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The Surrey Adult Social Care Workforce Context

Surrey Partnership Council11 September 2014

Ken Akers, Workforce Lead, Adult Social Care

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What is the future for adult social care?

• Workforce as enablers; new workforce groups

• Direct payment recipients as employers

Personalisation

• Locality focus• Joined-up workforce commissioningIntegration

• Workforce focussed on prevention and independenceCare Bill

• Workforce culture of dignity and respectQuality

• Able to draw on and develop community skillsSocial capital

• Workforce able to provide advice and information

• Support disabled people into work

Welfare benefit reform

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What is the future for adult social care?

• National Minimum Training Standards and Code of Conduct

• “Raising Standards, Putting People First”

• Social Work Reform Board

Professional

responsibility

• Workforce has capacity to support a greater number of assessments

• Workforce able to support or signpost residents with financial planning

Funding reform

• Employee-run businessesAlternative operating models

• Workforce supports carers within a whole family approach

• Support workers who are carersCarers

• Workforce able to support residents with complex and challenging behaviours

Dementia

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Surrey demographics: 2013 to 2035

These graphs show the % increase in the different adult groups between 2013 and 2035. The most significant increases are:

People aged 65+: increase of 55% from 2013 to 2035 (People aged 85+ 128% increase) Older People with a Learning Disability: increase of 55% from 2013 to 2035

Source: POPPI, PANSI and ONS

2013 2020 2035150000

170000

190000

210000

230000

250000

270000

290000

310000

330000

350000

Older People

Age 85+ Age 65-84

2013 2020 203568000

70000

72000

74000

76000

78000

80000

Adults with Physical or Sensory Disabilities

(18-64)

2013 2020 203510000

12000

14000

16000

18000

20000

22000

24000

26000

Adults with Learning Disabilities

Age 65+ Age 18-64

The Surrey adult social care workforce now

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•Out of an economically active population of 600,400 in Surrey,

10.6% of workers are employed in the human health and social work sector•Skills for Care estimate there were approximately 33,900 jobs in the adult social care sector in Surrey in 2010, employing around

29,400 people

64%15%

21% Private and voluntary sec-tor employersLocal authority employerDirect payment employers

Who employs the adult social care workforce in Surrey?Source: Skills for Care

The Surrey adult social care workforce now

6

7%

3%

62%

4%

4%

19%Manager

Social Worker

Care Worker and Senior Care Worker

Community, Support and Outreach Work

Registered Nurse

Non care-providing staff

Source: NMDS

What is the make-up by job role of the adult social care workforce in Surrey?

•The majority of frontline adult social care staff (66%) are in non professionally qualified roles

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Demand: Projected growth in number of adult social care jobs in Surrey (2010-2025)

2010 2015 2020 2025

"Restricted Resources" (24% growth) 33900 36612 39324 42036

"Contain and Community" (37% growth)

33900 38081 42262 46443

"Base Case" (65% growth) 33900 41245 48590 55935

"Maximising Choice" (82% growth) 33900 43166 52432 61698

32,500

37,500

42,500

47,500

52,500

57,500

62,500

Num

ber

of

adult

socia

l care

jobs

Source: Skills for Care

•Between 8,135 and 27,798 extra adult social care jobs will be needed in Surrey by 2025, depending on the model used

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Demand: Estimated number of adult social care workers which would need to be recruited/annum (2010-2025)

2010 2015 2020 2025

"Maximising Choice" (82% growth)

7017.3 8935.36199999998 10853.424 12771.486

"Base Case" (65% growth)

7017.3 8537.715 10058.13 11578.545

"Contain and Community" (37% growth)

7017.3 7882.767 8748.23400000001 9613.70099999999

"Restricted Re-sources" (24% growth)

7017.3 7578.684 8140.068 8701.45199999998

Turnover only (0% growth)

