At Pathway we are dedicated to Safeguarding our staff and learners. Please feel free to read through and if you would like more information about this policy or Pathway Group please feel free to get in touch.
At Pathway we are dedicated to Safeguarding our staff and learners. Please feel free to read through and if you would like more information about this policy or Pathway Group please feel free to get in touch.
This presentation by the Children's Rights Council (www.CRCkids.org) helps define the concept of children's rights and includes CRC's very own "Children's Bill of Rights."
Authors: Anitra Stevenson, Marcus Trelaine, with additional help.
Legal Disclaimer:
The legal information provided in this slideshow is for general reference and educational purposes only.
It is the intention of CRCKids.org and the Children's Rights Council to provide a comprehensive resource of useful, accurate general information about the law and help individuals learn more about and strategize their own specific legal needs to make more informed decisions.
Although every effort has been made to ensure that the information presented is helpful, explanations of legal principles have been simplified to present material in an easier to understand format for use by the general public. Moreover, laws can vary considerably in different jurisdictions (from state to state and from county to county) and are subject to frequent changes, as well as diverse interpretations dependent upon the facts unique to a particular situation.
CRCkids.org is not operated by a law firm, nor does the Children's Rights Council claim to be an authority on the legal subject matter contained herein. This slideshow is offered as an instructive guideline and represents one source of information among many, and should not be construed as advice to replace the counsel of a qualified and licensed professional to determine specific legal rights. It is the responsibility of any person or entity using this slideshow to determine the applicable information and facts, and the recommendation of CRCkids.org and the Children's Rights Council to read other material, research additional sources and consult with appropriate legal, financial or clinical professionals before making any decisions that could affect the outcome of a legal proceeding, financial obligation, treatment evaluation, or other important determination.
CRCkids.org and the Children's Rights Council make no representation, guarantee, or warranty (express or implied) as to the legal ability, competence, or quality of representation which may be provided by any attorney, political representative, practitioner, public agency, private service provider or court which are listed herein.
CRCkids.org, along with the Children's Rights Council and its chapters, affiliates and contributors to this slideshow, shall have neither liability nor responsibility to any person or entity with respect to any loss or damage caused or alleged to be caused, directly or indirectly, by the information contained on this slideshow or for any legal representation provided by any person or entity listed in this slideshow.
Keeping Children Safe: Presentation of child safeguarding standards Keeping Children Safe
This is a presentation of the international standards to keep children safe from child abuse. Produced by Keeping Children Safe this outlines the four areas to consider within your organisation to ensure your organisation is not putting children at risk. For further guidance contact: info@keepingchildrensafe.org.uk
Topic The Care Act: Implications for Homeless Health Care
Presenter Karl Mason
Social Work Lead - Trauma, Emergency and Acute Medicine Kings Lead KHP Homeless Pathway Team Kings
This presentation by the Children's Rights Council (www.CRCkids.org) helps define the concept of children's rights and includes CRC's very own "Children's Bill of Rights."
Authors: Anitra Stevenson, Marcus Trelaine, with additional help.
Legal Disclaimer:
The legal information provided in this slideshow is for general reference and educational purposes only.
It is the intention of CRCKids.org and the Children's Rights Council to provide a comprehensive resource of useful, accurate general information about the law and help individuals learn more about and strategize their own specific legal needs to make more informed decisions.
Although every effort has been made to ensure that the information presented is helpful, explanations of legal principles have been simplified to present material in an easier to understand format for use by the general public. Moreover, laws can vary considerably in different jurisdictions (from state to state and from county to county) and are subject to frequent changes, as well as diverse interpretations dependent upon the facts unique to a particular situation.
CRCkids.org is not operated by a law firm, nor does the Children's Rights Council claim to be an authority on the legal subject matter contained herein. This slideshow is offered as an instructive guideline and represents one source of information among many, and should not be construed as advice to replace the counsel of a qualified and licensed professional to determine specific legal rights. It is the responsibility of any person or entity using this slideshow to determine the applicable information and facts, and the recommendation of CRCkids.org and the Children's Rights Council to read other material, research additional sources and consult with appropriate legal, financial or clinical professionals before making any decisions that could affect the outcome of a legal proceeding, financial obligation, treatment evaluation, or other important determination.
