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2
The vision for transforming care and support set out in the Care Bill will have profound implications for local authority systems, processes and people
Key requirements Timing
Duties on prevention and wellbeing From April 2015
Duties on information and advice (including advice on paying for care)
Duty on market shaping
Assessments (including carers’ assessments)
National minimum threshold for eligibility
Personal budgets and care and support plans
Safeguarding
Universal deferred payment agreements
Extended means test From April 2016
Care accounts
Capped charging system
3
Care & Support Reform Programme Governance Structure
Note: 1 The MPB’s role is to ensure an integrated approach within the department for authorising, prioritising and assuring of all major programmes.
Sector Led Improvement and Delivery Groups
Care and Support Programme &
Implementation BoardChair: Jon Rouse
Care and Support Programme &
Implementation BoardChair: Jon Rouse
Think Local Act Personal (TLAP)
Co Chairs x 4cross sector leadership partnership focused on
driving forward work with personalisation, community-
based social care
Think Local Act Personal (TLAP)
Co Chairs x 4cross sector leadership partnership focused on
driving forward work with personalisation, community-
based social care
Outcomes & Information Development Board (OIDB)
Chairs: ADASS & DHOutcomes agenda in relation to sector-led
improvement.
Outcomes & Information Development Board (OIDB)
Chairs: ADASS & DHOutcomes agenda in relation to sector-led
improvement.
Towards Excellence in Adult Social Care (TEASC)-Chair
ADASSFocus on local government performance improvement
Towards Excellence in Adult Social Care (TEASC)-Chair
ADASSFocus on local government performance improvementDH Major Project Boards
(MPB) 1
Care and Support
Transformation Group
Co-Chairs: MS(CS) and Helena Herklots
(Carers UK)
Function: Engagement and
support
Care and Support
Transformation Group
Co-Chairs: MS(CS) and Helena Herklots
(Carers UK)
Function: Engagement and
support
Department of Health Board
ASC Workforce Development Programme
Board Chair: Glen Mason
External Engagement Board – co-production and
engagement
ASC Workforce Development Programme
Board Chair: Glen Mason
External Engagement Board – co-production and
engagement
Other DH Programme Boards
Paying for Care Transformation Group
Chair: Ed MosesExternal Chair tbc
Paying for Care Transformation Group
Chair: Ed MosesExternal Chair tbc
Financial Services Steering Group
Chair: Shaun Gallagher
Financial Services Steering Group
Chair: Shaun Gallagher
Other working groups to be
added over time
Other working groups to be
added over time
Assessment & Eligibility Task & Finish Group
Assessment & Eligibility Task & Finish Group
WorkforceTask & Finish Group
WorkforceTask & Finish Group
Major Projects Authority Cabinet Office
4
There are interdependencies between national and local government and potential opportunities for collaboration…
C&S P&I Board Paper 3 Programme Governance and Management Arrangments
PolicyNational
National, regional or
local?
Local
Legislation/regulations Statutory guidance
Training materialsCommunicationsProblem solving
Client interface (eg. assessments)
LA systems, processes and staffing
Contracting with providers
5
Collaboration between national and local government can help ensure coherence and support implementation…
DH, LGA and ADASS developing a ‘joint programme office’ to:
•Facilitate engagement in national policy, regulations and statutory guidance•Identify key operational milestones, risks and interdependencies for local government•Provide assurance on implementation•Coproduce tools and other resources to support implementation
7
Care & Support Reform Programme
Assessment & Eligibility
Information & AdvicePrevention Paying for
CareCare
Planning Workforce
Evidence Library
Housing Fund
Improving local on line
services
Financial services
Personal budgets;
Direct payments;Choice of
accn.;Top-ups;
Cross-border
Assessments;Eligibility criteria;
Needs assessment;
Carer’s assessment;
Eligibility
Charging;Cap level;
Debt recovery
Financial assmt.;
Care Accounts;Deferred payment;
Financial assmt.;
Deferred payment;
Capability
Capacity
Projects
Charging for Care
Direct payments in res. care
Policy commitments
Prevention charging;
Wellbeing; Prevention;
“Asset-based”
approach
Information and advice
(inc. financial advice)
Secondary legislation
Personalis’ Action Plan
Care planning
(inc. areas above);
Calculating care costs;
Cross-border
Statutory guidance
Charging;Implement cap system;
Debt recovery
Implement cap system
NHS Boundary; Ordinary
res.; Continuity;
Delayed discharges
Training and
support for frontline
Legislation IT systems
Enablers
Comms Campaign
Transition; NHS
Boundary; Ordinary
res.; Continuity;
Delayed discharges
Care Markets
Market oversight
regime
Developing Care Markets
Provider failure;Market
oversight
Commiss’g; Market
shaping;Provider failure;Market
oversight
Quality & Safety
Quality Ratings
Safeguarding Adults
Boards
Safeguarding
8
Care & Support Reform Programme
Out of Scope
Pilots•Care Audit
•Social Impact Bonds
•Time-giving
Pilots•Care Audit
•Social Impact Bonds
•Time-giving
Projects with other governance arrangements•Integration
•Regulation (care standards, chief inspector, etc.)