7017.3 7017.3 7017.3 7017.3

4,5005,5006,5007,5008,5009,500

10,50011,50012,50013,500

Num

ber

of

adult

soci

al ca

re w

ork

ers

needed t

o r

ecr

uit

annually

Source: Skills for Care and NMDS

•Current average turnover across the adult social care sector is 20.7%•Depending on the model used, by 2025 up to 12,771 jobs will need to be recruited every year to ensure all jobs are filled (assuming turnover does not change)

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2010

2015

2025

2035

100,000 300,000 500,000 700,000 900,000 1,100,000 1,300,0002010 2015 2025 2035

0-17 245700 257500 279500 274900

18-64 688300 696900 722600 740200

65+ 190800 217400 259000 322400

Size of Surrey population by age

Year

•Although Surrey’s population is projected to grow by 19.5% by 2033, over half of this increase is accounted for by people of pensionable age (i.e. 65 years old and over)•The ratio of adult social care jobs to economically active population almost doubles between 2010 and 2025 (assuming “maximising choice“ scenario)

Supply: Proportion of the Surrey population who are economically active (2010-2035)

Source: ONS

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Supply: Surrey economy

Region % JSA claimants

England 3.77

South East 2.50

Surrey 1.60

Surrey

% of JSA claimants aged 24 and under

21.3

21.3% of JSA claimants who have been

claiming for over 6 months

35.2

Region Gross hourly pay across whole

workforce (full time)

Gross hourly pay of care worker (full

time)

Living wage (hourly)

England £14.24 £6.72 £7.45

South East £15.44 £7.03 £8.55 (London)

Surrey £18.07 £7.35 -•Compared to other regions, Surrey has a relatively small unemployed population. A significant percentage of these are aged 24 and under.•Compared to other regions, gross hourly pay in Surrey is relatively high. It is almost x2.5 times the gross hourly pay for care workers.

Unemployment

Pay

Source: NMDS and ONS

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Supply: Distance to work

Less than 1 mile

1-2 miles 2-3 miles 3-4 miles 4-6 miles 6-10 miles

10-15 miles

15-25 miles

All Resi-den-tial

0.2012987012987

01

0.1714594928880

65

0.1243042671614

1

0.0907544836116

268

0.1541434755720

48

0.1530612244897

96

0.0746753246753

247

0.0303030303030

303

All Non-Resi-den-tial

0.0993555316863

587

0.1162728249194

41

0.1157357679914

07

0.0966702470461

869

0.1769602577873

26

0.2126745435016

11

0.1160042964554

24

0.0663265306122

449

Surrey adult social care workforce: distance to work office from home

Perc

enta

ge

Source: NMDS

•Almost 75% of the residential care workforce live within 6 miles of their work base. •60% of the non-residential care workforce live within 6 miles of their work base.

Developing social care workforce strategy

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DEVELOPING, MONITORING AND REVIEWING

Workforce Board

Health Education Kent, Surrey and

Sussex

District and borough

authorities

Surrey County Council

Skills for Care

Surrey Care Association

Surrey Independent Living Council

Acute, community and

other health providers

Skills for Care Regional Network

Clinical ccommissioning

groupsAction for Carers

Engagement forums

Surrey Community

Action

Health and Wellbeing Board

Better Care Fund Board

Public Sector Transformation

Network Commissioners Reference Group

Surrey County Council Member Reference Group

Partnership boards and joint projects

Surrey residents

Health Education Partnership Board

EN

GA

GIN

G A

ND

CO

NSU

LTIN

G

Workforce organisations, service providers and

community organisations

EN

AB

LING

AN

D S

ETTIN

G

DIR

EC

TIO

N

Partner organisations leadership teams

DELIVERING AND IMPLEMENTING

Workforce development initiatives

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Theme Potential projects/initiatives Potential partners

Image and supply

Develop a pre-employment programme in Surrey through Education Business Partnerships and SCC links to schools and careers advisory services, to include both a health and adult social care focus (including graduate element)

JCB, CSF, FE Colleges, HEKSS , EBC, SCA

To develop a rotational apprenticeship pilot across health and social care in Surrey, potentially using the National Skills Academy for Health – job vacancies at the end for apprentices (includes mapping and joining up apprenticeship frameworks)