CRCkids.org and the Children's Rights Council make no representation, guarantee, or warranty (express or implied) as to the legal ability, competence, or quality of representation which may be provided by any attorney, political representative, practitioner, public agency, private service provider or court which are listed herein.
CRCkids.org, along with the Children's Rights Council and its chapters, affiliates and contributors to this slideshow, shall have neither liability nor responsibility to any person or entity with respect to any loss or damage caused or alleged to be caused, directly or indirectly, by the information contained on this slideshow or for any legal representation provided by any person or entity listed in this slideshow.
Keeping Children Safe: Presentation of child safeguarding standards Keeping Children Safe
This is a presentation of the international standards to keep children safe from child abuse. Produced by Keeping Children Safe this outlines the four areas to consider within your organisation to ensure your organisation is not putting children at risk. For further guidance contact: info@keepingchildrensafe.org.uk
Topic The Care Act: Implications for Homeless Health Care
Presenter Karl Mason
Social Work Lead - Trauma, Emergency and Acute Medicine Kings Lead KHP Homeless Pathway Team Kings
Presented by Andy Akhtar of Scottish Centre for Enabling Technolgies: http://www.ictthatworks.org for AmbITion Scotland Partner and Associate organisation networking event 02/11/10.
http://getambition.com
www.ictthatworks.org/drupal/accessibility
PowerPoint Presentation giving a brief history of care and support and the context for the current changes to the social care system. Presentations was delivered by Simon Medcalf and Kevin Kitching at the 'Personalisation and the Care Act consultation events' hosted by TLAP, Department of Health, the Local Government Association (LGA) and Association of Directors of Adult Social Services (ADASS) on Monday 21st July 2014 in London and 23 July 2014 in Manchester.
Simon Medcalf is Deputy Director of Social Care Policy and Legislation at Department of Health and Kevin Kitching is Personalisation Policy Manager Social Care, Local Government and Care Partnerships Directorate at Department of Health.
Presentation giving an overview of the Care Bill and the upcoming consultation. Presented on 2 May 2014 by Simon Medcalf, Deputy Director Social Care Policy and Legislation at the Department of Health at the Local-Central Government Discovery Day on the Impact of the Care Bill hosted by the Department for Communities and Local Government.
The Care Act - Consultation on guidance and regulations: Personalisation and ...Think Local Act Personal
Presentation gives an overview of the personalisation features within the Care Act guidance and regulations.Presentations was delivered by Kevin Kitching at the 'Personalisation and the Care Act consultation events' hosted by TLAP, Department of Health, the Local Government Association (LGA) and Association of Directors of Adult Social Services (ADASS) on Monday 21st July 2014 in London and 23 July 2014 in Manchester.
Kevin Kitching gave the presentation. He is the Personalisation Policy Manger Social Care, Local Government and Care Partnerships Directorate at the Department of Health.
Northern Voices: Delivering Universal Credit and Tackling Homelessness outsid...Policy in Practice
Policy in Practice and Northern Housing Consortium hosted this important event to bring Westminster policy makers together with northern organisations.
Delegates joined central government speakers and local influencers in Leeds for this free one day workshop to exclusively hear the latest policy updates on Universal Credit managed migration from DWP and homelessness prevention from MHCLG. They helped to create a united voice of influence for people and practitioners in the north.
Attendees:
> Heard from central government about policy updates and plans
> Contributed experiences in order to influence central government
> Learned from the experiences of trailblazing organisations in the north
> Networked and benchmark with like minded peers
Who attended:
Senior decision makers, elected representatives and team leaders charged with supporting vulnerable people and tackling homelessness attended. The outputs from the table discussions will form a white paper that will be presented to DWP and MHCLG.
For further details email hello@policyinpractice.co.uk or call Donna Gallagher on 0742 8783581.
Visit www.policyinpractice.co.uk
Elderly care conference 2017 - The state of social care: the commissioning la...Browne Jacobson LLP
Joy looks at 'what is social care in the 21st Century and why it is important?' including the current state of the social care market and taking a look at the future.
Integrated health & social care: service transformation supported by technolo...flanderscare
Wat is de toekomst van zorg op afstand in Vlaanderen? Dat was de centrale vraag van het event van 17 juni. 100 deelnemers dachten hier samen over na. Studiebezoeken aan andere Europese regio's toonden dat daar reeds op grote schaal met telecare en telehealth gewerkt en geëxperimenteerd wordt.
