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Building a fair and sustainable care system Simon Gillespie Chief Executive, MS Society

This article discusses the reasons for social care reform and outlines the aims, recommendations, and key principles for building a fair and sustainable care system. It also highlights the challenges and opportunities for the community and voluntary sector in delivering personalized care.

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Building a fair and sustainable care system Simon Gillespie Chief Executive, MS Society

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  1. Building a fair and sustainable care system Simon Gillespie Chief Executive, MS Society Chair, Care and Support Alliance

  2. Reasons for Social Care Reform • To enable more people to fully participate in work and our society • Demand for social care is exceeding our ability to meet people’s needs • The costs will become greater if we don’t act now

  3. Aims of Care and Support Alliance • Fair and equitable access to high quality care and support • Care and support that is based on needs of individuals

  4. How to build a fair and sustainable care system • Seek improvements in social care delivery • Ensure that there is a clear legal framework for social care • Work to resolve longer-term funding issues for social care

  5. Key recommendations identified by Dilnot Commission • A “zero cap” on an individual’s contribution to lifetime care costs for disabled adults aged 18-40, incrementally rising to £35,000 by aged 65 • An annual limit of £7,000 on an individual’s contributions to living costs in residential care

  6. Key recommendations identified by Dilnot Commission • Raising the savings threshold to £100,000 • A national system of eligibility and assessment • Expanding preventative support for people with lesser needs • Also must be accompanied by increased baseline spending on social care

  7. Key Principles for Social Care reform • Freedom • Fairness • Responsibility

  8. Response of community and voluntary sector • Total package: Reform of social care into a modern system, new legislation, plus Dilnot and additional baseline funding • Dilnot represents step change in state contribution and what people contribute themselves - Partnership • Reform of whole system offers opportunities for new service development

  9. Response of voluntary and community sector • Law reform could help to drive development of more personalised and creative services • Some challenges for voluntary and community sector delivering personalisation i.e. fragmentation • Sustainable funding solution needed for more sustainable commissioning and delivery

  10. White Paper:‘Caring for our future: reforming care and support’ • Draft bill: an historic moment for change • Lack of clarity on proposals • Proposals undermined by lack of commitment to funding

  11. White Paper:‘Caring for our future: reforming care and support’ • Information and advice • Eligibility • Portability • Personalised care and support

  12. White Paper:‘Caring for our future: reforming care and support’ • Quality • Carers • Integration • Funding

  13. Contacts • www.careandsupportalliance.org • Secretariat with Carers UK contact: chloe.wright@carersuk.org • Chair: Simon Gillespie, Chief Executive MS Society – sgillespie@mssociety.org.uk

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