The Surrey Adult Social Care Workforce Context Surrey Partnership Council 11 September 2014 Ken Akers, Workforce Lead, Adult Social Care 1

What is the future for adult social care? 2 Workforce as enablers; new workforce groups Direct payment recipients as employers Personalisation Locality focus Joined-up workforce commissioning Integration Workforce focussed on prevention and independence Care Bill Workforce culture of dignity and respect Quality Able to draw on and develop community skills Social capital Workforce able to provide advice and information Support disabled people into work Welfare benefit reform

What is the future for adult social care? 3 National Minimum Training Standards and Code of Conduct “Raising Standards, Putting People First” Social Work Reform Board Professional responsibility Workforce has capacity to support a greater number of assessments Workforce able to support or signpost residents with financial planning Funding reform Employee-run businesses Alternative operating models Workforce supports carers within a whole family approach Support workers who are carers Carers Workforce able to support residents with complex and challenging behaviours Dementia

Surrey demographics: 2013 to These graphs show the % increase in the different adult groups between 2013 and The most significant increases are:  People aged 65+: increase of 55% from 2013 to 2035 (People aged % increase)  Older People with a Learning Disability: increase of 55% from 2013 to 2035 Source: POPPI, PANSI and ONS

The Surrey adult social care workforce now 5 Out of an economically active population of 600,400 in Surrey, 10.6% of workers are employed in the human health and social work sector Skills for Care estimate there were approximately 33,900 jobs in the adult social care sector in Surrey in 2010, employing around 29,400 people Who employs the adult social care workforce in Surrey? Source: Skills for Care

The Surrey adult social care workforce now 6 Source: NMDS What is the make-up by job role of the adult social care workforce in Surrey? The majority of frontline adult social care staff (66%) are in non professionally qualified roles

Demand: Projected growth in number of adult social care jobs in Surrey ( ) 7 Source: Skills for Care Between 8,135 and 27,798 extra adult social care jobs will be needed in Surrey by 2025, depending on the model used

Demand: Estimated number of adult social care workers which would need to be recruited/annum ( ) 8 Source: Skills for Care and NMDS Current average turnover across the adult social care sector is 20.7% Depending on the model used, by 2025 up to 12,771 jobs will need to be recruited every year to ensure all jobs are filled (assuming turnover does not change)

Although Surrey’s population is projected to grow by 19.5% by 2033, over half of this increase is accounted for by people of pensionable age (i.e. 65 years old and over) The ratio of adult social care jobs to economically active population almost doubles between 2010 and 2025 (assuming “maximising choice“ scenario) 9 Supply: Proportion of the Surrey population who are economically active ( ) Source: ONS

10 Supply: Surrey economy Region% JSA claimants England3.77 South East2.50 Surrey1.60 Surrey % of JSA claimants aged 24 and under % of JSA claimants who have been claiming for over 6 months 35.2 RegionGross hourly pay across whole workforce (full time) Gross hourly pay of care worker (full time) Living wage (hourly) England£14.24£6.72£7.45 South East£15.44£7.03£8.55 (London) Surrey£18.07£7.35- Compared to other regions, Surrey has a relatively small unemployed population. A significant percentage of these are aged 24 and under. Compared to other regions, gross hourly pay in Surrey is relatively high. It is almost x2.5 times the gross hourly pay for care workers. Unemployment Pay Source: NMDS and ONS

11 Supply: Distance to work Source: NMDS Almost 75% of the residential care workforce live within 6 miles of their work base. 60% of the non-residential care workforce live within 6 miles of their work base.

Developing social care workforce strategy 12 DEVELOPING, MONITORING AND REVIEWING Workforce Board Health Education Kent, Surrey and Sussex District and borough authorities Surrey County Council Skills for Care Surrey Care Association Surrey Independent Living Council Acute, community and other health providers Skills for Care Regional Network Clinical ccommissioning groups Action for Carers Engagement forums Surrey Community Action Health and Wellbeing Board Better Care Fund Board Public Sector Transformation Network Commissioners Reference Group Surrey County Council Member Reference Group Partnership boards and joint projects Surrey residents Health Education Partnership Board ENGAGING AND CONSULTING Workforce organisations, service providers and community organisations ENABLING AND SETTING DIRECTION Partner organisations leadership teams DELIVERING AND IMPLEMENTING

