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Information and advice. Care Act 2014. Outline of content. Introduction What the Act says: a duty on local a uthorities What information and advice needs to be provided? Who needs information and advice and when do they need it? Proportionality and accessibility
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Information and advice Care Act 2014
Outline of content Introduction What the Act says: a duty on local authorities What information and advice needs to be provided? Who needs information and advice and when do they need it? Proportionality and accessibility How effective is information and advice? A strategic approach Summary
A vital component Information and advice is fundamental to enabling people to take control of, and make well-informed choices about, their care and support and how they fund it Not only does information and advice help to promote people’s wellbeing by increasing their ability to exercise choice and control, it is also a vital component of preventing or delaying people’s need for care and support It is an essential building block of the Care Act reforms
Major problems with information and advice The social care system is too complex and localised to comprehend Decisions are typically taken in a crisis There are problems with the quality and availability of information, advice and referral The availability and quality of council information services and assessments is patchy There is a lack of independent support for the assessment process There is a lack of joined-up advice covering care and housing/benefits options There is a lack of information about service availability and quality There is a lack of signposting to financial advice Advice and information needs in adult social care. Think Local, Act Personal 2013
A duty on local authorities Section 4 of the Care Act places a duty on local authorities to ensure the availability of information and advice services for all people in its area, regardless of whether or not they have eligible care needs A wide definition including care and support related aspects of health, housing, benefits, and employment
Who provides information and advice? Local authorities do not have to provide all elements of this service They are expected to: • Understand, coordinate and make effective use of all the information and advice resources that are available • Think about how they are reaching out and joining up with other providers of information and advice to ensure the coherence of the overall ‘offer’ • Signpost or refer people to relevant independent and impartialsources of information and advice
What needs to be provided? Information about how the local care and support system works How people can access care and support services What types of care and support are available, and the choice of providers Care and support related financial information and advice, including how to access independent financial advice How to raise concerns about the safety or wellbeing of someone who has care and support needs
Financial information and advice The local authority must provide financial information and advice, including: • understanding care charges • ways to pay • money management As well as identifying those who may benefit from independent financial advice or information and help them to access it Broader awareness raising about how care and support is funded
Who needs information and advice? Transitioning to adulthood Subject to safeguarding concerns Wanting to plan for their future Who contact the local authority People Who are family members or carers Who may develop care and support needs in the future In prison Who are assessed as being in need of care and support
Self funders Self funders often not well served for information and advice by many councils in the past: • many do not seek help • while those that do find little information was offered and that signposting to other sources of support was a negative experience The Barriers to Choice Review
When do they need it? On contact with the care and support system Targeted at key ‘trigger points’ in people’s lives
Accessibility • Information and advice must be open to everyone who would benefit from it. They authority should ensure that: • There are a range of delivery mechanisms that are accurate and up-to-date • Staff are aware of accessibility issues and appropriately trained • Websites meet accessibility standards • Printed materials are clear and in plain English • Materials are adapted as necessary e.g. easy read versions and translations • Help from independent person is available to help people access information and advice
Supporting a person’s involvement Provide support and make adjustments Might this person have difficulty in being involved? Can they be better supported to enable their involvement? [Reasonable adjustments under the Equality Act 2010] Yes Yes Do they still have ‘substantial difficulty’ inbeing involved? Is there an ‘appropriate individual’ – a carer, friend or relative – that can facilitate their involvement? Agree ‘appropriate individual’ Yes Yes Duty to arrange for independent advocate No
How effective is information and advice? “Information and advice should only be judged as clear if it is understood and able to be acted upon by the individual receiving it.” Local authorities will need to check that information and advice is understood and able to be acted upon: • Check understanding • Check impact “I couldn’t find any information on local services. I just got gobbledegook from the phone.”
Information and advice principles Involve people who use services and carers in determining what is needed and how it is provided Be available at the right time for people who need it, in a range of accessible formats and through a range of channels Meet the needs of everyone in the community served Be clear, comprehensive and impartial Be consistent, accurate and up-to-date Meet quality standards Be based on a detailed analysis of the needs of the local population Be commissioned in tandem with other relevant support and advocacy services Avoid reinventing the wheel Signpost people to sources of further information Be used to inform future planning Principles for the provision of information and advice (TLAP 2013)
Summary Information should be available to all, regardless of how their care is paid for Good quality, easily accessible information will help people to make good decisions about the care and support they need Local authorities have a key role in ensuring good quality advice is available locally and for sign posting people to independent advice Information and advice needs to be targeted at key ‘trigger’ points in people’s lives Information and advice should be accessible and proportionate