Consultation on a Standard Financial Assessment Template Councils in Scotland provide a range of social care services to people in their areas who need support (see annex 1). Some of these services are free of charge as a result of councils’ own policies or because the law requires it – as is the case with free personal care for people aged 65 and over. Other services provided by councils are chargeable to the service user. In the vast majority of cases councils do not charge the full cost of providing the services and never charge more than this amount. In order to determine how much of a contribution an individual should make towards to cost of those services, councils will undertake a financial assessment. This assessment considers the personal finances of the individual in order to come to a judgement about whether they can afford to pay. People with an income below a certain threshold will not be asked to pay. Councils charge for non-personal care services in order to avoid serious shortfalls in the funding needed to meet the increasing demand for community care services. Councils nonetheless seek to develop charging policies which are fair, provide for local flexibility and accommodate the principles of local democratic decision-making. COSLA Charging Guidance COSLA has a responsibility to produce national guidance on charging for non-residential care. The guidance is revised annually and continues to evolve within the rapidly changing social policy context. Revisions are developed through a multi-stakeholder working group the main focus of which is on increasing the consistency of charging policies across councils1. A central element of the guidance comprises a set of rates and allowances which are used in the financial assessment process. People who receive community care services have told COSLA that a consistent approach to financial assessment is important to them. Earlier this year, council leaders agreed to explore a proposal to use a standard financial assessment template, the effect of which would be to ensure that service users would be assessed in the same way across different local authorities. To this end, and in keeping with a commitment toward partnership working, COSLA now seeks the views of stakeholder organisations on the principles and practicalities of introducing a standard financial assessment template. We are also exploring the cost impact on councils’ social care budgets. 1. Do you agree with the aim to standardise the thresholds and allowances used to calculate charges for non-residential social care services? 1 Membership of the working group includes Scottish Government, Social Work Scotland, COSLA, Alzheimer Scotland, Scottish Consortium for Learning Disabilities, Support in Mind Scotland, Local Authorities and others as appropriate. A Standard Financial Assessment Template A standard financial assessment template would consist of a set of rates and allowances drawn from the current COSLA Charging Guidance, with each of our member councils agreeing to align their local charging policies to the framework set out below. For further details of these elements see the glossary at annex 3. INCOME Capital (Tariff Income): Partner’s Income Older People £1 / £500 Others £1 / £250 YES (a proportion of a partner’s income can be counted) Compensation (Care Element) DISREGARDS Potential Disregarded Benefits Disability Related Expenditure (DRE) Capital (Disregard): YES (see list http://tinyurl.com/nv7otjl) Over 60 Under 60 THRESHOLDS Capital Upper Limit(a) (above which full charge is made) Single Person Single Person Couple Couple YES £10,000 £6,000 £16,000/£26,000 (level to be agreed) Under 60 Over 60 Under 60 Over 60 £122 £173 £186 £264 (a)Currently not specified in the COSLA Charging Guidance but used by councils. 2. Do you agree that councils should align with the thresholds and allowances set out in the COSLA guidance, as described above? Implications for people who use services In working towards the goal of a standardised financial assessment, some of our member councils have indicated that alignment would result in less generous thresholds being introduced (i.e. their thresholds are currently more generous than the COSLA guidelines recommend). Some have indicated that they would want to make further changes to their charging policies to ensure that the local authority does not gain financially - at the expense of service users - from these reforms. At the same time, by moving away from current levels of variation, it will be impossible to ensure that no individual, whose income exceeds the minimum charging threshold, is negatively affected. 3. In order to achieve consistency, is it acceptable that some people, who can afford to contribute, might eventually have to pay more? Transitional Protection Whilst councils can ensure neutrality in terms of the income they receive, they cannot guarantee there will be no detriment at an individual service user level. One option that councils might want to consider is applying a system of transitional protection. 4. What form of transitional protection would be appropriate to mitigate any financial impact? 