1. Olly Spence Commissioning Lead The Care Act 2014-2016 What does it mean for you?

2. Agenda ItemTime Care Act Presentation.10:00-10:20 Question and answer session.10:20-10:40 Voice of the Customer Workshop. 10:45-11:30 What's working well, what's not working well. 11:30-11:45 Questions and what next11:45-12:00

3. Proposed agenda Overview Key principles Eligibility criteria Information and advice The care cap Deferred Payments Organising your support Carers What will Wiltshire be doing Voice of the customer workshop slides Whats working whats not working Q and A slides

4. The Care Act 2014 “The most significant reform of care and support in more than 60 years” Norman Lamb Customers and carers in control Limits the amount anyone will pay for there care National eligibility Criteria Personal Budgets for all

5. Key Principles ‘Wellbeing’ Prevention and Early Intervention Person Centred Care Information and Advice Carers the same rights as customers Integration between NHS and Local authorities Introduces the concept of family assessments

6. Information and Advice Local authorities must facilitate comprehensive information and advice regarding care and support services What types of care are available The range of services How do people get support Financial advice How to raise concerns

7. Carers All carers entitled to an assessment Legal right to receive services and support Assessments for those who appear to have need rather than those providing significant care The impact of caring on the carer Support plan must then be developed Most local authorities do not charge for carers services (non statuary)

8. Eligibility Criteria (ELIGIBLE NEEDS) An eligible need is defined as; they have care and support needs as a result of a physical or mental condition; because of those needs, they cannot achieve two or more of the outcomes specified; as a result, there is or is likely to be a significant impact on their wellbeing. But what do significant impact and wellbeing mean??

9. Eligibility Criteria Impact for self funding Customers Guidance due imminently (December 2014) Implemented in April 2016 After an assessment a nominal personal budget will be calculated setting out what you are paying towards meeting eligible needs. Payments for care only counted if they meet eligible needs Care account will be sent annually explaining how much you have spent towards eligible needs Once you have reached £72,000 in care costs local authority must fund eligible needs

10. Independent personal budgets Personal budgets available to all Local authority will work with you to determine how best to use your personal budget As a managed account local authority TBC As a managed account third party As a direct Payment Direct payments cannot be restricted to individual providers

11. The Care Cap Andrew Dilnot commissioned in 2010 to investigate funding in the social care system. From April 2016 after assessment Care cap of £72,000 Care cap only counts towards eligible needs Personal budgets and independent personal budgets set out costs contributing towards the cap Revised funding thresholds £118,000 worth of assets (savings or property), for care homes By 2024-2025 100,000 people will benefit from reforms DoH 2013

12. The Care Cap what's not included any ‘extra’ care costs (for example, a more expensive care option top ups can be funded through deffered payment); any support that is not covered in the care and support package, such as cleaners and gardeners employed by the individual; a contribution to general living costs if they are in a care home and if they can afford it. “General living costs” reflect the costs that people would have to meet if they were living in their own home – such as for food, energy bills and accommodation. This will be set at around £12,000 per year.

13. The Care Cap what is included The State will be responsible for: any further costs meeting their eligible needs once a person reaches the cap (based on the costs which the local authority would expect to pay for that type of care). financial help to people with their care and/or general living costs, if they have less than around £17,000 in assets, and if they do not have enough income to cover their care costs. Customers will still be expected to contribute towards care costs based on income. Excludes reablement, small items of equipment etc which are non chargeable

14. Deferred Payment Scheme Will mean that customers do not have to sell their home to pay for residential care during lifetime. Universally available to customers who meet the criteria; Needs met in a care home local authority deems appropriate Less than £23,250 assets excluding property Home not disregarded (spouse residence) Customer must own there own home Local authorities can charge interest rates on loan and administration charge 12 week disregard remains in the legislation Equity Limits

15. What are Wiltshire Doing Information and advice Portal by April 2015 Prevention and early intervention- developing community based services with communities for communities Improving the offer for carers Reviewing capacity to ensure compliance with Act Ensuring contracts will comply with the Bill Offering assessments for self funding customers as of xxxx

16. Questions and Answers ??

17. Olly Spence Commissioning Lead- Wiltshire Council 01225 718090 Olly.spence@wiltshire.gov.uk Thank you

18. What is Prevention ? Primary Secondary Tertiary Prevention is any activity that helps people to maintain or improve their functioning that is essential to their quality of life.

19. What we offer Telecare/technology Falls classes Walking groups UCAH Equipment services Public health services GP Checks Vaccinations Day care Lunch clubs Befriending services Independent social groups

20. Voice of the Customer write on 2 or 3 separate stickies what you need from Wiltshire in the context of prevention “I need Wiltshire to xxxxxx” Example might me to “be offers services which enable me to get the information I need before I reach a crisis”. One statement per stickie and initial bottom of each stickie. In your group take turns to read statements and establish if there are common themes Identify your groups top 5 or 6 themes

21. Voice of the Customer For each theme 1.What is the likelihood that Wiltshire do this well the moment (1 not likely, 5 very likely) 2.what impact would this have (or is having) on you (1 not a lot, 5 very serious impact) 3.How easy would it be to implement or to improve this theme in Wiltshire (1 easy, 5 difficult)

22. Voice of the Customer Select a spokesperson to present your top themes to the group Based on the identified themes on a scale between 1-5 how are Wiltshire doing. On a scale between 1-5 how well do you think we should be doing on a scale of 1-5 (The council and community relationship question)

23. What's working what's not Working?