1. Understanding The Costs
Care Act 2014
Understanding The Costs
Sarah Fogden

2. Understanding the Costs
Overall Aim
Context
Social Care reform
Funding Reform
Behaviour

3. Overall Aim
To have a common view – Each Council /Adass/LGA/DoH that best reflects what the real impact of social care and funding reform will be – locally as well as nationally.
We need this information not only to plan nationally but also to plan locally

4. Context
Original impact of funding and social care reform – ran into £ billions
Preliminary results suggest impact will be much more than this – this on top of
Huge reductions in spending – and
Growing need – yet fewer people supported
So crucial to have local and national assessments - of what the impact will be backed up by local and national evidence

5. Financial Impact – DoH Estimate

6. Social Care Reform 2015-16 Dept. of Health Impact assessment
Published May 23rd 2014

7. Care Reform DoH Impact Assessment

8. Social Care Reform 2015-16 Carers - Assessment £22m.
Carers - Services £47m in to £132m by

9. Social Care Reform 2015-16 Advocacy £14.5m to £67m by 2018-19
Information & Advice??
Eligibility at substantial £25m
How much of an issue is this going to be?

10. What should you be doing?
Look at the Ready Reckoner for funding on Programme Office site
Start comparing your estimated allocation with your estimated costs
i.e. Oxfordshire Carers
Share your estimates with the Programme Office, don’t wait for the next stocktake

11. Funding Reform 2016-17 Care Account & Care Cap
Higher threshold for paying for Care
How many self funders will have their care paid for by the authority?
Initial DoH impact £0.36bn

12. The Surrey model Complex spreadsheet
Models all the factors that influence whether a client will be funded by the authority
Income
Wealth
Pathways/length of stay
Cost of placements/cost of home support

13. Working Age Adult Significant impact. £200m to £500m
but not as significant as the Older Persons Threshold and Cap
no one has yet decided how the arrangements for Working Age people will work.
Concentrate on over 65s

14. Reform & behaviour How many self funders and carers will come forward?
In both cases the impact will be influenced by the behaviours
Recommend that dialogue/survey is undertaken with carers and self funders
Whilst people’s actual behaviour might differ to what they may say in a survey – it is still better to have this information than none.

15. Summary
Overall Aim - common view nationally and locally of likely impact
We are talking about £bns - so crucial to have local evidence – do your own modelling – Care Reform & Funding reform 
Prioritise the work on 65 Plus
Share information & Learn from each other