1. East of England Leadership Development Workshop
The Transformation Agenda in Social Care
Steven Pruner
National Improvement Lead
NHS Improvement - Stroke

2. The Political Vision
“Social care is not solely the responsibility of
the state.”
- Rt Hon Andrew Lansley MP and Paul Burstow MP

3. Big Society
• Increased citizen responsibility
• Families, individuals, charities & communities come
together to solve problems
• Social entrepreneurs running social programmes
• Greater voluntary involvement

4. Putting People First
• Protocol agreed in 2007 to transform
adult social care
• Timescale for change by end of
March 2011
• Personalised care system
• Users of social care and their
families to shape and commission
their own care

5. Putting People First
• Personal budgets for everyone eligible for
state-funded social support
• Greater emphasis on self-assessment
• Telecare seen as integral
• JSNA to inform local approach to public health,
intermediate care, carer support, hospital
discharge, long term conditions, social care

6. Think Local, Act Personal
• Next steps for transforming adult
social care
• Agreed commitment published
November 2010
• Push ahead with personalisation &
community-based support
• Increase range of providers (non-
statutory)

7. Think Local, Act Personal
• Increase choice & control for users
• Increase informal support capacity by removal
of unnecessary rules and practices
• Accelerate roll out of personal budgets
• Integrate health & social care commissioning
around agreed outcomes

8. A Vision for ASC
• Coalition Programme committed the
government to reforming social care
• Vision published November 2010
• Prevention: early intervention,
reablement, Big Society approach
• Personalisation: personal budgets,
pooling budgets; information, advice
& support

9. A Vision for ASC
• Partnership: social care, NHS, private &
voluntary sectors, informal carers
• Protection: sensible safeguards; risk no longer
an excuse to limit people’s choices
• Professionalism: local accountability to drive
improvements; workforce to be employed in
different types of organisations with increased
freedom to make decisions

10. Transparency in Outcomes
• Outcomes Framework 2011/12 with
focus on outcomes in 4 domains:
1. Enhancing quality of life
2. Delaying & reducing need for care
3. Ensuring positive experience of care
4. Safeguarding from avoidable harm

11. Law Commission
• Report published May 2011
• Recommendation for single adult social care law and
code of practice
• Legal rights to care and support services clearly
defined
• Local councils to have clear and concise rules to
govern when they must provide services

12. Dilnot Commission
• Review of the funding of social care
• Report and recommendations expected in July 2011
• Andrew Dilnot, chair, has already ruled out free social
care as unaffordable in England

13. What does it all mean?
• Means-testing and eligibility criteria remain in place
• Personal budgets to arrange & manage own care
package (self-directed support)
• Greater reliance on family, friends and voluntary
sector
• Greater incentives for health and social care to work
together