching the cap, whether their care is organised by the
local authority or not
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local authority or not
• Extending the financial support provided by the local
authority by raising the means test threshold for people
with eligible needs
• A new duty to provide direct payments for people in
residential care.
• A new appeals process.
Care Standards
• New CQC ratings for hospitals and care homes.
• A new Chief Inspector of Hospitals with the
power to instigate a process to tackle unresolved power to instigate a process to tackle unresolved
problems with the quality of care.
• A criminal offence for providers to supply or
publish false or misleading information.
Care Act 2014: Managing The Change in Care Act 2014: Managing The Change in Care Act 2014: Managing The Change in Care Act 2014: Managing The Change in
HounslowHounslowHounslowHounslow
Care Act Programme and Governance:
Workstreams:
• Care and Support, and Support for Carers
• Training and Development, Workforce Development
• Information, Advice and Stakeholder Engagement
• Policy, Regulations and Practice Guidance• Policy, Regulations and Practice Guidance
• Prisons and Approved Premises
• Safeguarding
• Adult Prevention Strategy, Market Shaping, Commissioning and Provider
Failure
• Charging and Financial Assessment, Impacts and Cost Modelling
• Business Improvements and Systems
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CarePlace
The Care Act requires
local authorities to take a
lead in providing
information and advice.
CarePlace is an online
directory that provides
information about care
and community services
as well as advice and
information
CarePlace
Improving the look and
feel of CarePlace
Ensuring CarePlace is
widely used by
partners
Self assessment tools
for residents
CarePlace launch for
Hounslow residents
We will begin assessment at the first opportunity and build on this assessment
over time using all the following interventions available to us to reduce, delay or
prevent eligible needs.
Assessment of the care Re-ablement,
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How will people experience the new system in 2015/16?
Assessment of the care
and support you need, and
eligibility for state support
Information and
advice on local
services and how
much they cost
Re-ablement,
rehabilitation and
other free services
Support from
family,
networks
community…
When we have considered the above,
and in some cases ruled them out, then we will
look at longer term eligibility
for care and support and how much you might
pay for your care and support depends on your
financial situation You have a financial
assessment to see
what you have to pay
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33
How will people experience the new system in 2015/16?
Costs are capped There is a
cap on expenditure on eligible
care from April 2016
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44 Every year the local authority
• Reviews your care needs and financial situation
• Keeps a record, from April 2016, called a care account
Betty is a carer for her father Bill. Bill has health issues and Betty occasionally assists him with daily activities. Betty makes sure that he attends his health appointments and has enough food in the house. Bill is fairly independent with all other daily living tasks, he goes to a social club once a week at his local place of worship and has many friends in the community who check on him regularly. With the help from his daughter Bill is able to manage his own care needs and does not receive any support from the local authority.
Under the previous legislation
Betty would need to be providing a significant amount of care and support to Bill in
Case Study Example 1
Betty would need to be providing a significant amount of care and support to Bill in order to qualify for a carer’s assessment. As she only provides a small amount of support she would not be entitled to a carer’s assessment.
From 1st of April 2015
The Care Act recognises the importance of the role of the carer and gives Betty the right to an assessment regardless of the amount of support she provides for her father. This now puts Betty on the same legal footing as her father and gives her the same right to assessment and services as her father.
Vera lives in the London Borough of Hounslow and has been assessed as being eligible to receive help
with her shopping and cleaning once a week. Vera then moves to the neighbouring borough of Richmond
to be closer to her children. After she moves into her new home she contacts her local authority to ask for
the same help with shopping and cleaning she was receiving when she lived in Hounslow.
Under previous legislation
Each local authority had different eligibility thresholds ranging from low, moderate, substantial and critical.
Some local authorities may decide to only give services to clients who have “substantial” needs and other
local authorities can decide to put their threshold higher and only meet the needs of those who have
“critical” needs.
Case Study Example 2
“critical” needs.
In this case Hounslow has set their threshold as “substantial” and Vera has been assessed with this
criteria banding in mind. However, when she moves to Richmond and requests an assessment she is told
that she doesn’t meet their eligibility criteria. This is because Richmond have set their banding threshold
higher at “critical” and will not provide services for clients who have “substantial” needs.
From 1st of April 2015
Under new legislation this can no longer happen as all local authorities will have the same eligibility
criteria. This will mean fair services and assessments for residents as they will all be assessed by the
same standard.
Changes to Hounslow's Adult Social Care Operating Model to
Support Hounslow to Meet the Duties Imposed by the Act
Hounslow is in a good position to meet its duties under the Care
Act:
Services and team structures have been re-organised to implement the target operating
model from April 2015. The functions and services required to deliver the operating
model include:
• New customer journey putting wellbeing and outcomes at the heart of system
• Adults First Contact Service
• Locality working to support closer ties with communities and GP’s• Locality working to support closer ties with communities and GP’s
• Community Recovery Service integrating Health and Adult Social Care to improve
preventative provision
• Extended Hospital Social Work Service
• Enhanced information and advice services
• Robust policies and procedures
• Financial modelling of reforms in 2015 and 2016
• Developing ICT to support changes
National Funding
The government announced specific funding to support councils in implementing
the Care Act as part of 2013 spending plan
§ Programme Support:
• £19m one off funding was allocated across England to support councils in
implementing the Care Act in 2014/15
• Hounslow received £125k and are using it to support the programme
management in 2014/15management in 2014/15
§ Better Care Fund (BCF):
• Revenue funding of £136m was allocated across England for 2015/16
• Capital Funding of £50m was allocated across England for 2015/16
• £809k was included within Hounslow’s BCF allocation
• In early September 2014 one-off funding of £1.6m was approved by the
Health and Well Being Board (HWB)
National Funding
§ New Burdens Grant:
• £285m national allocation - £0.92m will be received by Hounslow as part of
its finance support grant
• this is not ring fenced
• National funding allocation has been split across three components, the
funding allocated amount for Hounslow is detailed in the table below:
£’000
§ Social Care Prisons Grant:
• only provided to Council’s who have a prison or an approved premises in
the borough
• £36k has been allocated to Hounslow as a specific grant
£’000
Early Assessments 415
Deferred Payment Agreements 275
Carers and Care Act Implementation 231
Total 922
2015/16 Approved Budget
• The service has approved budget of £2.6m
£’000
New Burdens Grant 922
Social Care Prisons Grants 39
Better Care Fund 1,600
2015/16 Approved Budget 2,561
• service is expecting to manage its new duties and additional demand
from within its approved budget
• close monitoring of demand and costs will be undertaken and reported
to the programme board at least quarterly
2015/16 Approved Budget 2,561