View the slides from our webinar: 2018: A policy review of the year. We were joined by guest speakers Deven Ghelani and Paul Howarth, Policy in Practice.
We reviewed the social policy analysis we delivered for clients in 2018 and recapped on key findings we uncovered. We also discussed what this means for local organisations in 2019.
Find out what we learnt about:
Homelessness and housing
Changing living standards of low income households
Universal Credit's impact on people
Universal Credit's impact on frontline organisations
For more information please visit www.policyinpractice.co.uk, call 0330 088 9242 or email hello@policyinpractice.co.uk.
Presentation on the Deferred Payment Agreement Eligibility Calculator for adult social care by Matthew Wood-Hill, DCLG Local Digital Programme and John McMahon, IEG4, at the Local Digital Futures - Working as One: Platforms & Sharing event held on 4 March 2016 in London.
Presentation on 'Microsoft - Platform View' by Michael Wignall, Microsoft UK, at the Local Digital Futures - Working as One: Platforms & Sharing event held on 4 March 2016 in London.
Presentation on 'Transforming services through identity & eligibility checking' by Ian Litton, Warwickshire County Council, at the Local Digital Futures - Working as One: Platforms & Sharing event held on 4 March 2016 in London.
Presentation on informatics and digital priorities for social care by Andrew Fenton, Department of Health, at the Local Digital Futures - Working as One: Platforms & Sharing event held on 4 March 2016 in London.
Presentation on the Local Waste Services Standards Pilot Projecr by Linda O'Halloran, Head of Products, Local Digital programme at the Local Digital Futures - Working as One: Platforms & Sharing event held on 4 March 2016 in London.
Presentation on 'Transforming the Student Bursary Support Service - A collective approach to service transformation: one goal' by Joe Carr, Education Funding Agency, and Philip Knight, Capita, at the Local Digital Futures - Working as One: Platforms & Sharing event held on 4 March 2016 in London.
Presentation on on Luton Borough Council's involvement in the DCLG Waste Standards Service Project by Adam Thoulass, at the Local Digital Futures - Working as One: Platforms & Sharing event held on 4 March 2016 in London.
Presentation on 'ERP in the cloud for public sector' by James Norman, EMC UK, at the Local Digital Futures - Working as One: Platforms & Sharing event held on 4 March 2016 in London.
Presentation on 'Digital Transformation - Funding Approach' by Daniel Bromley from the Local Digital Futures - Working as One: Platforms & Sharing event held on 4 March 2016 in London.
The following presentations were delivered at the the Local Waste Services Standards Beta Showcase on 22 February 2016:
Linda O'Halloran, Product Owner, gave an overview of the project objectives and roadmap and resources delivered so far.
Sarah Prag, Service Design project Lead, gave a business case update - an overview of the approach, headline numbers, the bigger picture and how to feed in
Paul Mackay, Technical Lead, talked about open standards, taxonomies and APIs
Presentations on the Local Waste Service Standards Project - objectives, the project roadmap, deliverables, building the case for business standards, and next steps. Presented by Linda O'Halloran, Product Owner for the Waste Service Standards Project at the Local Digital Waste Standards Future Planning Roundtable held on 13 January 2016.
Presentation on data modelling and APIs for the Waste Services Standards Project. Presented by Paul Mackay, Technical Lead for the Waste Service Standards Project. Presented at the Local Waste Service Standards Front End Integration Workshop held on 8 January 2016 in London.
Presentations on the project roadmap and the objectives for the day, as well as the The Waste API and how it can power web services. Presented by Linda O'Halloran, Product Owner for the Waste Service Standards project, and Paul Mackay, Technical Lead for the project. Presented at the Local Waste Service Standards Front End Integration Workshop held on 8 January 2016 in London.
Presentation on missed bin collections and an API to help reduce missed bin collections. Presented by Liam Hawkes, from Luton Borough Council, at the Local Waste Service Standards Project: Alpha Showcase and Workshop held in London on 23 October 2015.
Welcome and overview of the Local Waste Service Standards Project - project objectives, the plan, priorities, where we're at, and where we're headed. Presented by Linda O'Halloran, Head of Products - Local Digital Programme, at the Local Waste Service Standards Project: Alpha Showcase and Workshop held in London on 23 October 2015.