Workforce development initiatives 13 ThemePotential projects/initiativesPotential partners Image and supplyDevelop a pre-employment programme in Surrey through Education Business Partnerships and SCC links to schools and careers advisory services, to include both a health and adult social care focus (including graduate element) JCB, CSF, FE Colleges, HEKSS, EBC, SCA To develop a rotational apprenticeship pilot across health and social care in Surrey, potentially using the National Skills Academy for Health – job vacancies at the end for apprentices (includes mapping and joining up apprenticeship frameworks) Health Education Kent Surrey Sussex (HEKSS), SfC, SfH, LEPs, SCA, Public Service Transformation Develop a joint apprenticeship hub providing coordination and support for adults social care apprentices SCA, JCP, FE colleges, CSF, SfC, LEPs Work with Further Education colleges to improve understanding and promotion of health and social care careers, opportunities and apprenticeships SCC, SfC, FE colleges, Investigate possibility of a joint bid to both LEPs in conjunction with SCC, NHS, SfH and SfC to access EU funding, on a matched funding basis, around a HUB or employer model with a focus on community support workers/domiciliary care HEKSS, SfC, SfH, SCA, Public Service Transformation

Workforce development initiatives 14 ThemePotential projects/initiativesPotential partners Image and supply Developing regional approach to workforce planning and commissioning sharing data and supply information HEKSS, LAs, SfH, SfC Continue development of the Target Operating Model and financial modelling to better understand workforce supply challenges Health and social care commissioners Review workforce elements of SCC commissioning specifications to promoted good employment practice and the Social Care Commitment SCC Improve education commissioning information for social care professionally qualified staff SCC, SfC, higher education sector Work with the Domiciliary Care Sector to address develop a recruitment and retention action plan SCC, providers Work with providers and SfC to implement the SfC recruitment and retention strategy in Surrey SCC, SfC Work with elected members to support their role as champions for the social care sector SCC, SfC Work with Skills for Care to improve the take up social care accolades to help improve the image of social care with the media and public SCC, SfC Continue to develop and improve NMDS take-up and access to the WDF to support training and development SCC, Surrey and South East WDF

Workforce development initiatives 15 ThemePotential projects/initiativesPartners Career pathways/skill development Look at developing common career pathways across adults social care and health SCC, SfH, HEKSS, SfC Investigate possibility of developing a skills passport across adults social care and health including core training standards Skills for Health, HEKSS, Public Service Transformation, LEPs Implement Surrey Skills Academy for multi-agency training and to support new training initiatives SCC, SCA, H&SC JTP Developing a new approach to systems leadership between public, private and voluntary sector SfH, NHS Leadership Academy, SABT, SfC, SCC Supporting links with care homes in respect of training and with a focus on dementia extending the Dementia Friendly Surrey project SCC, Dementia Consortium, HEKSS Increasing take up and promotion of joint training through work with care home forums and closer working with health partners SCC, SABPT, HEKSS Review training support for Personal Assistants making sure there is access to workforce development support SCC, SILC

Workforce development initiatives 16 ThemePotential projects/initiativesPartners Care pathways/skill development Review social care commissioning specification to include career and skills development SCC, SCA Work with SfH&C and HEKSS on development and promoting of the new Fundamental Certificate in Care and Health SCC, SfH, SfC, HEKSS Work with commissioners in health and care to support integration of services to support community based care and health services through the Better Care Fund SCC, CCGs, local health economies Work with the independent, voluntary and health sector to understand, define and support new workforce and skills development to support the Care Bill (including rapid response and integrated services) SCC, providers and voluntary sector Work with HEKSS to review on-going education commissioning frameworks for health and social care to facilitate joint health and social care education models HEKSS, SCC, SfC, SfH Supporting implementation of statutory safeguarding board with ongoing improvement to skills development and training offer Safeguarding Board, SCC Continue to promote carers training needs

Workforce development initiatives 17 ThemePotential projects/initiativesPartners VolunteeringExtending and increasing support to develop volunteers services in District and Boroughs as part of Friends, Families, Communities Project (Surrey County Council) and Dementia Friendly Surrey SCC, Ds&Bs, voluntary organisations Supporting development of community skills programmes to support community volunteers working in social care provision as part of community asset mapping Voluntary organisations, SCC

Consultation and implementation process 18 ACTIONUPDATE Document and feedback form to key stakeholders September and October Action planning prioritiesNovember Review and monitoring arrangements in place December