Phil Longworth

Health Policy Officer

Margaret Watt

Head of Commissioning & Quality

Preparing for the Care Act in

Kirklees

48% of men and 51%

of women will need

domiciliary care only

33% of men and 15%

of women will never

need formal care

19% of men and 34%

of women will need

residential care

Who needs care?At age 65, what are your chances of needing different types of care within your lifetime?

Source: Personal Social

Services Research Unit

White Paper: ‘Caring for our future –reforming care and support’ (2012)

Shifting the focus – from crisis to wellbeing

Need for intensive care and support

Living well

Low-level needs

Crisis

Need for intensive care and support

Living well

Low-level needs

Crisis

People will be given better information and advice to plan ahead to prevent care needs, and will be better connected to those around them.

More support within communities, better housing options and improved support for carers will help people maintain their independence and avoid a crisis.

Re-ablement services and crisis response will help people regain their independence at home after a crisis.

The current system does not offer enough support until people reach a crisis point

The new system will promote wellbeing and independence at all stages to reduce risk of people reaching a crisis point, and so improve their lives

White Paper: ‘Caring for our future –reforming care and support’ (2012)

no matter where they live, people in Kirklees live their

lives confidently, in better health, for

longer and experience less inequality

.. supporting independence..

..helping people help

themselves ..

Working alongside people ..

..with individual needs at the

heart of care & support ..

..putting people in control ..

..treating people with dignity ..

..making the best use of resources ..

..working in partnership..

Our Vision for Social Care in Kirklees

Care Act: principlesThe ‘wellbeing principle’

• Local authorities must promote wellbeing when carrying out any of their care and support functions in respect of a person

Other key principles and standards which local authorities must have regard to

• beginning with the assumption that the individual is best-placed to judge the individual’s wellbeing

• individual’s views, wishes, feelings and beliefs

• preventing or delaying the development of needs for care and support

• reducing needs that already exist

• ensuring that decisions are made having regard to all the individual’s circumstances

• individuals participating as fully as possible

• achieving a balance between the individual’s wellbeing and that of any friends or relatives who are involved in caring for the individual

• protecting people from abuse and neglect

• ensuring that any restriction on the individual’s rights or freedom of action is kept to the minimum necessary

5 changes you need to know about1. Advice and information

• Councils will need to provide good quality, easily accessible information to help people make decisions about

their care and support, this includes carers and sign posting people to independent providers and financial

advice

• Councils will have to provide independent advocates as appropriate.

2. Additional assessments and changes to eligibility

• Eligibility will be set nationally based on risk to a person’s wellbeing

• Assessments will take into account the needs of the whole family including carers

• Assessments will be introduced for carers and self funders.

• There will be new arrangements to ensure a smooth transition from children’s into adult social care

3. Commissioning

• Councils have a duty to ensure there is a wide range of care and support services available and to join up

care and support with health and housing

• There will be a new right to a personal budget and direct payments.

4. Deferred payments

• People who face the risk of having to sell their home in their lifetime to pay care fees will have the option of a

deferred payment.

Fro

m A

pri

l 2015

Ap

ril

2016

5. Funding reform (cap on costs)

• A cap on the costs paid by individuals to meet their eligible needs for care and support will be introduced and

set initially at £72,000 for those of state pension age and above. The cap will be set at different levels for

younger adults.

What will drive volumes?

New clients

assessments

packages of care

reviews

financial assessments

deferred payments

brokerage

Carers assessments packages of care reviews

high risk populations

death rates

continuing health care

cap on care costs

independent financial advice

? assets of service users

? hospital service changes

prevention reablement housing options channel shift

Service users: Kirklees Council funded (40%), Self funders (60%)Assessments: service user (60%), carers (40%)