Anne Champagne, Wandsworth Borough Council presentation to the Wandsworth Advice forum 28/10/14. The presentation focussed on the Council's plans to implement the Care Act
2. A brief history of care and support
National
Assistance Act
1948: established
the welfare state
and abolished the
Poor Laws
NHS and Community Care
Act 1990: first major set
of reforms, including first
right to assessments and
start of commissioner/
provider split.
1948 1960… 1970…
Chronically Sick and
Disabled Persons Act
1970: reforms to key
entitlements to
community services
Community Care
(Direct Payments)
Act 1996: new
powers to make
direct payments
Health and Social
Care Act 2001:
updates on direct
payments
1980… 1990… 2000… 2010…
Carers (Recognition
and Services) Act
1995: the first Act
to recognise carers
Carers and Disabled
Children Act 2000:
extending direct
payments to carers
3. The Care Act 2014. Overview
Modernises over 60 years of care and
support law into a single statue
Clarifies entitlements to care and
support
Provides for the development of a
national eligibility criteria
Treats carers as equal to the person
they care for – with same legal
footing
4. The Care Act continued
Reforms how care and support is funded, to create a cap
on care costs
Rebalances the focus of care and support on promoting
wellbeing and preventing (or delaying) needs
Provides new guarantees and reassurance to people
needing care, to support them to move between areas or
to manage if their provider fails
New duty to assess and meet the needs of prisoners i.e.
Wandsworth Prison & Battersea Bail Hostel
5. Care Act in
Parliament
__________
May 2013 –
May 2014
Nationally-funded advertising will
commence in January 2015 through to
March 2015, pausing for the election,
and recommencing in Autumn 2015
New statute come
into force
_____________
April 2015
The reform timeline
Finalise 2015/16
regulations and
guidance
__________
October 2014
Consultation on
draft regulations
and guidance
______________
Jun - Aug 2014
Funding reforms
come into effect
_____________
April 2016
On going work to
develop practice guides,
toolkits and
implementation support
__________
2014/15
Consultation on those
elements of the Act that
come into force in April 2016
(e.g. funding reform).
______________
Winter 2014
through to April 2016
6. Care Act: Key aspects for
implementation in April 2015
Adults’ well-being and outcomes at the centre of
every decision
Focus on preventing and delaying costly care
packages
Carers will have a legal right to support for their
social care needs
New national eligibility criteria
Wandsworth responsible for prisoners’ social care
needs
7. 2015 continued
Introduction of deferred payments
Self-funders entitled to ask the local authority
to purchase services to meet their needs
Places adult safeguarding on a statutory
footing
Extends the duty to provide for independent
advocacy
8. Funding Reforms – April 2016
(draft – waiting for publication)
Separation of care costs and accommodation costs,
with everyone expected to pay their
accommodation costs if they enter residential or
nursing home care
cap on total amount an individual has to pay across
their lifetime out of their own money for care
related costs
Change in capital threshold for means tested
support in residential care
9. Preparing for the
implementation
Increased demand;
Assessments
Carers
Self funders
Reviews
Prisoners
Training to ensure right skills in LA, Health, Voluntary sector and
Providers to deliver change
Market management
Review and development of IT systems to be in place for April 2015
Communications – raising awareness of staff and the wider
population