Shaping the Future of Care Together

David Behan, Director General – Social Care Local Government and Care Partnerships

NCA 12th November 2009

• Increased life expectancy: 11 years more than in 1948. Now more over 65s than under 18s

• People with disabilities are living longer

• There are more people with care needs: increase of 1.7 million expected by 2026

• Demographic change: from around 4 people working to 1 retired to around 2 people working to 1 retired by 2059

• Our expectations of the range, type and quality of social care that should be available are increasing

Why do we need to change?

Two stage process for reform

1. Building on our commitment to improve peoples experiences through; – Putting People First and the transformation agenda– The Dementia Strategy – The Carers Strategy– Valuing People Now

2. A vision for the future set out in the Green Paper, ‘Shaping the Future of Care Together’

Our vision for the future

The Green Paper sets out a vision to build a National Care Service which is fair, simple and affordable for all adults in England.

Rights and entitlements will be at the heart, supported by a better quality and integrated system

Families and communities will play a key role

The Green Paper presents 3 funding options with different balances of State and private support

The Big Care Debate

The consultation runs until 13th November.

More information can be found at

www.careandsupport.direct.gov.uk

• 100,000 hits

• Over 25,000 responses

Regional programme

In the 9 regions we have held;

37 stakeholder events (over 1500 attendees),

• 78 public roadshows (reaching over 5 million people)

Emerging themes • General support for the vision and main themes though requests for

more detail on how it will work

• We have heard support for all 3 funding options, particularly Partnership and Comprehensive, and also a strong interest in tax funded options

• High volume of responses around AA and DLA reform

• National & National/Local: strong feelings on both sides of the debate

• The level of response has been encouraging but we want to build an unstoppable momentum

At the Party Conference the Prime Minister made two announcements:

• “for those with the highest needs we will now offer in their own homes free personal care”

• “We will bring together the National Health Service and local care provision in to a new National Care Service”

What does this mean?• A step towards the National Care Service

• Benefits up to 350,000 adults, with the highest needs from 1 October 2010

• Based on costs of £350m in 2010 and £670m full year

• It will bring a number of self-funders into the system for the first time

• We are committed to working with stakeholders to make this work

Outline Approach

• Identify people in the highest need by using FACs criteria – detail to be set out in Regulations

• Community Care assessment to identify personal care needs

• Personal care needs component removed from charging arrangements

• Sits along-side intensive interventions (re-ablement) and prevention to reduce overall dependency

Next Steps

• Consultation closes 13th November

• Analysis of responses

• Publication of white paper early 2010

• Oct 2010 Free personal care in their own homes for those with highest needs