5. How long should transitional protection last? Conclusion In COSLA’s work on charging for non-residential social care, it is important that we hear from people who use services and from the organisations that represent them. 6. Do you have any other comments about the proposals or wider observations about COSLA’s charging guidance? Responding to this consultation We are inviting written response to the questions set out in this consultation by 08 November 2014. Please send your responses to amanda.hogg@cosla.gov.uk. If you have any queries please contact the Health and Social Care Team by email at info@cosla.gov.uk. A list of consultees is set out at annex 2. Following the closing date, all responses will be analysed and considered together with other relevant evidence to help develop proposals for a standard financial assessment template. Unless otherwise advised responses will be made available to the public on the COSLA website later in 2014. Annex 1 Chargeable council services As it stands councils work within a legal framework which allows them to charge for the following adult non-residential care services. care at home day care lunch clubs meals on wheels domiciliary services wardens in sheltered housing community alarms and telecare laundry services aids and adaptations after car services for people with a mental illness care and support services for those who have or have had a mental illness transport The legal framework also sets out circumstances in which services cannot be charged for and these include: Services for people who are subject to Compulsion Orders under the Criminal Procedure (Scotland) Act 2003 Nursing Care and Personal Care for people aged over 65 Annex 2 List of consultees Age Scotland Alzheimer Scotland - Action on Dementia ARK Housing Association Social Work Scotland (formerly ADSW) Audit Scotland Bield Housing Association BUPA Capability Scotland Care Inspectorate Clyde Contact Centre Carers Scotland CrossReach Citizens Advice Scotland Community Care Providers Scotland Consumer Futures Scotland Cornerstone Community Care Crossroads Caring Scotland ELCAP Ltd ENABLE Housing Support Enabling Unit Learning Disability Alliance Scotland MND Scotland People First Scotland Quarriers RNIB Scotland Action on Hearing Loss Salvation Army Scottish Care Scottish Churches Parliamentary Office Scottish Consortium for Learning Disabilities Scottish Council for Voluntary Organisations Scottish Council on Deafness Scottish Federation of Housing Associations Causewayside House Scottish Parliament Scottish Pensioners Forum Social Work Scotland (formerly ADSW) Support in Mind Scotland The Abbeyfield Society for Scotland Ltd The Scottish Housing Regulator United Kingdom Home Care Association UPDATE Values into Action Scotland Annex 3 Glossary Capital (Tariff Income2) This is the weekly income users are assumed to receive by virtue of capital investments which they could hold over and above the amount of capital which the council disregards for tariff income calculation purposes. The COSLA Charging Guidance now sets this at £1 per £250 for people below state pension qualifying age and £1 per £500 for people of state pension qualifying age or above. Since data related to the previous year the terminology i.e. ‘Older People’ and ‘Others’ is used as consistent with 2013/14 guidance. Partners Income At this time the COSLA Charging Guidance does not specify a particular approach to the consideration of partners income as far as it might contribute to the financial means of a person who uses community care services. What the guidance does is to establish the principle that councils may take partners income into account. At this time councils have a number of different approaches to how this is done. Compensation Care Element The Guidance currently allows for the breakdown of any compensation award in order to identify and consider whether some elements should be included in the financial assessment as income or capital. Disregarded Benefits Prior to the 2014/15 iteration of the COSLA Charging Guidance there was no standard reference list of benefits which councils across Scotland routinely consider as potential disregards. This meant that a comparison of the benefits disregarded by different councils was difficult; this list is now included at Appendix C in the COSLA Charging Guidance. Disability Related Expenditure The 2014/15 iteration of the Guidance states that council should be proactive in establishing any Disability Related Expenditure (DRE). In doing so, at this time councils, currently employ a number of different approaches. Capital (Disregard) This currently specifies two thresholds below which no tariff income should be assumed. The COSLA Charging Guidance sets this limit at £6,000 for people below state pension qualifying age and at £10,000 for people of state pension qualifying age or above. The following summary expresses this in terms of currently used age bands. Capital Upper Limit If a person who uses community care services has more capital than this limit they are required to pay the full charge which the council levy’s for the services used – people in this position are often termed ‘Self-Funders’. The full charge should not exceed, and is often less than, the full cost to the council of providing the service. Whilst the Charging Guidance does not specify this element, and not all councils apply a limit, they were invited to give estimates of aligning with the two rates commonly used by councils in Scotland. 2 Income received from invested capital. Annex 3 Charging Thresholds A charging Threshold is the set level of personal income below which a person can receive community care services without being required to pay a contribution toward the cost of the service(s) they need. The Charging Guidance currently set four different thresholds based on DWP rates which set out under the following headings.