Care Act 2014
Lewisham Health and Social Care Forum
Aileen Buckton
Executive Director for Community Services
Context for change: demands on the system
Care and support affects a large number of people
In England there …around
are… 1.1 million
Supported
people receiving
care at home, 80%
of whom are statesupported
Supported
…around 400,000
people in residential
care, 56% of whom
are state-supported
…1.5 million
people employed
in the care and
support workforce
…and around 6 million
people caring for a
friend or family
member.
Three-quarters of people aged 65 will need care and support in their later years
19 per cent of men and
34 per cent of women
will need residential
care
48 per cent of men and
51 per cent of women
will need domiciliary
care only
33 per cent of men and
15 per cent of women
will never need formal
care
The Care Act: reforming care
and support
Older people are the core user of acute
hospital care - 60% of admissions, 65%
of bed days and 70% of emergency
readmissions.
72% of recipients of social care services
are older people, accounting for 56% of
expenditure on adult social care.
Lewisham Council Financial Context
Council
£95m from
£285m
= 33%...
Adults
£25m from
£80m (or £100m
gross)
This year
£7.2m
(-£3m)
Next year
£6.6m
National Model of Adult Social Care
People’s care and support needs will be met by:
1. Harnessing capacity within neighbourhoods and families
2. Prevention of needs escalating (e.g. Enablement)
3. Personalised, quality support to meet care needs
Approach in Lewisham
WE WILL SET OUT A LOCAL ‘APPROACH’ FOR LEWISHAM
• Community based: drawing on people’s
personal, social and community strengths
• Fair across client groups
• Integrated
• Affordable
• Consistent
• Caring
For Context....
This is primary legislation to be repealed, in whole or in part: •
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National Assistance Act 1948
Health Services and Public Health Act 1968
Local Authority Social Services Act 1970
Chronically Sick and Disabled Persons Act 1970
Health and Social Services and Social Security Adjudications Act 1983
Disabled Persons (Services, Consultation and Representation) Act 1986
National Health Service and Community Care Act 1990
Carers (Recognition and Services) Act 1995
Carers and Disabled Children Act 2000
Health and Social Care Act 2001
Community Care (Delayed Discharges etc.) Act 2003
Carers (Equal Opportunities) Act 2004
National Health Service Act 2006
What could it mean for Lewisham?
Assessment and Support Planning...
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Emphasis on helping people find solutions
“Meeting needs” not “providing services”
Gradual reviewing – not a big bang
New national eligibility criteria
Rights to personal budgets
What could it mean for Lewisham?
Carers...
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Focus on advice and prevention
New national eligibility criteria
Rights to personal budgets
Young carer protocols
Respite [“replacement”] care not a carer service
What could it mean for Lewisham?
Financial contributions...
• Care costs ‘capped’ (April 2016)
• Care Accounts to track progress
• Council has to arrange services for selffunders if asked (but we can charge)
• We plan to consult on changes to the local
policy in time for April 2015
What could it mean for Lewisham?
Wider Voluntary Sector...
• Social care changes in April
– Staff knowledge
– Up to date resources and information
• Growth in personal budgets = opportunity?
• Growth in demand = challenge?
– People seeking advice or preventative support
– People with more complex needs looking for
equal access to community
– Self-funders; hidden carers
What happens next?
1. Deciding on models that need to change, e.g.
Advice and Information model
2. National & Local communications campaign
3. Consultations if required
4. New processes for support and care planning
5. Retraining staff
Contacts
• http://careandsupportregs.dh.gov.uk/
• NCVO, VAL, Carers UK, Age UK etc
• Project Manager:
tim.miller@lewisham.gov.uk
• Your Commissioner / funders