Care and support is changingThe Care Act 2014

Brokerage and Support Planning Focus Group 15 June 2015

Caroline MayCare Act Programme Lead

Background - Previous laws

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National Assistance Act 1948

The Care Act replaces many previous laws including:

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What is the Act trying to achieve?

is clearer and fairerpromotes people’s wellbeingenables people to prevent and delay the

need for care and support, and carers to maintain their caring role

puts people in control of their lives so they can pursue opportunities to realise their potential

A system that has been under pressure for a long time

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WellbeingThe well-being principle and personalisation will be at the heart of every decision that is made.

“The general duty of a local authority, … in the case of an individual, is to promote that

individual’s wellbeing.”

Local authorities should also have regard to other key principles when carrying out their activities, such as beginning with the assumption that the individual is best-placed to judge their well-being

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Care Act Changes

Part 1 of the Act Carers have rights in the same way as those

whom they care for. The Act embeds rights to choice, personalised

care plans and personal budgets, and a range of high quality services, available locally.

Prevention, information & advice and independent advocacy.

Single national eligibility threshold.

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Changes (cont.)

Gives new guarantees to ensure continuity of care when people move between areas.

Includes new protections to ensure that no one goes without care if their providers fails, regardless of who pays for their care.

Puts Adult Safeguarding Boards on a statutory footing.

National Deferred Payments Scheme from April 2015.

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Financial changes - from April 2016

Subject to final regulations and guidance

Financial assessment threshold•Currently £23,250•£118,000 upper limit •£17,000 lower limit

Cap on care costs:• £72,000 for older people • Lower for people of a working age• £0 for 18 year olds

Compulsory national deferred payment scheme

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Brokerage

• Brokerage is the act of arranging and coordinating the support needed to meet the outcomes identified in a support plan, after a care assessment has taken place.

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Support Planning

• This is the process by which a person develops a plan of the support they need, also defining how they intend to meet individual goals, within available resources.

• Resources include all that an individual has available to them. Examples are social and community networks, private finances, and their indicative personal budget from the Local Authority.

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What the Care Act says:

• The duty on local authorities to meet eligible needs is retained and widened by the Care Act 2014.

• Where a local authority has conducted a needs assessment and made a determination that an adult has eligible needs for care and support, it must meet the adult's needs for care and support which meet the eligibility criteria in the following circumstances: (a) the adult is ordinarily resident in the authority's area or is present in its area but of no settled residence; (b) the adult's accrued costs do not exceed the cap on care costs, and (c) there is no charge for meeting the needs.

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What the Care Act says:

• The Care Act 2014 enables a person who can afford to pay for their own care and support in full to ask the local authority to arrange their care on their behalf.

• This places a new duty on local authorities to arrange care and support if requested.

• At the moment this applies to non-residential care and support only, but will apply to residential care from April 2016.

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Our thoughts

Our brokerage and support planning functions will need to change.

We must be clear on our offer as a Local Authority.

We need to consider how people might want to be assisted in planning their care and support.

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Objective of today:

To gather your views on what brokerage and support planning should look like and how this could be delivered.

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Next Steps:

We will circulate notes from this session for any further comment.

We will consider your views when drafting our policy.

The policy shall be consulted upon during the autumn.

We would like to continue to engage with you as we work with the local marketplace in light of the Care Act.

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Plan for the session:

• Please discuss in groups the questions at the foot of the paper on your tables.

• Your facilitator will gather feedback.• We will then have a group discussion before

lunch.

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Thank you

Caroline.May@Havering.gov.uk01708 433671

The Council Care Act webpage is here: www.havering.gov.uk/CareactThe Council information & advice website is here:

www.haveringcarepoint.org