Transforming Social Care

1
ASSH Overview and Scrutiny Panel 30th July 2008

• Transforming Social Care The Change Agenda

2
Context
There are now 17 million baby boomers marching
towards retirement with a high set of demands and
a clear expectation of what they want in
retirement (Age Concern 2004)
Projected of England's adult population aged 65
and over
We are living longer. But are we living
healthier lives?
3

• Reform Strategy for the long-term funding for
  people in need of care and support (October 2007)
• HM Treasury announced a Green Paper which will
  identify the scale of the challenge, key issues
  and options for reform. Target date Spring
  2008. Later changed in February 2008 when it was
  announced that there would be a public engagement
  process leading to the Green Paper.
• CSCI Review of Eligibility Criteria (April
  2008)
• We are to make recommendations on how the
  system could be changed to meet the Governments
  vision of more personalised Social Care
  Services.
• Consultation runs from April to 9th May 2008 to
  report to Minister 15th September 2008.
• The Case for Change Why England needs a new
  care and support system.
• Department of Health leading Consultation
  Process May November 2008.

4
Eligibility Criteria-

• Fair Access to Care Services (FACS)
• 4 levels Critical
• Substantial
• Moderate
• Low
• For 2007/08 73 of local authorities to refuse
  care to everyone whose needs were not considered
  to be substantial
• 2006/07 62
• 2005/06 54

5

• Putting People First a shared vision and
  commitment to the transformation of Adult Social
  Care December 2007
• Concordat, 6 Government Departments, LGA, ADASS,
  NHS, Independent Sector Providers, CSCI.
• Every locality should seek to have a single
  community based support system binding together
  Local Government, Primary Care, Public Health,
  Social Care and the wider issues of housing,
  employment, benefits, advice and
  education/training.
• Transforming Social Care
• Local Authority Circular 17th January 2008.
• A challenging agenda, which cannot be delivered
  by Social Care alone.

6
Transformation Programme

• Establishes a collaborative approach between
  central and local government, the sectors
  professional leadership, providers and the
  regulator
• Sets out shared aims and values to guide
  transformation of adult social care
• Followed in June 2008 by-
• Dementia Strategy
• Carers Strategy

7
Putting People First

• Improving information and advice
• Early intervention and prevention
• Personalisation of services
• and
• Universal Services
• - Housing, Adult Education, Employment
• Strategic Needs Assessment
• - Leading to strategic vision Commissioning
  Strategies
• User/Carer Empowerment
• - Developing user led organisations, engagement
  with users/carers.
• Social Care Reform Grant for North Somerset
• 2008/09 309k
• 2009/10 731k
• 2010/11 911k

8
Components of the Transformation Process to be
in place by March 2011

• Integrated approach to working with the NHS and
  wider local government partners, strategic shift
  towards preventative model of care.
• Commissioning strategy to stimulate development
  of high quality services.
• Universal, joined up information and advice
  service. i.e. irrespective of eligibility for
  public funding.
• A simple, straight forward personal budget system
  most people eligible for support should have a
  personal budget.
• Family members and carers to be involved as care
  partners/training for carers.
• Advocacy and other systems to support people in
  exercising choice and control.

9
Progress in North Somerset

• PoPP Project leading development of
  preventative services and clarifying unmet needs.
• Transforming Social Care Project Board
• Implementation Plan by End July 2008
• Joint Strategic Needs Assessment and report on
  Older People almost complete.

Commitments for ring fenced grant

• Project Manager
• Adult Care Planning Manager
• Self Directed Support Project Worker
• Accountancy Lead
• Brokerage Manager
• IT Infrastructure

• For appointment September 2008. Consultant
  started July 2008.
• 6 month secondment June 2008. Self funders, Risk
  assessment, Carers.
• X 2
• Appointed
• Appointed
• Capital to be determined