•National information (ICSP, NHS 111)
•HealthWatch
“Business as usual” issues•Adult Social Care Outcomes Framework
•Provider Quality Profiles
•Administering HSCVF
9
Jul 2015 –Dec 2015Jan 2015–June 2015
Data collection
Examine high level options
Implement awareness, info & advice programme
Develop & implement joint government –sector programme
Deliver awareness campaign
Develop & consult new formula
Allocations 15/16 Allocations 16/17
WAA cap policy
Resolving disputes policy
Homeowner support roll out
DPAs in all LAs 14/15
Explore market changes LA position statements
IMPLEM
ENTIG
FUN
DIN
G REFO
RM CO
NSU
LTATION
RESPON
SE
PUBLISH
STATUTO
RY GU
IDU
ANCE/REG
ULATIO
NS 15/16
NEW
LEGAL FRAM
EWO
RK INTRO
DU
CED
Local Government Finance
CON
SULT D
RAFT STATUTO
RY GU
IDU
ANCE/REG
ULATIO
NS 15/16
Information Systems
Workforce Development
Financial Services
Awareness, information & advice
Assessment
Eligibility
Charging
Disputes
Measuring cap progress
Deferred Payments
Care Markets
Identify requirements
Agree requirements/ procurement approach Build information systems, trial and roll-out
Identify workforce requirements
Agree & implement workforce development programme Roll-out of workforce development programme including training
Sector product development
Develop & agree awareness, info & advice strategy & programme
Charging framework policy
Care Account policy
Deferred payments policy
Develop Guidance
Engage draft regulations
Homeowner support policy
Level of cap
Develop regulations & guidance Consult & update
Independent Personal Budget
Direct Payments in residential care Trailblazer sites ‘go live’
SR13 SR15?
Integration pool implementedIntegration pool
local planning
Allocations 14/15
June 2013– Dec 2013 Jan 2014–June 2014 Jul 2014–Dec 2014
Publish 14/15 regulations
Publish 16/17 regulations
Jan 2015 – Mar 2015
Sector Recommendations
DPs in res care
Early assessments of self-funders
Cap begins
Extended financial support begins
10
The purpose of today is to explore implementation issues in terms of 3 key questions….
1. What do local authorities need to by when in preparing for implementation?
2. Where local implementation is dependent on legislation or guidance, what does national government need to do by when to address this?
3. What are the priorities for development of tools and other resources to support local implementation (e.g.. action at national or regional level)?
11
Exercise 1 - What’s the big picture?
Looking at the programme as a whole, what are the:
•Immediate needs for information/intelligence gathering? •Key operational systems that will underpin implementation?
•Workforce capacity and capability requirements?
•Strategic risks and cross-cutting issues?
12
Exercise 2 - Priority actions for national and local government?
In each programme area, what are the:
•Things that local authorities must do and by when in preparing for implementation?
•Key dependencies on national government?
•Things that national government must do and by when to enable local implementation?