Implementing the Care & Support Reform Programme
ADASS Seminar
11 July 2013
1
The vision for transforming care and support set out in the Care Bill will have
profound implications for local authority systems, processes and people
Key requirements
Timing
Duties on prevention and wellbeing
From April 2015
Duties on information and advice (including
advice on paying for care)
Duty on market shaping
Assessments (including carers’ assessments)
National minimum threshold for eligibility
Personal budgets and care and support plans
Safeguarding
Universal deferred payment agreements
Extended means test
Care accounts
Capped charging system
2
From April 2016
Care & Support Reform Programme Governance Structure
Other DH
Programme Boards
Department of Health
Board
Major Projects Authority
Cabinet Office
DH Major Project Boards
(MPB) 1
Other working
groups to be
added over time
Care and
Support
Transformation
Group
Care and Support
Programme &
Implementation Board
Chair: Jon Rouse
Paying for Care
Transformation Group
Chair: Ed Moses
External Chair tbc
Financial Services
Steering Group
Chair: Shaun Gallagher
Co-Chairs: MS(CS)
and Helena Herklots
(Carers UK)
Function:
Engagement and
support
Assessment & Eligibility
Task & Finish Group
Workforce
Task & Finish Group
Sector Led Improvement
and Delivery Groups
Towards Excellence in Adult
Social Care (TEASC)-Chair
ADASS
Focus on local government
performance improvement
Outcomes & Information
Development Board (OIDB)
Chairs: ADASS & DH
Outcomes agenda in
relation to sector-led
improvement.
ASC Workforce
Development Programme
Board
Chair: Glen Mason
External Engagement Board
– co-production and
engagement
Think Local Act Personal
(TLAP)
Co Chairs x 4
cross sector leadership
partnership focused on
driving forward work with
personalisation, communitybased social care
Note: 1 The MPB’s role is to ensure an integrated approach within the department for authorising, prioritising and assuring of all major programmes.
3
There are interdependencies between national and local
government and potential opportunities for collaboration…
National
Policy
National,
regional or
local?
Problem solving
Communications
Training materials
Client interface (eg.
assessments)
LA systems, processes
and staffing
Contracting with
providers
Local
4
Legislation/regulations
C&S P&I Board Paper 3 Programme Governance and Management Arrangments
Statutory guidance
Collaboration between national and local government
can help ensure coherence and support implementation…
DH, LGA and ADASS developing a ‘joint programme office’ to:
• Facilitate engagement in national policy, regulations and statutory
guidance
• Identify key operational milestones, risks and interdependencies
for local government
• Provide assurance on implementation
• Coproduce tools and other resources to support implementation
5
DH, LGA and ADASS developing a joint programme office
to oversee and support implementation….
6
Care & Support Reform Programme
Projects
Prevention
Enablers
Information
& Advice
Assessment
& Eligibility
Care
Planning
Paying for
Care
Charging
for Care
Care
Markets
Quality &
Safety
Workforce
Legislation
Policy commitments
Evidence
Library
Improving
local on line
services
Personalis’
Action Plan
Financial
services
Implement
cap system
Direct
payments
in res. care
Housing
Fund
Market
oversight
regime
Comms
Campaign
Quality
Ratings
Developing
Care
Markets
Capacity
Capability
Secondary legislation
Prevention
charging;
Assessments;
Eligibility
criteria;
Personal
budgets;
Direct
payments;
Choice of
accn.;
Top-ups;
Crossborder
Needs
assessment;
Carer’s
assessment;
Eligibility
Care
planning
(inc. areas
above);
Calculating
care costs;
Crossborder
Financial
assmt.;
Care
Accounts;
Deferred
payment;
Charging;
Cap level;
Debt
recovery
Provider
failure;
Market
oversight
Charging;
Implement
cap system;
Debt
recovery
Commiss’g;
Market
shaping;
Provider
failure;
Market
oversight
Safeguarding
Adults
Boards
NHS
Boundary;
Ordinary
res.;
Continuity;
Delayed
discharges
Safeguarding
Transition;
NHS
Boundary;
Ordinary
res.;
Continuity;
Delayed
discharges
Statutory guidance
Wellbeing;
Prevention;
“Assetbased”
approach
7
Information
and advice
(inc. financial
advice)
Financial
assmt.;
Deferred
payment;
IT systems
Training
and
support for
frontline
Care & Support Reform Programme
Out of Scope
Pilots
• Care Audit
• Social Impact Bonds
• Time-giving
Projects with other governance arrangements
• Integration
• Regulation (care standards, chief inspector, etc.)
• National information (ICSP, NHS 111)
• HealthWatch
“Business as usual” issues
• Adult Social Care Outcomes Framework
• Provider Quality Profiles
• Administering HSCVF
8
June 2013– Dec 2013
Information
Systems
Identify
requirements
Workforce
Development
Identify workforce
requirements
Financial
Services
Examine high
level options
Sector
Recommendations
Jul 2014–Dec 2014
Agree requirements/
procurement approach
Jan 2015–June 2015
Jul 2015 –Dec 2015
Jan 2015 – Mar
2015
Build information systems, trial and roll-out
Agree & implement workforce
development programme
Roll-out of workforce development programme including training
Develop & implement joint government –sector programme
Sector product development
Awareness,
information &
advice
Local
Government
Finance
Jan 2014–June 2014
Develop & agree awareness, info
& advice strategy & programme
Allocations 14/15
SR13
Data collection
Allocations 15/16
Charging
Charging framework policy
Disputes
Measuring cap
progress
Deferred
Payments
Care Markets
Direct Payments
in9residential care
WAA cap policy
Resolving disputes policy
Care Account policy
Independent Personal Budget
Deferred payments policy
Homeowner support policy
Explore market changes
Publish 14/15
regulations
LA position
statements
Trailblazer sites ‘go live’
NEW LEGAL FRAMEWORK INTRODUCED
Level of cap
Early assessments of self-funders
PUBLISH STATUTORY GUIDUANCE/REGULATIONS 15/16
Engage draft regulations
Integration pool implemented
Consult & update
CONSULT DRAFT STATUTORY GUIDUANCE/REGULATIONS 15/16
Eligibility
IMPLEMENTIG FUNDING REFORM CONSULTATION RESPONSE
Develop Guidance
Allocations 16/17
SR15?
Integration pool
local planning
Develop & consult new formula
Develop regulations &
guidance
Assessment
Deliver awareness campaign
Implement awareness, info & advice programme
Publish 16/17
regulations
Extended financial
support begins
Cap begins
DPAs in all LAs 14/15
Homeowner support roll out
DPs in res care
The purpose of today is to explore implementation
issues in terms of 3 key questions….
1. What do local authorities need to by when in preparing for
implementation?
2. Where local implementation is dependent on legislation or
guidance, what does national government need to do by when to
address this?
3. What are the priorities for development of tools and other
resources to support local implementation (e.g.. action at
national or regional level)?
10
Exercise 1 - What’s the big picture?
Looking at the programme as a whole, what are the:
• Immediate needs for information/intelligence gathering?
• Key operational systems that will underpin implementation?
• Workforce capacity and capability requirements?
• Strategic risks and cross-cutting issues?
11
Exercise 2 - Priority actions for national
and local government?
In each programme area, what are the:
• Things that local authorities must do and by when in
preparing for implementation?
• Key dependencies on national government?
• Things that national government must do and by when to
enable local implementation?
12
Exercise 3 – Priorities for support?
Thinking about opportunities for collaboration… what are the:
• Priorities for developing tools and other resources at national
level?
• Potential roles and contributions of networks?
13