The Care Act 2014

1. The Care Act 2014

2. Adult services – who do we support now? • 27,500 older people • 3,420 people with a physical disability • 3,030 people with a learning disability • 5,300 people with mental health issues • 180 young people each year making the transition from Children’s Services to Adult Services • 2,500 carers benefitting from services Source: Adult Social Care 2011-2013: Holding ourselves to account, HCC

3. Which services do people use? • 20,500 people receive care at home • 3,690 people receive residential care in a care home • 3,730 people receive nursing care in a nursing home • 2,700 people receive day care • 2,600 people receive respite care • 1,700 people receive a direct payment to buy their own care services • 857 use carers’ support Source: Adult Social Care 2011-2013: Holding ourselves to account, HCC

4. Our current social care offer Universal offer Maximising independence Targeted resources Early Intervention and Prevention Universal services – such as info and advice to the wider community to prevent or delay the need for more targeted social care interventions Crisis Care and Re-ablement Targeted social care services for those who need immediate protection from abuse, people in crisis, and for carers Long Term Care and Support Targeted or longer-term services involving a community care assessment and a financial means test

5. Adult social care is changing… • reduction in resources available • more older people and people with disabilities who have increasingly complex needs • changing expectations of the people we support – focusing on more personalisation and independence • integrating with the NHS • changes to the existing outdated legal framework for adult social care

6. The Care Act – what it means for people • Wellbeing at the heart of every care decision • More support for carers in their own right • NHS and care services becoming better integrated • Much more focus on tackling problems early to help people stay independent for as long as possible • Much better information and advice to help people navigate through a complex system • National threshold for eligibility – the same in every council area • Changes to charging and paying for care • Cap on care costs

7. Main changes planned for 2015 • New responsibilities to promote wellbeing, improve information & advice • Greater emphasis on early intervention and prevention • New national minimum eligibility threshold for service users and for carers • Duty to meet carers’ eligible needs • Continuity of assessments across areas • New responsibility for social care in prisons

8. Main changes planned for 2016 • Introduction of £72,000 cap on care costs • Zero cap if disability acquired in childhood • Cap does not cover board and lodgings nor any care costs above the rate the council would pay • Self-funders who want to start a care account to offset costs against the cap will all need an assessment • Changes to financial thresholds for self-funding (including new £118,000 upper threshold for people in residential care) • Independent appeals process

9. Mrs Jones – what the cap means In September 2016, Mrs Jones decides to move into a residential home. The home she likes charges self-funders £600 per week. She has a good pension and savings income, and has capital well above the new £118,000 threshold so will be self-funding. Her son has heard about the cap and organises an assessment. The council rate for the home she wants is £450 pw (£220 for the care and £230 for hotel costs) so she is told she can accrue £220 pw (£11,440 a year) towards the care cap. It could therefore take more than 6 years to hit the care cap…

10. Challenges and opportunities • Tight timescales – still many unknowns, with guidance to follow in the next few weeks • New customers, new ways of working, demand pressures particularly from carers and self-funders • GP and other health professionals are likely to receive enquiries from the public about the changes • Public expectations will be high

11. What we are doing now • Implementation Board in place • Developing the workstreams for delivery • New HCC/NHS Carers’ Strategy in development • Reviewing our information and advice services to improve customer accessibility • Working with national bodies and other councils to assess impact on budgets • Awaiting draft guidance and regulations at the end of May

12. Questions?