1. Meeting the Challenges of the Care Act Virginia McCririck for the RCPA Conference on 26 th November 2014

2. National Change Three Year Budget Gap of £41.5m Alternative Delivery Models and Commercialisation Service and Quality Improvement Change Drivers

3. Pace and scale Partnership & Multi Agency Working Competing Demands Public Expectations Strategic challenges

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6. Adults Vision “People in Somerset will remain independent for as long as possible because we help their families and communities give them the support they need to reduce the risk of them losing their independence. When people do need care or support this will be through high quality, joined up social care, health and wellbeing services. These should where possible enhance rather than replace their existing informal support networks. People will be in control of the care and support services they receive, so that these are delivered where, when, and by the people they want, and achieve the outcomes that are important for them.”

7. What will it look like ?

8. The Care Act Vision  To promote people’s independence and wellbeing by enabling them to prevent and postpone the need for care and support.  To transform people’s experience of care and support, putting them in control and ensuring that services respond to what they want. Vision  To promote people’s independence and wellbeing by enabling them to prevent and postpone the need for care and support.  To transform people’s experience of care and support, putting them in control and ensuring that services respond to what they want. This means that, in the future, we expect people will be able to say: 1. “I am supported to maintain my independence for as long as possible” 1. “I am supported to maintain my independence for as long as possible” 2. “I understand how care and support works, and what my entitlements are” 2. “I understand how care and support works, and what my entitlements are” 3. “I am happy with the quality of my care and support” 4. “I know that the person giving me care and support will treat me with dignity and respect” 4. “I know that the person giving me care and support will treat me with dignity and respect” 5. “I am in control of my care and support”

9. What does the Care Act do? The Act is built around people, it: Ensures that people’s well-being, and the outcomes which matter to them, will be at the heart of every decision that is made Puts carers on the same footing as those they care for Creates a new focus on preventing and delaying needs for care and support, rather than only intervening at crisis point Puts personal budgets on a legislative footing for the first time, which people will be able to receive as direct payments if they wish.

10. What does the Care Act do? The Act makes care and support clearer and fairer, it: Reforms the funding system by introducing a cap on the care costs that people will incur in their lifetime. Will ensure that people do not have to sell their homes in their lifetime to pay for residential care, by providing for a new universal deferred payments scheme; Provides for a single national threshold for eligibility to care and support; Gives new guarantees to ensure continuity of care when people move between areas Has new protections to ensure that no one goes without care if their providers fails, regardless of who pays Has new provisions to ensure that young adults are not left without care and support during their transition to the adult care and support system.

11. Care Act Implications The detailed regulation and guidance to be further considered The implications of a national eligibility framework, new responsibilities for self funders, and carers need to be worked through There are major strategic, financial, organisation and administration implications for SCC and our partners The financial implications are being debated nationally; we will be stretched to respond with creativity and innovation to meet all requirements within available resources. We have used the ADASS approach to demand and financial modelling to appraise the implications.

12. Key Dates Deferred payments for implementation April 2015 Additional assessments and changes to eligibility for implementation April 2015 Advice and information for implementation April 2015 Integration of Health and Social Care through the Better Care Fund Cap on costs for implementation April 2016

13. Changes to the way we commission services – move away from block contracts Facilitating development of the market Growth of voluntary and community sector Closer working with users, and providers to plan and develop new services Increased accountability to service users – Local Account Improved information and advice – e-market place New roles for staff Focus on outcomes and person centred planning Stronger partnerships across the Council Closer working with health Changes to back office systems and IT What will this mean for SCC?

14. What does that mean for our customers? Telling their story once A clear pathway to the right solution first time Focus on independence at all stages Being regularly reviewed and not viewing services as an entitlement Receiving high quality information and advice Having genuine choice in how to meet their agreed outcomes Carers able to access assessment and support Active co-production of services Services closer to home that offer value for money Clarity about what the Council does and doesn’t do

15. Questions and Feedback? Virginia McCririck Strategic Commissioning Manager vcmccririck@somerset.gov.uk