CCPS event Edinburgh Thursday 26 th March 2009 Getting it Right for Carers

Headlines Policy Context Developments on Short Breaks/Respite Care Discussion Carers as Key Partners

2007 Scotland’s Carers Manifesto Right to good health Right to regular breaks from caring Right to advice and support Right to training to support the caring role Right to live free of poverty with opportunities to work and take part in lifelong learning and leisure. Every child and young person with caring responsibilities deserves the right to be a child first

670,000 carers in Scotland 1 in 8 of the population 115,000 caring 50+ hours a week Contribution estimated at £7 billion 5/100 £280 million 30 years = 1 million carers +

Milestones for carers policy 2005: Care 21 ‘The future of unpaid care in Scotland 2005: Kerr report – future of NHS Scotland 2007: UK Government – New Deal for Carers 2006: Changing Lives: 21 st Century Review of Social Work 2006: Work & Families Act 2002: Community Care and Health Act 1999: Scotland Carers Strategy 2008: Short Break Guidance

Government priorities

…put aside political differences to work together to ‘improve the position of carers in Scotland, who play a significant and often underappreciated role in health terms’. ‘rapid, significant and sustainable improvements in support for carers, including in respite care’ Nicola Sturgeon, Cabinet Secretary for Health and Wellbeing, June 2007

Developments

Concordat RING FENCING – ‘ROLLED UP’ BUDGETS OUTCOME FOCUSED PERFORMANCE FRAMEWORKS

Community Care Outcomes Framework Positive Outcomes for Carers Framework National Minimum Information Standards for Assessments Talking Points (User/Carer Defined Service Evaluation Toolkit)

“ This is a down-payment for carers and I want to make clear that we are determined to continue towards better support.” Shona Robison, Minister for Public Health July/December 2008 "Short breaks are most effective for both the carer and the person being cared for, when they match individual needs. One size does not fit all - this is why local authorities will be working closely with service users and carers to deliver personalised respite packages and also help those in the greatest need."

Short Breaks

75% of carers have not had a regular break in the last 12 months 39% of carers have not had a break lasting 2 days or more in the last 2-years

Audit Scotland PI’s Day services Older Adults - 0.8% Adults +2% Children -10% Older Adults +7% Adults +8% Children +16% Overnight services

“However beautiful the strategy, you should occasionally look at the results.”

CCPS event Edinburgh Thursday 26 th March 2009 Getting it Right for Carers

“CCPS organisations, through policy and practice, facilitate carers and supporters to express their values and views and to have those values and views taken into account.” CCPS Statement of Values

“The role and contribution of all carers is recognised, with their rights to equal treatment enshrined in policy and in the way services are delivered.” Care 21: The Future of Unpaid Care in Scotland

What do carers want… To be valued and respected as an individual To have their needs and expertise recognised A say in service provision To feel informed, prepared/confident, skilled/equipped To have support which responds to changing needs A positive relationship with practitioners A sense of shared responsibility with services

Talking Points There has been an increase in carer involvement in decisions about the care and support we provide We have effective ‘systems’ in place to review the level and quality of our carer involvement Carer defined outcomes are more likely to be identified than in the past Staff are clear about what constitutes a good outcome for carers Services and support are more person-centred than previously

CCPS event Edinburgh Thursday 26 th March 2009 Getting it Right for Carers

“We expect services to make a positive difference to our lives. The outcomes we want include having power and control; being able to take risks and contribute to society. This means that there needs to be a shift in power away from people who commission and provide services to user and carers.”

CCPS event Edinburgh Thursday 26 th March 2009 Getting it Right for Carers