Presented by Sarah Prag, Consultant for the Local Waste Service Standards Project, at the Alpha Showcase and Workshop held in London on 23 October 2015.
Presentation on the Waste Service Standards Project - what the outcomes of the ‘alpha’ stage of work were and what we’re hoping to integrate as part of the beta. Presented by Paul MacKay, the technical lead on Local Digital's Local Waste Service Standards Project at the Alpha Showcase and Workshop held in London on 23 October 2015.
Presentation on the Surrey Waste Partnership which is made up of the county council and the 11 district and borough councils in Surrey. The partnership aims to manage Surrey's waste in the most efficient, economic and sustainable way possible. Presented by Tom Beagan from Surrey Waste Partnership at Local Waste Service Standards Project: Alpha Showcase and Workshop held in London on 23 October 2015.
Presentation on using website analytics to improve performance: traffic, behaviour, conversion and conversion return. Presented at Really Useful Day: Digital Service Design for Service Managers held in Folkestone on 17 September 2015.
Presentation on the digital approaches to service design covering:
Taking ownership
Starting with users
Understanding needs, before delivering solutions
Iterating, testing and ‘learning through doing’
Collaborating
Presented by Sarah Prag at Really Useful Day: Digital Service Design for Service Managers held in Folkestone on 17 September 2015.
More from Department for Communities and Local Government Local Digital Campaign (20)
2. 2
1. Context for the Care and Support Reforms
• History of Care and Support and reform timeline
• Vision for care and support
2. A consultation on draft regulations and guidance for part one of
the Care Act 2014
• About the consultation
• Overview of the Care Act
2. Implementation of Care and Support Reform
• Our approach to implementation
• National headlines from stocktake survey and our response
• Purpose of today and our plea
• Key milestones and next steps
Contents
The Care Act: reforming care and support
4. 4
National
Assistance Act
1948: established
the welfare state
and abolished the
Poor Laws
1948 1960… 1970…
Chronically Sick and
Disabled Persons Act
1970: reforms to key
entitlements to
community services
A brief history of care and support
NHS and Community Care
Act 1990: first major set
of reforms, including first
right to assessments and
start of commissioner/
provider split.
1980… 1990… 2000… 2010…
Carers (Recognition
and Services) Act
1995: the first Act
to recognise carers
Community Care
(Direct Payments)
Act 1996: new
powers to make
direct payments
Carers and Disabled
Children Act 2000:
extending direct
payments to carers
Health and Social Care
Act 2001: updates on
direct payments
Social care law and policy has evolved over more than 65 years, incorporating around 30
Acts of Parliament, but reform has usually been piecemeal.
The Care Act: reforming care and support
5. 5
48 per cent of men and
51 per cent of women
will need domiciliary
care only
33 per cent of men and
15 per cent of women
will never need formal
care
19 per cent of men and
34 per cent of women
will need residential
care
Three-quarters of people aged 65 will need care and support in their later years
Older people are the core user of acute
hospital care - 60% of admissions, 65%
of bed days and 70% of emergency
readmissions.
72% of recipients of social care services
are older people, accounting for 56% of
expenditure on adult social care.
Supported
Supported
…and around 6 million
people caring for a friend
or family member.
…around 400,000
people in residential
care, 56% of whom
are state-supported
…around 1.1 million
people receiving care
at home, 80% of
whom are state-
supported
…1.5 million people
employed in the
care and support
workforce
Care and support affects a large number of people
In England there are…
Context for change: demands on the system
The Care Act: reforming care and support
6. 6
Councils are facing significant and increasing demand and financial pressure.
Adult social care spending has fallen by c8.5%
in real terms from 2011/12 to end of 2013/14
(2013/14 prices)
• Since 2011/12 central revenue support for councils has
reduced by c10% each year (c39% by end of 2014/15).
This is equivalent to a reduction in spending power of
c4-5%.
• Impact varies locally – some councils have seen
spending power reduce by c7% each year.
• Many councils have still given relative protection to ASC
compared to some other services.
• Overall councils have reduced spending on ASC by
c8.5% in real terms over three years to end 2013/14,
consistent with 3% national efficiency assumption.
• User numbers have also reduced significantly over the
SR period, particularly for +65s:
– 19% fewer over-65s receiving community care
– 2% fewer over-65s receiving residential/nursing care
• Reported outcomes and satisfaction have remained
stable, but data limited to people receiving care.
