Working Together to Develop the Workforce setting the scene – the strategic direction for social services in Wales.

Social Services in Wales 22 democratically elected sovereign bodies 1800 providers A privately owned service Publically funded Limited professional history Control through detailed targets and inspection

Scale of activity 5,160 children are looked after; 2,730 children on child protection register; 12 million hours of home care delivered every year; 6,741 adult protection referrals received by local authority social services; Services delivered by around 1,800 providers £1.4 billion net expenditure by LAs in Wales

Characteristics of workforce: 70,000 Staff 10,000 registered with Care Council Wales 87% are women 30% are aged 50 or over only 10% is under the age of 25 55% of the workforce is part-time adult social care workforce is employed by the independent sector Most of the children and families workforce is within the responsibility of local authorities

Social Services in Wales Journey of success – Independent Commission – “From Vision to Action” “Learning from the Journey” - CSSIW Profile Leadership Range of services Innovation Collaboration Workforce competence and confidence User satisfaction

The challenge Changing social context Families Communities Voice and control Rights Fragmentation Demography Demand and resources Unsustainable Daughters and institutions

Changing Demand - children 31.03 2003 2010 % change Children on child protection register 2,235 2,730 +22% Children looked after 4,210 5,160 +23% Children in foster care 3,010 4,050 +35%

Changing Demand - adults 2006-07 2009-10 % change Aged 65+ supported in community 56,784 46,763 -18% Aged 65+ supported in care homes 13,880 11,734 -15% Aged 18-64 supported in community 23,936 26,208 +9% Assessments of adults 79,603 88,000 +11% Adult protection referrals 4,970 6,741 +36%

Increasing Expenditure

Changing patterns Older people services have never been the majority of spend Within this, the relative pattern of spend within Wales has shifted in favour of children and younger adults aged 18-64 relative to the over 65s.

Changing patterns

Changing patterns of expenditure for children looked after

Changing patterns of expenditure – adults 18-65 Net revenue expenditure on social services for adults aged 18-64 has doubled from £240.6m in 2001-2 to £509m in 2009-10. Within this: Spending on services for those with learning disabilities has increased from £152m to £311m; Spending on services for people with physical disabilities has increased from £44m to £98m; Spending on services for people with mental health needs has risen from £32m to £72m; and other services have increased from £11m to £33m.

Changing pattern of expenditure – learning disability services

Changing Patterns – 65+ Total spend on social services for adults aged 65+ rose by 58% from £315m in 2001-2 to £499m in 2009-10 However, spend per person 65+ in real terms has been flat since 2003-4; and represents a declining proportion of total spending on social services (see overview analysis of changes in total spend)

Changing Patterns Spending and Services – 65+ But the intensity of home care provided has been increasing: 7% of over 65s received at least 20 hours of home care a week in 2009-10 compared to 4% in 2001-2; 25% received between 10 and 19 hours a week in 2009-10 compared to 18% in 2001-2; the share of over 65s receiving less than 5 hours per week has fallen from just under 50% in 2001-02 to 37% in 2009-10; As a result, the total number of people receiving home care from social services has fallen slowly but steadily: 20,459 people aged 65+ received home care in 2001-2: this fell to 18,117 in 2009-10

Changing Funding Patterns The demand for care for the people over 65, stemming from an ageing population, is therefore being funded increasingly by other means (private funds plus social security benefits): both are finite While rates of increase in Wales in the numbers of claimants of Attendance Allowance and Disability Living Allowance for the over 65s are comparable with England, the levels in relation to the population are significantly higher.

So…. Unprecedented challenges Need to ensure that social services are sustainable Services need to be re-positioned and reshaped to meet the changing needs and expectations of service users Real and significant increases in demand

Workforce centrally important to meeting the challenges Also story of success - workforce task group Stable Qualified Committed Professional Leadership – national and local

But challenges remain Maintaining the momentum for improvement and development Understanding the strategic challenges Ensuring that workforce policy and action follows and supports service policy and action – stay up to speed

Moving On Need to continue the journey Build services around people not around organisations Think about the workforce from that perspective Will guide our workforce models for the future

Integration Many things to many people Joint management Joint teams Single Employer Single set of skills Need to reframe question from service perspective and build up Not only with health Build on work completed and in hand eg. Work being done by NLIAH and CCW

Challenges to you today What impact will the service challenges have on the workforce? How will you ensure that the challenges can be met? How will you ensure that the workforce is adapted to the needs of the future?