Making It Real Express Briefing DACHS Shobha Asar-Paul

Reforms the care sector=One single unified Act 3 parts: - Care & Support; Care Standards; Health. Part 1: care and support legislation A new well- being principle at its heart.

 People’s well-being will be at the heart of every decision- an asset based approach.  Carers rights on the same footing as those they care for- a carer's assessment should focus on the impact of caring and on the outcomes they want to achieve.  Preventing and delaying needs for care and support  Personal budgets giving people greater control over their care  The provision of universal information and advice and the market-shaping role are linked to the duty of prevention.  New guarantees to ensure continuity of care  People’s well-being will be at the heart of every decision- an asset based approach.  Carers rights on the same footing as those they care for- a carer's assessment should focus on the impact of caring and on the outcomes they want to achieve.  Preventing and delaying needs for care and support  Personal budgets giving people greater control over their care  The provision of universal information and advice and the market-shaping role are linked to the duty of prevention.  New guarantees to ensure continuity of care

 Promoting the diversity and quality of the local care market, shaping care and support around what people want  Ensure that no one goes without care if their provider fails  Puts adult safeguarding on a statutory footing for the  first time  Young adults receive care and support during transition  Reforms what and how people pay for their care and support  Promoting the diversity and quality of the local care market, shaping care and support around what people want  Ensure that no one goes without care if their provider fails  Puts adult safeguarding on a statutory footing for the  first time  Young adults receive care and support during transition  Reforms what and how people pay for their care and support

For those who have eligible needs. financial assessment will ensure that when an adult contributes towards their care and support they must still be left with a certain amount of money for themselves after the local authority has charged them. Financial assessments to ensure people can afford to pay.- Deferred Payment Agreements- Council will recover costs plus interest cap on care cost £72,000 when it is introduced in April 2016 Care Accounts People will contribute to care but will be protected from unlimited costs People will not have to sell their own home Personal Budgets and Independent Personal Budgets Local authorities will have the power to charge for care and support.

IssueWhat we are doing/ have doneWhat we need to do Potential increase in demand  ASC Demand model  Forecasting with health economy  Customer Journey project- ASC redesign  Focus on prevention and personalisation  Health integration  Efficiency recovery plan  More focus on universal services.  Demand model to incorporate Health economy.  Consideration of potential financial and resource implications. Financial impact of the cap on eligible care costs- a cap on care cost of £72,000 to be introduced in April 2016 Financial implications of a new national minimum eligibility standard.standard  RAS is transparent, sufficient, simple and controlled.  We need to know about our self-funders  Know and understand the costs of supporting those who have already reached the cap on care  Need to assess increased demand for services to ensure we have resources -carry out Financial Assessments.  Look at existing Charging Policy and include areas covered by the Bill.  Review the range of support services for different client groups to offer independent support & advice about money management options.

Information and advice to support prevention and personalisation Comprehensive range of information and advice approaches and services as steered through the MIR workstream and incorporating a range of partners already developed e.g DCID.  Increased joining with health and other partners.  I and A to self-funders  Information for accessing independent financial advice. IssueWhat we are doing/ have doneWhat we need to do Workforce and culture change- prevention, personalisation, carers rights. The ‘well being’ principle is a new legal requirement. Whenever a local authority makes a decision about an adult, they must promote that adults' wellbeing.  Range of support and information including on-line training e.g carer aware, DCID, introduction to ASC have continued to embed personalisation and prevention.  New Support plan and MAF incorporate well-being  QoL standards for provider organisations.  Develop training and protocols for staff on the wellbeing duty.  A framework which introduces new competencies / training for Social care staff focussed on asset-based approaches to social care and other requirements- carers assessments.  Quality is defined by people who use services and carers- review current practices to ensure this. Market- shaping A general duty for local authorities to promote diversity and quality in the market of care and support providers for people in their local area. This is a new duty, which reflects existing responsibilities of local authorities and policy with regard to the promotion of the market of local services  Review of Service Level Agreements  Development of micro-providers  Dudley Innovation Fund  Market Position Statement that fully encompasses requirements of the Care Bill.

 Potential increase in demand - more people needing care and support; more people needing care and support contacting the Council  Financial impact of the cap on eligible care costs  Financial implications of a new national minimum eligibility  Raising of the means testing threshold  Workforce and culture change- well being principle and assets based approach  Managing expectations

DMTMIR board Project delivery groups Joint DMGEfficiency Delivery Board HWB Scrutiny Committee Corp Board

 Draft regulations and draft statutory guidance published for 3 month consultation (May 2014)  Final regulations and statutory guidance published (October 2014)  Local implementation of new legal framework commences (from April 2015)  Extended financial support/Cap on care costs/Care accounts (From April 2016)