Alec Babbs, ACIB

Service Development Manager

Healthcare Homes Care Group

Thursday 13th March 2014

MPS / Care Bill and Market integration from a provider’s perspective

The Brief Duty towards the market. Consumer information. Prevention and well-being. Implications of changes to care funding.

Background:

Healthcare Homes Residential and Nursing Division

23 homes. Located across Norfolk, Suffolk, Cambridgeshire and Central Bedfordshire. 1,000 beds. Over 1,100 staff employed.

Background:Healthcare Homes Domiciliary Division T/A Manorcourt Homecare

16 branches. 3 of which are Extra Care Sites. Specialist Dementia Day Centre. Specialist 24/7 Live-in care team. Branches located across Norfolk, Suffolk and Essex Services delivered in Norfolk, Suffolk, Essex, Thurrock, Cambridgeshire, London Boroughs of Havering, Waltham Forest and Barking & Dagenham. Approx 21,000 hours delivered per week. Approx 1,250 service users. Approx 800 staff employed.

Services delivered

Continuing care – nursing and residentialLong stay – elderly frail, EMI, YDP

Live-in care / 24 hour careReablement • Home-based care • Dementia care

Respite • Night care • Pre and post Hospital assessmentsHospital Admission Prevention • Palliative CareAcquired Brain Injury • Occupational Therapy

Physical Disability • Learning Disability

The Current Position

o We have a watching brief without getting into detailed planning.o The context of the bill is clear, but the key policy is yet to be finalised.o The devil is in the detail. We are awaiting issue of the regulations and statutory guidance in October 2014.

Duty towards the market

o Market Position Statements.o Workforce implications.o Local Authorities taking the lead on the private pay market. Any idea of how big that market is and the likely impact?

Consumer Information

o Headline grabbing statements i.e. £72,000 cap on

cost of care.o Review / reprint and reissue our own literature.o Happy to assist in the distribution of key information from Local Authorities.o Happy to facilitate customer forums / presentation events.

Prevention and well-being

o Resource issues for Local Authorities. Danger that their already stretched resources will be overwhelmed when self funders approach them.o Scale and complexity of tasks facing Local Authorities and the demands on capacity is a serious issue for providers.o Focus on prevention by developing our assessment process to also signpost to other services in the community.

Implications of changes to care funding

o Rates pressures. The private market has for years cross-subsidised the Local Authority rates.o Situation re: financial top-ups.o Review and change private contracts / top-ups to ensure conformance within the new legal framework.

Alec Babbs, ACIB

Service Development Manager

Healthcare Homes Care Group

Thursday 13th March 2014

MPS / Care Bill and Market integration from a provider’s perspective