Overall councils have done very well in delivering savings whilst maintaining outcomes and satisfaction
levels. However, picture varies locally and councils have relied on significant support from the NHS.
Context for change: financial pressures
The Care Act: reforming care and support
7. 7
Vision for
Adult Social
Care
___________
Nov 2010
Law
Commission
Report
__________
May 2011
Dilnot
Commission
Report
__________
July 2011
Caring for our
future
engagement
_____________
Sept - Dec 2011
• Caring for our
Future White
Paper
• Draft Care and
Support Bill
• Progress report
on funding
______________
July 2012
Engagement and
pre-legislative
scrutiny on draft Bill
________________
Jul 2012 – Jan 2013
Care Act in
Parliament
__________
May 2013 –
May 2014
Announcement
on funding
reform
______________
Feb 2013
Implementation
_____________
April 2015 –
April 2016
The reform timeline
The Care Act is the latest step in the timeline for reform, and builds the Government’s
Vision for Adult Social Care document and White Paper.
Consultation on
draft regulations
and guidance
______________
Jun - Aug 2014
The Care Act: reforming care and support
8. 8
• Promote people’s wellbeing
• Enable people to prevent and postpone the need
for care and support
• Put people in control of their lives so they can
pursue opportunities to realise their potential
The care and support White Paper was published in
July 2012 and set out the Government’s vision for the
future system.
If adult care and support in England is going to respond
to challenges it must help people to stay well and
independent:
The Care Act 2014 underpins and implements this
vision.
Caring for our Future
The Care Act: reforming care and support
9. 9
The Act is built around people, it:
• ensures that people’s well-being, and the outcomes which matter to them, will be at
the heart of every decision that is made;
• puts carers on the same footing as those they care for;
• creates a new focus on preventing and delaying needs for care and support, rather
than only intervening at crisis point, and building on the strengths in the community;
• embeds rights to choice, through care plans and personal budgets, and ensuring a
range of high quality services are available locally.
The Act makes care and support clearer and fairer, it:
• extends financial support to those who need it most, and protects everyone from
catastrophic care costs though a cap on the care costs that people will incur.
• will ensure that people do not have to sell their homes in their lifetime to pay for
residential care, by providing for a new deferred payments scheme;
• provides for a single national threshold for eligibility to care and support;
• supports people with information, advice and advocacy to understand their rights
and responsibilities, access care when they need it, and plan for their future needs;
• gives new guarantees to ensure continuity of care when people move between areas,
to remove the fear that people will be left without the care they need;
• includes new protections to ensure that no one goes without care if their provider
fails, regardless of who pays for their care.
What does the Care Act do?
The Care Act: reforming care and support
10. 10
A consultation on draft regulations
and guidance for part one of the
Care Act 2014
11. 11
This consultation
The primary legislation - the Care Act 2014 sets
the legal duties and powers
We are now consulting on secondary legislation
- the regulations. The scope of regulations is set
by the Care Act.
We are also consulting on the statutory
guidance on how to meet legal obligations in
the Bill. This sets out the expectations of local
authorities when exercising their functions
We are also developing practice guidance,
toolkits and other products which help
support implementation.
The Care Act: reforming care and support
12. 12
A quick note on our approach
• We haven’t produced these drafts on our own! They were
developed with a great deal of collaboration and stakeholder
engagement – just like the Act itself.
• Within the guidance we’ve used examples and case studies to
illustrate the guidance. Tell us if you think they’re helpful or if you
have better examples.
• We have tried to capture cross cutting issues throughout the
guidance - have we succeeded?
The Care Act: reforming care and support
14. 14 The Care Act: reforming care and support
The guidance: chapter by chapter
Ch Topic
1 Promoting wellbeing
2 Preventing, reducing or delaying needs
3 Information and advice
4 Market shaping and commissioning
5 Managing provider failure
6 Assessment and eligibility
7 Independent advocacy
8 Charging and financial assessment
9 Deferred payment agreements
10 Care and support planning
11 Personal budgets
Ch Topic
12 Direct payments
13 Review of care and support plans
14 Safeguarding
15 Integration, cooperation and partnerships
16 Transition to adult care and support
17 Prisons and approved premises
18 Delegation of local authority functions
19 Ordinary residence
20 Continuity of care
21 Cross-border placements
22 Sight registers
23 Transition to the new legal framework
Areas with related draft regulations
15. 15
General responsibilities and universal services
1. The wellbeing principle
• The wellbeing principle underpins the entire legal framework, and influences the
way all functions are carried out in relation to individuals.
