Harold Bodmer Vice-President, ADASS 26 th January 2016 The Future Landscape

March 2015 ADASS published a report ‘Distinctive Valued, Personal. Why Social Care Matters: The Next 5 Years’ We want to see a system that is protected, aligned, and re-designed. To achieve this: –Personalised services need to be more joined-up around the individual –Good information and advice to enable people to look after themselves –Building supportive relationships –Maintaining independence Distinctive, Valued, Personal

Personalisation Putting the individual at the centre of the process of working out: –What their needs are –Choosing what support they need –Having control over their life Building a system of care and support that is designed with a persons full involvement and tailored to meet their own unique needs Engagement of people who use services – peer support – co- production Allows people to live better and more fulfilled lives

Personal Budgets We need services that are: –Personalised –Of good quality, that address our mental, physical, and other forms of wellbeing –Much better joined-up around our individual needs and those of our carers Personal budgets are central to this approach The mainstream use of personal budgets is improving the choice and control individuals have over their care and support, and their lives

Integrated Personal Commissioning People can access a combined budget covering health as well as social care needs (Integrated Personal Commissioning) creates the potential for integrated care to be driven as much by individuals as by organisations Building new partnerships and conversations with individuals and organisations

Financial context More people living longer with complex needs Fewer people getting care and those that do getting less The number of people over 65 and in need of care is forecast to increase by over 40% between Social care funding gap +£700 million a year, excluding NLW 2% council tax precept for social care – still not enough

Care Act 2014 The Care Act is an important step forward, replacing various pieces of legislation with a single statute The principles of wellbeing, personalisation and integration are enshrined in the Care Act 2014 The Care Act provides a new legislative focus on personalisation by mandating care and support plans and personal budgets for everyone with care and support needs, increasing opportunities for greater choice, control and independence Choices around the country Challenges: Ensuring that there is sufficient flexibility to cover the universal responsibilities which councils have To reflect the diverse range of care markets

Delivering the right care in the right settings Integrated pathways are key, with social care working closely with partners (particularly the NHS) to help individuals experience seamless coordinated services that are effective and efficient Duty to offer personalisation and focus upon wellbeing outcome of the individual The engagement of the independent sector in the planning, commissioning, and delivery of joined-up services will be essential

Individual at centre of decision making Placing the individual at the centre of decision making – rather than conditions or treatments Integration starts with people not structures There is no one size fits all solution. Services need to be better aligned to achieve better outcomes More community based solutions, based around primary care

Improving integration Too often people experience services that are fragmented, poorly coordinated and hard to navigate Integrated pathways are key, with social care working closely with partners (particularly the NHS) to help individuals experience seamless coordinated services that are effective and efficient Behaviors and culture change Need integrated commissioning across health, social care and housing

Opportunities Individuals are empowered to be the integrators of their own care and support Considered the most powerful way to join up health and care Integrated personal health and care budgets and/or commissioning will be used to meet most needs for long term health and care support The engagement of the independent sector in the planning, commissioning, and delivery of joined-up services is essential

Challenges Making sure that health and social care are equal partners Importance of whole care sector The current funding arrangements need to be simplified More support in and from the community Risk of return to Assessment and Care Management as default for systems

Summary Starts with the individual, rather than the service and recasts the relationship between professionals, organisations, and the people they serve We need services to support this Personal budgets helps improve choice and control individuals have over their care and support Need new narrative about personalisation in time of austerity