Professor Martin Green OBE
Chief Executive
Care England
The Care Act - Challenge or Opportunity?
RCPA Annual Care Seminar
Taunton 26th November 2014
Care England
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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
The Care Act
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Implications for the citizen
Implications for the care provider
Implications for the local authority
Contradictions & missed opportunities
The citizen
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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 ?
The care provider
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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
Local authorities
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Market shaping
Information & advocacy
Care broker & advocate
Care provider & commissioner
Budget pressures
Increased needs
Prevention & integration
Contradictions & missed opportunities
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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
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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
Professor Martin Green OBE
Chief Executive
Care England
mgreen@careengland.org.uk
@CareEnglandNews
Professor Martin Green
Care England