• How to define wellbeing – and how it relates to other areas in the Act.
• Duties and powers to “meet needs” replace previous entitlements to services.
1. Preventing, reducing and delaying needs
• Universal duty: applies equally to those not receiving services and their carers.
• Primary, Secondary and Tertiary prevention.
• Strategic approaches and working with partners and voluntary services.
• Regulations cover charging for prevention: limits and specific free provision.
The Care Act: reforming care and support
16. 16
General responsibilities and universal services
3. Information and advice
• Universal duty, but tailored information and advice for specific groups will be vital.
• Sets out how to provide information and advice, and to whom.
• Role of financial information and advice and how to help people benefit.
4. Market shaping and commissioning
• Commissioning focused on outcomes and promoting wellbeing.
• Promoting choice to drive quality and sustainability.
• Importance of workforce development and pay.
5. Managing provider failure
• Local authorities’ responsibilities to meet needs in cases of provider failure.
Emphasis on contingency planning and early warning. Regulations set out when
there is a “business failure” to trigger local authority duty.
• New CQC oversight regime of financial health of “difficult to replace” providers.
Regulations set out criteria for which providers are in regime.
The Care Act: reforming care and support
17. 17
First contact and identifying needs
6. Assessment and eligibility
• Duty to assess on appearance of need – for people who use care and carers.
• Must involve the person, and focus on their desired outcomes alongside needs.
• Must be proportionate to the person’s needs, goals and circumstances.
• Consider how to prevent or delay needs, and whether other types of support
available locally may also benefit, alongside the assessment.
• Regulations set out requirements around assessment, including
training/expertise.
• New national minimum eligibility threshold ensures more consistency, designed
to maintain existing levels of access. Local authorities can meet other needs.
• Regulations set out eligibility criteria, based on “significant impact on wellbeing”.
7. Independent advocacy
• Duty to provide an independent advocate where someone has substantial
difficulty being involved in the process and there is no one to act on their behalf.
• Regulations define “substantial difficulty” in involvement, requirements for an
advocate, and what their role looks like.
The Care Act: reforming care and support
18. 18
Charging and financial assessment
8. Charging for care and support
• Charging framework clarified for 2015/16 but largely unchanged. Questions on
small changes to 12-week disregard of property after entering a care home; and
treatment of investment bonds/pre-paid funeral plans.
• Includes right to choice of accommodation and ability to make top-up payments.
Question extension to other types of accommodation (e.g. extra care housing).
• Regulations set out process of financial assessment (including monies to be
disregarded), limitations on power to charge and choice of accommodation.
9. Deferred payment agreements
• A person can ‘defer’ paying the costs of their care and support, so they do not
have to sell their home at a point of crisis. New duty to offer to certain people.
• Amount that can be deferred usually based on loan-to-value ratio of home.
• Power to charge interest to offset risk and make cost-neutral.
• Questions on interest rate; extending scheme to extra care housing and supported
living; and allowing people to keep some rental income.
• Regulations set out the criteria for DPAs, and other conditions.
The Care Act: reforming care and support
19. 19
Care and support planning
10. Care and support planning
• Duty to prepare a care and support plan for all those whose needs are being met,
including carers. Must involve people in the planning process.
• Legal framework for combining or integrating plans for different people where
appropriate.
11. Personal budgets
• Sets out what it will cost the local authority to meet the person’s needs.
• Must be included with each plan.
• Process for calculating budget must be transparent.
• Can be combined with other public money, e.g. personal health budgets.
• Regulations specify that intermediate care and reablement are not included in a
personal budget.
The Care Act: reforming care and support
20. 20
Care and support planning
12. Direct payments
• Right to request the amount identified in a personal budget as a cash payment,
which people can use to purchase their own care and support.
• Direct payments must have proper oversight and be reviewed regularly, without
being too burdensome.
• Questions on having first review after 6 months instead of 12; and easing
restriction on paying family members to manage.
