preparing for the care act in kirklees...preparing for the care act in kirklees 48% of men and 51%...
TRANSCRIPT
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%)