Caring for our future - the White Paper engagement exercise: the market in care services Name of presenter, as part of the Department of Health engagement exercise

What is Caring for our future? Caring for our future: Shared ambitions for care and support was launched on Thursday 15 th September. It is a three month discussion with service users, carers, local councils, care providers, and the voluntary sector We need to identify the priorities for action across the key areas for reform in social care, building on the Commission on the Funding of Care and Supports report, the Law Commission report and the Vision for Adult Social Care How a programme of reform could meet these priorities, who should be responsible for taking action and the phasing of this; and How to make sure the programme of reform recognises the current economic environment, focusing on the right priorities and identifying trade-offs which need to be made

Caring for our Future - the timeframe for reform Social Care Vision __________ Nov 2010 Law Commission Report __________ May 2011 Dilnot Commission Report ___________ July 2011 Caring for our future - engagement _________ Sept - Dec 2011 Care and Support White Paper and progress report on funding __________ April 2012 Legislation Caring for our future brings together the recommendations from the Law Commission, Commission on the Funding of Care and Support with the Governments Vision for Adult Social Care, to discuss with stakeholders what the priorities for reform should be.

The social care market Shaping local care services: how could we ensure there is a wide range of organisations that provide innovative and responsive care services and that respond to peoples needs and choices? Co-lead - Peter Hay (President, ADASS) Reference group members Andrew Kerslake – Director, Institute of Public Care, Oxford Brookes University Des Kelly - Executive Director, National Care Forum Bridget Warr – Chief Executive, UK Home Care Association George McFarlane – Policy Advisor, CBI

Six engagement themes and discussion leaders Shaping local care services Quality: how could we improve the quality of care and how could we support the care workforce to do this? Imelda Redmond (Chief Executive, Carers UK) Personalisation: how could we give people more choice and control over the care and support they use, and help them to make informed decisions? Jeremy Hughes (Chief Executive, Alzheimers Society) Prevention: how could we support more effective prevention and early intervention to keep people independent and in good health for as long as possible? Alex Fox (Chief Executive, NAAPS) Integration (in partnership with the NHS Future Forum): how could we build better connections locally between the NHS and other care services? Geoff Alltimes (CE, Hammersmith & Fulham Council) (Robert Varnam, GP, Manchester) The role of the financial services: what role could the financial services sector play in supporting care users, carers and their families? Nick Kirwan (Association of British Insurers) Making changes to the funding system for care and support, as discussed in the Commission on Funding of Care and Supports report, would impact on all aspects of the system. So we also want to consider the implications of the Commissions recommendations as part of these discussions.

What are the priorities for creating a more diverse and responsive care market? 1. How would you define the social care market? What are the different dimensions we need to consider when assessing the market (e.g. type of provision, client group, size of provider, market share)? 2. How could we make the market work more effectively including promoting growth, better information for commissioners (local authorities and individuals), improved quality and choice and innovation? 3. Does there need to be further oversight of the care market, including measures to address provider failure? If so, what elements should this approach include, and who should do it? 4. Looking to the future, what could be the impacts of wider reforms on the market? What possible effects would the following have on the market: the recommendations of the Dilnot Commission's report, the roll out of personal budgets and direct payments, and the drive to improve quality and the workforce?

Care Markets The social care market has been operating for almost twenty years. The sector is now estimated to be worth up to £23 billion annually. Care and support is currently purchased by private individuals using their own funds, directly by the state (by Local Authorities and the NHS) or, increasingly, via direct payments. There is currently diversity of provision in both residential and domiciliary care, with over 40,000 separate organisations delivering care. These range from large national providers to micro providers.

Market Oversight There are currently a number of measures to promote and protect the interests of those using adult social care services. This includes the CQC regulatory framework, and existing Local Authority powers. However, in the light of Southern Cross, the Government is considering whether further market oversight, including measures to ensure service continuity, is required. A discussion paper will shortly be published (on the engagement website) on a continuity regime in social care, outlining policy options and inviting views.

9 1.In real markets organisations grow and fail how do we manage this when service users are dependent on their supplier? 2.To have choice in the market you must have vacancies to have vacancies you must have higher charges. Discuss? 3.Is there real choice in the market and if not how do we stimulate this? 4.Can we deliver quality at the price we currently pay? 5.How do we grow consumerism? Some key questions?

Next Steps The engagement exercise runs until the start of December The Government will publish a White Paper in April 2012, alongside a progress report on funding reform. The Government is committed to legislating at the earliest opportunity

Getting Involved Complete the feedback form on the website [ Return it by to or by post to: Caring for our future, Area 117, Wellington House, Waterloo Road, London, SE1 8UG. Send your feedback using the automatic online form. Post your comments directly onto the priorities for change pages on our website, or or post them to the addresses above