• Regulations set out situations where a local authority must not, or may not, offer
a direct payment; and other conditions.
13. Reviews
• Review must be ongoing to ensure needs continue to be met over time.
• Planning and sharing timescales for regular reviews, and responding to a request
for a review.
• Proportionality and timeliness of reviews.
The Care Act: reforming care and support
21. 21
Adult safeguarding
14. Safeguarding
• Definitions of “abuse” and “neglect”.
• The local authority role: new duty to carry out enquiries where risk of abuse or
neglect. May require independent advocate.
• Requirement for all areas to establish a Safeguarding Adults Board (SAB): to
coordinate activity of partners to protect adults from abuse and neglect.
• Multi-agency working: roles, responsibilities and information-sharing.
• LA, NHS and police as core members of SAB: local discretion for others?
• SABs to carry out safeguarding adults reviews into cases of concern, to ensure
lessons are learned.
• New ability for SABs to require information sharing from other partners to support
reviews or other functions,
The Care Act: reforming care and support
22. 22
Integration and partnership working
15. Integration, cooperation and partnerships
• Promoting integration with NHS and other services (including housing).
• Requirement to work collaboratively and cooperate with other public authorities,
both generally and in specific cases.
• Working with the NHS and managing the legal boundary with local authority
responsibilities. Regulations set out details and the process for dispute resolution.
• Managing delayed transfers of care out of hospitals. Largely replicates existing
scheme, but discretionary not mandatory. Regulations set out processes to follow.
• Working with housing to integrate provision and ensure focus on suitability of
living accommodation. Considers how housing supports core responsibilities in
the other parts of the guidance.
• Working with employment and welfare services – also often highly relevant to
care and support and JobCentre Plus is “relevant partner” for cooperation.
The Care Act: reforming care and support
23. 23
Integration and partnership working
16. Transition to adult care and support
• Duty to assess young people and their carers in advance of transition from
children’s to adult services, where likely to need care and support as an adult.
• How to determine where there is “significant benefit” for timing of assessment.
• Regulations set out process for providing services to adult carers of children.
17. Prisons and approved premises
• Each local authority responsible for prisoners in custodial settings in its area.
• Principle of equivalence with those in the community, however complicated in
some areas, e.g. aids & adaptations. Some rights do not apply.
18. Delegation of local authority functions
• New power for authorities to delegate certain functions to another organisation.
• Local authorities retain ultimate responsibility for how functions are carried out,
so people always have redress. Good contract management and avoiding conflicts
of interest essential.
The Care Act: reforming care and support
24. 24
Moving between areas
19. Ordinary residence
• Local authority responsible for meeting the eligible needs of all those ordinarily
resident in their area (who may be living elsewhere some or all of the time).
• Example scenarios to help decisions and aid dispute resolution between areas.
• Regulations set out the types of accommodation where ordinary residence applies
in relation to “out of area” placements and the process for dispute resolution.
20. Continuity of care
• When someone moves area, current local authority must share the care and
support plan and other information relating to the person and their carer.
• Information before the move, assessment and arranging to meet the needs on the
day of arrival, based on the previous care and support plan.
• Regulations set out the requirements on the day of the move.
21. Cross-border placements
• New power ability to arrange care home placements across the UK.
The Care Act: reforming care and support
25. 25
Other areas
22. Sight registers
• Local authorities must keep a register of adults who are severely sight impaired
and sight impaired in their area. Regulations define who should be treated as
sight-impaired or severely sight-impaired.
• Local authorities may also maintain registers of other people with disabilities.
23. Transition to the new legal framework
• Transition in 2015/16: “passporting” people currently in the system under the
new legal framework in the Care Act.