Health Education Kent Surrey Sussex (HEKSS), SfC, SfH, LEPs, SCA, Public Service Transformation

Develop a joint apprenticeship hub providing coordination and support for adults social care apprentices

SCA, JCP, FE colleges, CSF, SfC, LEPs

Work with Further Education colleges to improve understanding and promotion of health and social care careers, opportunities and apprenticeships

SCC, SfC, FE colleges,

Investigate possibility of a joint bid to both LEPs in conjunction with SCC, NHS, SfH and SfC to access EU funding, on a matched funding basis, around a HUB or employer model with a focus on community support workers/domiciliary care

HEKSS, SfC, SfH, SCA, Public Service Transformation

Workforce development initiatives

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Theme Potential projects/initiatives Potential partners

Image and

supply

Developing regional approach to workforce planning and commissioning sharing data and supply information

HEKSS, LAs, SfH, SfC

Continue development of the Target Operating Model and financial modelling to better understand workforce supply challenges

Health and social care commissioners

Review workforce elements of SCC commissioning specifications to promoted good employment practice and the Social Care Commitment

SCC

Improve education commissioning information for social care professionally qualified staff

SCC, SfC, higher education sector

Work with the Domiciliary Care Sector to address develop a recruitment and retention action plan

SCC, providers

Work with providers and SfC to implement the SfC recruitment and retention strategy in Surrey

SCC, SfC

Work with elected members to support their role as champions for the social care sector

SCC, SfC

Work with Skills for Care to improve the take up social care accolades to help improve the image of social care with the media and public

SCC, SfC

Continue to develop and improve NMDS take-up and access to the WDF to support training and development

SCC, Surrey and South East WDF

Workforce development initiatives

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Theme Potential projects/initiatives Partners

Career pathways/skill development

Look at developing common career pathways across adults social care and health

SCC, SfH, HEKSS, SfC

Investigate possibility of developing a skills passport across adults social care and health including core training standards

Skills for Health, HEKSS, Public Service Transformation, LEPs

Implement Surrey Skills Academy for multi-agency training and to support new training initiatives

SCC, SCA, H&SC JTP

Developing a new approach to systems leadership between public, private and voluntary sector

SfH, NHS Leadership Academy, SABT, SfC, SCC

Supporting links with care homes in respect of training and with a focus on dementia extending the Dementia Friendly Surrey project

SCC, Dementia Consortium, HEKSS

Increasing take up and promotion of joint training through work with care home forums and closer working with health partners

SCC, SABPT, HEKSS

Review training support for Personal Assistants making sure there is access to workforce development support

SCC, SILC

Workforce development initiatives

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Theme Potential projects/initiatives Partners

Care pathways/skill development

Review social care commissioning specification to include career and skills development

SCC, SCA

Work with SfH&C and HEKSS on development and promoting of the new Fundamental Certificate in Care and Health

SCC, SfH, SfC, HEKSS

Work with commissioners in health and care to support integration of services to support community based care and health services through the Better Care Fund

SCC, CCGs, local health economies

Work with the independent, voluntary and health sector to understand, define and support new workforce and skills development to support the Care Bill (including rapid response and integrated services)

SCC, providers and voluntary sector

Work with HEKSS to review on-going education commissioning frameworks for health and social care to facilitate joint health and social care education models

HEKSS, SCC, SfC, SfH

Supporting implementation of statutory safeguarding board with ongoing improvement to skills development and training offer

Safeguarding Board, SCC

Continue to promote carers training needs

Workforce development initiatives

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Theme Potential projects/initiatives Partners

Volunteering Extending and increasing support to develop volunteers services in District and Boroughs as part of Friends, Families, Communities Project (Surrey County Council) and Dementia Friendly Surrey

SCC, Ds&Bs, voluntary organisations

Supporting development of community skills programmes to support community volunteers working in social care provision as part of community asset mapping

Voluntary organisations, SCC

Consultation and implementation process

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ACTION UPDATE

Document and feedback form to key stakeholders

September and October

Action planning priorities

November

Review and monitoring arrangements in place

December