Care Act 2014
Marie Baxter
Project Manager
Care Act 2014
What is the Care Act 2014?
What does the Care Act mean to me, my
organisation, the population of Dorset ?
How do I participate in the consultation on
regulations and guidance?
Delivering the Government’s Vision for Adult Social Care
What does the Care Act do?
• Consolidates 60 years of legislation for
adult social care in England and current good
practice, into a single framework,
• Introduces reforms to the way care and
support is accessed and funded.
• Reforms to the regulation of health services
and care standards, and will establish
Health Education England (HEE) and the
Health Research Authority (HRA).
The Care Act: built around people
• ensures that people’s well-being, and the outcomes
which matter to them, will be at the heart of every
decision that is made;
• puts carers on the same footing as those they care
for;
• creates a new focus on preventing and delaying
needs for care and support, rather than only
intervening at crisis point, and building on the
strengths in the community;
• embeds rights to choice, through care plans and
personal budgets, and ensuring a range of high
quality services are available locally.
The Care Act: built around people
• supports people with information, advice and advocacy to
understand their rights and responsibilities, access care when
they need it, and plan for their future needs;
• provides for a single national threshold for eligibility to care
and support;
• extends financial support to those who need it most, and
introduces a cap on the care costs that people will incur.
• deferred payments scheme;
• gives new guarantees to ensure continuity of care when
people move between areas, to remove the fear that people will
be left without the care they need;
• includes new protections to ensure that no one goes without
care if their provider fails, regardless of who pays for their
care.
The Care Act and housing
• The suitability of living accommodation is now
explicitly listed as part of the definition of wellbeing a fundamental principle of the Act
• Housing is now explicitly referenced as part of local
authorities’ duty to promote the integration of
health and care.
• Registered providers of social housing are now
explicitly listed as one of the partners when
considering and planning a person’s need for care
and support
• Housing and housing scenarios feature strongly in
guidance
Dorset Implementation match with
developments
Timeline for Implementation
•14 May 2014 Care Act
became law.
•June 2014 -draft Regulations
and Guidance issued
•15 August 2014 closing date
for consultation on care
elements
•Autumn 2014 - consultation
on funding reform
•Intensive communication
period national and local
•April 2015 - Care elements in
force
•April 2016 - Funding reforms
in force
Draft regulations issued;
•Assessment
•Eligibility Criteria
•Independent Advocacy
•Charging and Assessment of
Resources
•Preventing Needs for Care and
Support
•Aftercare (Choice of
Accommodation)
•Deferred Payment
•Personal Budget Exclusion of
Costs
•Direct Payments
•Provision of Health Services
Discharge of Hospital Patients
Children’s Carers
•Ordinary Residence-Specified
Accommodation
•Ordinary Residence
•Continuity of Care
•Provider Failure
•Market Oversight Criteria
•Market Oversight Information
•Cross-border Placements
•Business Failure Duties
•Registers
•NHS Licence Exemptions, etc.
Amendment
The guidance: chapter by chapter
Ch Topic
Ch Topic
1
Promoting wellbeing
12
Direct payments
2
Preventing, reducing or delaying needs
13
Review of care and support plans
3
Information and advice
14
Safeguarding
4
Market shaping and commissioning
15
Integration, cooperation and partnerships
5
Managing provider failure
16
Transition to adult care and support
6
Assessment and eligibility
17
Prisons and approved premises
7
Independent advocacy
18
Delegation of local authority functions
8
Charging and financial assessment
19
Ordinary residence
9
Deferred payment agreements
20
Continuity of care
10
Care and support planning
21
Cross-border placements
11
Personal budgets
22
Sight registers
23
Transition to the new legal framework
Areas with related draft regulations
Examples of Consultation Questions
Integration and partnership working
53. Could local authorities’ duties in relation to housing be described more clearly in
the guidance?
55. How could guidance on the legal boundary between care and support and
general housing responsibilities be improved?
56. Are there any good practice examples of local authorities working with their
partners, including health, education, employment and housing?
48. Are there any ways the guidance can better support cooperation locally?
Deferred payment agreements
30. Should the eligibility criteria for deferred payment agreements be extended to
include people in extra care housing or supported living arrangements? Do you
have evidence of the likely demand for deferred payment agreements from
people whose needs are met in these types of accommodation?
Choice of accommodation and additional payments
27.Does the guidance need to particularly cover these (such as Shared Lives and
Extra Care Housing)
types of accommodation? If so, what would it be helpful to discuss?
Where can I access information, documents
and Department of Health consultation ?
The department web pages for views on the draft regulations
and guidance for Part 1 of the 2014 Care Act;
https://www.gov.uk/government/news/care-act-2014-launch-ofcare-and-support-consultation
Quick read factsheets on aspects of the Care Act at
https://www.gov.uk/government/publications/care-act-2014-part-1factsheets
parliamentary website http://services.parliament.uk/bills/201314/care.html
www.dorsetforyou.com Your Dorset, local and national media
local Care Act 2014 queries, comments and suggestions to;
Marie Baxter Project manager : m.baxter@dorsetcc.gov.uk
https://www.gov.uk/government/news/care-act-2014-launchof-care-and-support-consultation