• No automatic need for re-assessment or new eligibility determination; will depend
on previous local policies
• Preparing for 2016/17: steps to take in 15/16 to prepare for funding reform:
understanding likely demand, awareness-raising, capacity-building, and early
assessments
The Care Act: reforming care and support
26. 26
Please respond to the consultation
Comment online www.careandsupportregs.dh.gov.uk
E-mail us at careactconsultation@dh.gsi.gov.uk
Write to Care and Support Consultation,
Room 313, Richmond House, 79
Whitehall, London, SW1A 2NS
Share your thoughts #careact2014
Please make sure all consultation responses are received
by 15 August 2014
The Care Act: reforming care and support
28. Our approach – leadership & partnership
• Care and Support Reform Board oversees
implementation and brings together those with specific
implementation responsibility or system leadership role
• Supported by the unprecedented partnership between
DH, ADASS and LGA
• Partnership ensures shared ownership and of a
programme management approach to implementation
• Joint programme management office supports Board
oversee planning for implementation and assurance
29. Our approach – co-production
• National and local co-production and engagement
across the care sector will remain central to delivery
• Engagement with sector groups such as Think TLAP,
TEASC, and provider / user groups essential for
ongoing delivery
• Build new relationships with ADASS Policy Leads and
Regional Leads and others to complement the
partnership
30. Headlines from 1st
readiness stocktake –
National picture
• Almost all councils have a plan/programme
• Around 9/10 said they were fairly or very confident that they
will be able to deliver
• Roughly 3/4 have started to estimate the number of requests
for carers’ assessments, and most of those yet to complete
this expect to have done so by January 2015
• Roughly 3/4 have started to estimate the likely cost of
implementing the Care Act in 2015/16, and most of those yet
to start work on this expect to have done so by January 2015
31. Our approach – implementation support
• Co-produce a package of support to enable local authorities
to prepare, plan and deliver the Care Act
• Focusing resource on areas of highest risk / impact where
clear national role and no other investment
– Initial priorities identified as: Workforce; Communications;
Informatics; Understanding implementation costs
• Stocktake survey of DASSs in every council which closed 21
May key evidence to inform our decisions
• Supporting regional activity which we see as a critical enabler
to delivery of the reforms
32. Our approach – communication
• Focus on implementation communications to share
information and engage those responsible for delivery
– Regional activity is key to ensuring two-way engagement
• Delivery of a public awareness campaign to increase
understanding of the reforms, how to access them and
encourage behaviour change
– Phase 1 for people receiving care or about to (late 2014 - Apr 2016)
– “Locally driven with national support” – building on resources that can
be adapted and used locally
33. Purpose of today
• Direct conversations between local authorities,
voluntary and private sector and DH to seek to views
on how to improve the draft regulations and
guidance
• Discussion about some of the more difficult
implementation issues, with national colleagues and
each other
34. Our plea
• We want to hear what you are doing, the challenges
you are facing, and how you are overcoming them
• We want to capture and share your learning and
tools so others can benefit
So that together we can…
…support each other to implement these reforms
…grasp this opportunity to shape care and support
delivery for the next 30+ years!
35. What happens next?
•Finalise 2015/16 regulations and guidanceOctober 2014
•Ongoing work to develop practice guides, Over summer/
toolkits and implementation support autumn
2014
•Separate consultation later this year on those
elements of the Act that come into force in Late 2014
April 2016 (e.g. funding reform).
•New statute comes into force April 2015
•Funding reforms come into effect April 2016
The Care Act: reforming care and support
36. Further information – and comments
Care and support reform web pages:
http://www.local.gov.uk/care-support-reform
Enquiries, comments and to subscribe to bulletin:
CareBillReform@local.gov.uk
Share your thoughts on twitter: #careact2014
Please submit your comments on the draft regulations and
guidance to: careactconsultation@dh.gsi.gov.uk
Or online at www.careandsupportregs.dh.gov.uk
Editor's Notes
Compared with today, we expect 600,000 more older people to have potential care needs in the next 20 years.
The number of people with dementia will double to 1.4 million by 2030
The number of people with three or more long term conditions is set to increase from 1.9 million in 2008 to 2.9 million in 2018.
The number of adults with learning disabilities who require some form of support will increase between 3.2% and 7.9% per year until 2026.
To cover:
The role of the Programme Management Office
Context for the discussion today
What the stocktake is telling us so far
What the plans are for tools and support
What support there will be for comms – a hot topic in discussion among local authorities
A thanks to the region for organising
Ian Turner from the Registered Nursing Homes Association has been seconded to the team on behalf of care providers.
NB don’t need to run through every point on the following two slides but useful for people to have in their packs
Effective communications to leaders and partners responsible for delivery and to users and carers on the changes coming will be key
The types of support you might expect:
A care costs calculator
“what it means” leaflets
Newspaper, poster & radio resources to be adapted locally
Case studies for briefing local press
Thank you to all involved in setting up today’s event and to participants for willingness to give time to this important agenda