Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel: St Mary’s Centre, St Mary’s Centre, Middlesbrough TS1 2RW Neighbour father wife sister husband brother friend mother relative The delivery of social care services by third sector organisations: challenges and opportunities Julia Bracknall Chief Executive Carers Together November 2015

Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel: St Mary’s Centre, St Mary’s Centre, Middlesbrough TS1 2RW Challenges in a period of austerity Responding to increasing demand for services Working within the context of legislative change: The Care Act 2014 Addressing the impact of misconceptions Maximising opportunities

Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel: St Mary’s Centre, St Mary’s Centre, Middlesbrough TS1 2RW Increased demand Carers are providing more care Between 2001 and 2015 the number of people aged over 85 increased by 38% In the same period the number of people with a limiting long-term illness increase by 16% In 2011, 12% of the UK population provided unpaid care (6.8 million people in 2015) Homecare provision reduced sharply between and

Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel: St Mary’s Centre, St Mary’s Centre, Middlesbrough TS1 2RW Providing unpaid care Since 2001: a 16.5% rise in the number of unpaid carers, which is faster that the general population growth a 43% increase in people caring for hours per week a 33% increase in people caring for over 50 hours per week Source: Valuing Carers 2015 Carers UK

Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel: St Mary’s Centre, St Mary’s Centre, Middlesbrough TS1 2RW Key issues for carers Access to information and advice Quality services for the cared for person Recognition and respect Support to maintain their health and well-being Taking a break from caring Support to start/remain in work or education Source: National Carers Strategy

Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel: St Mary’s Centre, St Mary’s Centre, Middlesbrough TS1 2RW Positive outcomes for carers Feeling recognised and valued. Being supported early in their caring role. Improved health and wellbeing. Receiving appropriate & timely information and support. Improved quality of life. Opportunities to remain in or return to work.

Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel: St Mary’s Centre, St Mary’s Centre, Middlesbrough TS1 2RW What have carers told us? 84% of carers stated that caring has a negative impact on their health 92% of carers said their mental health has been affected by caring 64% of carers identified a lack of practical support and 50% identified a lack of financial support 44% of carers have been in debt as a result of caring 39% of carers have put off their own medical treatment & 33% have suffered physical injury as a result of caring 2.3 million people have given up work at some point to care for a loved one Source: In Sickness and In Health (2012) and The State of Caring (2013)

Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel: St Mary’s Centre, St Mary’s Centre, Middlesbrough TS1 2RW The rising value of carers’ support The economic value of the contribution made by carers in the UK is now £132 billion per year (£68bn in 2001) This is close to the annual cost of health spending in the UK Carers save the public purse £15.1 million per hour Valuing Carers 2015: Carers UK

Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel: St Mary’s Centre, St Mary’s Centre, Middlesbrough TS1 2RW Legislative change: The Care Act 2014 A carer is ‘an adult who provides or intends to provide care for another adult (an adult needing care)’ Section 10(3) ‘Care’ includes the provision of ‘practical and emotional support’ Section 10(11)

Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel: St Mary’s Centre, St Mary’s Centre, Middlesbrough TS1 2RW The duty to assess the carer’s needs The duty to carry out a carer’s assessment is triggered where ‘ it appears to the local authority that a carer may have needs for support (whether currently or in the future)’ Where this applies, the carer does not need to request an assessment; it must be offered. This applies regardless of the level of the carer’s needs, the carer’s financial resources or the adult’s financial resources

Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel: St Mary’s Centre, St Mary’s Centre, Middlesbrough TS1 2RW Carer’s assessments Carers are on an equal footing with adults needing care, with regard to an assessment of their needs. A carer’s assessment must consider: - whether the carer is able & willing to provide care -the impact on the carer’s wellbeing -the day-to-day outcomes the carer wants to achieve -whether the carer works, participates in education, training or recreation or would like to. Section 10 (5 and 6)

Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel: St Mary’s Centre, St Mary’s Centre, Middlesbrough TS1 2RW The effect of the carer’s needs The carer’s physical or mental health is or is at risk of deteriorating The carer is unable to achieve any of the following outcomes: - Carrying out caring responsibilities for a child - Providing care to other people - Maintaining a habitable home environment - Managing and maintaining nutrition - Developing or maintaining family or other personal relationships - Engaging in work, training, education or volunteering - Making use of necessary facilities or services in the local community - Engaging in recreational activities

Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel: St Mary’s Centre, St Mary’s Centre, Middlesbrough TS1 2RW ‘Significant’ impact Significant is not defined in the Care Act so the normal everyday usage applies: ‘important consequential effect on daily life, independence and wellbeing’. There can be a cumulative impact eg a significant impact in one area of wellbeing or a lesser impact in number of areas of wellbeing. Fluctuating needs should also be considered over a period of time.

Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel: St Mary’s Centre, St Mary’s Centre, Middlesbrough TS1 2RW The outcome of an assessment The carer is entitled to a written record of their eligibility, with reasons. If the carer has needs the local authority must consider how to meet them. Where the adult needing care is resident in their area the local authority must meet the carer’s needs. Where the carer has no eligible needs the local authority must provide written advice and information about other services

Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel: St Mary’s Centre, St Mary’s Centre, Middlesbrough TS1 2RW Support planning Where there is a duty to meet the carer’s needs the local authority must prepare a Support Plan for the carer. Preparing the Support Plan must involve the carer and any other person the carer asks to be involved. The local authority must take all reasonable steps to reach agreement with the carer about how their needs should be met. The carer is entitled to their own personal budget and has the right to direct payments

Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel: St Mary’s Centre, St Mary’s Centre, Middlesbrough TS1 2RW Carers of disabled children and young carers (Children & Families Act 2014) There is a duty to assess where: - it appears to the local authority that the carer may have needs for support - an assessment is requested. Assessment must consider: - whether the carer has needs for support - whether services should be provided to meet those needs.

Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel: St Mary’s Centre, St Mary’s Centre, Middlesbrough TS1 2RW Parent carers assessment A parent carer is defined as an adult ‘ who provides or intends to provide care for a disabled child for whom the person has parental responsibility’. Assessment must consider both the need to safeguard and promote the welfare of the disabled child and the wellbeing of the carer

Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel: St Mary’s Centre, St Mary’s Centre, Middlesbrough TS1 2RW Young carers A young carer is defined as ‘a person under 18 who provides or intends to provide care for another person, excluding those providing care under a contract or as voluntary work.’ A young carer’s assessment must include: - an assessment of whether it is appropriate for the young carer to provide or continue to provide care for the person in question, in the light of the young carer’s needs for support, other needs and wishes. - consideration of the young carer’s participation in education training, recreation or work.

Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel: St Mary’s Centre, St Mary’s Centre, Middlesbrough TS1 2RW Maximising opportunities Monitor and use evidence of need/demand Identify gaps in services & tell the ‘right’ people Involve service users in designing services/activities that respond to the requirements of new legislation Develop responses to austerity pressures in partnership with the public sector Explore new models of service delivery Develop & negotiate creative options for a mixed economy

Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel: St Mary’s Centre, St Mary’s Centre, Middlesbrough TS1 2RW Carers Together’s services: developing a mixed economy Individual information and support Dementia Adviser Service Carers Assessments and Support Plans Support for parent carers Welfare Rights Service Counselling Service Legal Clinic Carers groups, events and social activities Training for carers, families and professionals Carers’ newsletter & website

Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel: St Mary’s Centre, St Mary’s Centre, Middlesbrough TS1 2RW The impact of misconceptions Volunteers are the solution to meeting increased demand? Contracting with large providers reduces risks for public sector bodies? Unpaid carers can provide more care to meet additional needs?

Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel: St Mary’s Centre, St Mary’s Centre, Middlesbrough TS1 2RW Contact us Carers Together 23 Queen Street Redcar TS10 1AB St Mary’s Centre, Corporation Road Middlesbrough TS1 2RW

Neighbour father wife sister husband brother friend mother relative 23 Queen Street, Redcar TS10 1AB Tel: St Mary’s Centre, St Mary’s Centre, Middlesbrough TS1 2RW Useful resources Assessments and the Care Act Getting help in England from April 2015 Carers UK Care Act 2014 Social Care Institute for Excellence