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Published byKenny Highman Modified over 8 years ago
RCVS Network Meeting - Health & Social Care 3 rd June 2014 Richmond Council Update Cathy Kerr, Director Adult & Community Services
What I Will Cover Overview of policy direction for adult social care Local elections Health partnerships Care Act 2014 What all this means for Voluntary & Community Sector (VCS)
Direction of Travel for Adult Social Care Focus on prevention Promoting independence Choice & control Inclusion ‘Joined up’ care & support
Local Elections May 2014, Conservative party retain council control Seats - Conservative - 39, Lib Dem -15 Cross party support for health & social care policy direction Administration priorities include: Caring for vulnerable people, prevention, an age friendly borough, tenants champion, role of voluntary sector, commissioning council, sharing with others. National elections by May 2015 Public sector financial position
Health & Social Care Integration Why? People want joined up support It makes best use of our collective resources New local authority powers arising from H&SC Act 2012 Health & Wellbeing Board & HWB Strategy Public Health in local authority Integration Work with our health partners to integrate Commissioning – JCC Delivery – joint teams – RRRT Local joint strategies eg Better Care Closer to Home
The Care Act 2014 - What is it? Biggest change in adult social care legislation for 60 years Based on principle of wellbeing Encompasses whole population A new policy framework (from April 2015) and A new funding framework (most from April 2016) Local implementation arrangements including co production group. Newsletter imminent
The Care Act – key changes Personal budgets on a legislative footing and right to a direct payment. Direct payments for residential care Carers rights on the same footing as the people they care for. Changing eligibility criteria for services. New assessment framework Preventing and delaying needs for care and support & providing these services for the whole community Provide comprehensive information and advice including independent financial advice. A web based resource directory
The Care Act – key changes Self funder rights to assessment, support plan and care management (councils could charge) Adult safeguarding on a statutory footing. Duty to shape the market (wider than just the services we commission directly) Ensure no one goes without care if providers fail, regardless of who pays Transition from children to adults – right to assessment before age 18 Portability – for service users transferring from one LA to another to ensure continuity of care Duty to promote integration running through all
The Care Act - Funding Reforms To give more certainty and peace of mind over the costs of old age or living with a disability Everyone receives the care and support they need and more support to those in greatest need End to limitless care costs People protected from having to sell their home in their lifetime to pay for care Improved options for those who pay for their care Consistency between different areas and for non- residential and residential care
What is changing? Funding Cap Capped Lifetime Care Costs - £72,000 – currently no limit for people with assets Lower cap to be set for people with care needs before old age No costs for people with on-going care needs from childhood
What is changing? Extended Means Test More people to receive state-funded support with changes to the means test Capital limit increased from £23,250 to £118,000 (for care homes) Capital limit increased from £23,250 to £27,000 for non-residential care (Richmond’s current limit is £35,000) Assets below are £14,250 are not included in the means test - this will be £17,000
What is Changing? Care Homes Deferred Payments from 2015 no one will have to sell their home in their lifetime Councils will be able to charge interest during the period of the agreement – currently no interest applies during care home stay Care Homes from 2016 Contribution to Daily Living Costs (around £12,000 pa) separate from care costs Daily living costs not subject to the cap Direct Payments for Residential Care from 2016
Case study – Mrs B Has capital of £20k, property of 200k and weekly income of £260 a week Has homecare of £100pw & contributes £64. After 3 years moves to care home @ £630 pw. Current system: in care home pays full cost of £630 until capital falls below £23,250 New system: Reaches funding cap of £72k after 5years 8 months, after which she pays £230 pw. Care costs of £400 met by the council.
The Care Act – Local Implications We expect substantial increase in demand from self funders but impossible to accurately predict the financial impact Self funders – occupy 51% of care home beds & only 13.5% of people 80+ currently receive care from the council. Substantial growth in older population, high proportion of people age 85+; many age 75+ living alone
What Does This Mean for the VCS? A Key Partner for the Council (and CCG) As commissioned provider of services: Particularly supporting independence and prevention Learning from work to date – CILS Future opportunities As voice of the sector and bringing service user / carer voice Engagement routes: Health & Wellbeing Board Contribution to strategy development and key programme of work Care and Support Partnership
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