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Background and Current Project Progress Project Advisory Panel 17 April 2013. Presentation Overview. Introduction to the project team Social care policy background Project objectives Project timescales Data requirements Stakeholder engagement Piloting Questions. Project Team.
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Background and Current Project Progress Project Advisory Panel 17 April 2013
Presentation Overview Introduction to the project team Social care policy background Project objectives Project timescales Data requirements Stakeholder engagement Piloting Questions
Project Team LG Futures – public sector funding and financial management specialists Undertook previous 2010 feasibility study Focus on data collection Personal Social Services Research Unit – University of Kent/London School of Economics Developed previous older people’s formula Focus on formulae(e) development
Social Care Policy Background Current formulae developed in 2005 and implemented in 2006/07 Cover younger adults (18-64) and older people (65+) Since then, significant changes in policies and delivery in relation to social care: Personalisation of care and personal budgets Reablement Telecare Intensive home care as alternatives to residential care Changing roles for health care organisations and local authorities National eligibility standards / FACS Deferred payments and Dilnot proposals
Social Care Funding Reform National deferred payments from 2015/16 – can defer fees or repay earlier if they choose 20 March 2013 Budget announcement (response to Dilnot Commission): Cap on care costs for older people of £72,000 – direct costs of care only – from 2016/17 Changes to the asset limits used for means testing – upper limit changing from current £23,250 to £118,000 in 2016/17 and lower limit changing from current £14,250 to around £17,000 in 2016/17 Different limits/application for younger adults Local authorities will be required to implement Care Accounts for each individual and report/monitor progress towards the cap
Project Overview DH commissioned project to develop new funding formula(e), capable of being used from 2015/16 for distribution of: 1. The introduction of the universal deferred payments scheme from 2015/16 2. The introduction of a cap on reasonable care costs and additional financial protection for people in residential care from 2016/17 3. DH specific grants and NHS funding for social care Also available for consideration as part of the next reset of the business rates retention scheme, currently planned for some time after 2019/20
Stakeholder Engagement Discussions with stakeholder bodies Webinars Feb and March 2013 Project Advisory Panel – from April 2013 Initial pilot on LA-funded and self-funders – will inform wider national data collection Will ask for LA volunteers shortly Full LA funded data collection will involve 30-50 LAs Discussing data collection on self-funders with DH
Local Authority Piloting Responses from around 10 LAs and also following up with LAs who may have further self-funder data: Data collection timescales and period Data availability relating to residential care, non-residential care, self-funders and clients funded by specific grants Availability of pre-care addresses Mapping individual data to small areas Data transfer, data protection and ethics Support requirements
Local Authority Piloting Key messages from LA piloting Suggest data collection from July 2013 Focus on 2012/13 data Mapping to small areas should not be an issue Use statutory returns for definitions to enable greater consistency (ASC-CAR and RAP) May be some data quality issues on residential care pre-care addresses, but generally collected More limitations with cost data – mapping activity and cost at small area level – may use authority average for client and age group Will need clear guidance, reasonable timescales and support
Contacts jude.ranasinghe@lgfutures.co.uk elizabeth.tideswell@lgfutures.co.uk j.e.forder@kent.ac.uk k.c.jones@kent.ac.uk j.fernandez@lse.ac.uk 01908 424387
This research has been commissioned and funded by the Policy Research Programme in the Department of Health. The views expressed in this presentation are not necessarily those of the department.