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A Carer spends a significant proportion of their life providing unpaid support to a significant other
• Number of carers broadly stable as a proportion of population, but increasing hours of care provided (especially 50+ hours/week)
• This means value of care increasing.• By one estimate, if all hours of care were
replaced by State at market rates would cost £132bn (Carers UK 2015)
• ONS estimate of informal care as “household production”: £62bn
• Overall conclusion is clear: health and care could not function without carers
Disinvestment in carers: a false economy
Decreased support for carer or person cared for
Increased burden on carer
Increased likelihood of carer health problems or breakdown
Aging carer population
Increased costs to local authority of replacing care
Increased costs to NHS of meeting health needs
Informal care not increasing as fast as need
• Existing trends imply carers will ‘run out’ in 2017 (although heavily caveated)
• Care gap of 15,000 by 2017 rising to 160,000 by 2032 (Pickard 2015).
• Main driver is decrease in the number of adult children caring for their parents.
2007 2012 2017 2022 2027 20320
200
400
600
800
1000
1200
Care-providers (in thousands)
Care receivers (in thousands)
Supply of unpaid care by adult children for 20 or more hours a week compared to demand for unpaid care by older people 2007-2032
THE POPULATION OF NORFOLK IS PROJECTED TO INCREASE BY 6.7% IN THE NEXT 10 YEARS.
THE POPULATION OF OLDER PEOPLE (AGED 65+) IS PROJECTED TO INCREASE MUCH MORE RAPIDLY (18.5%) THAN THE POPULATION OF WORKING AGE ADULTS (1.2%).
THE POPULATION AGED 80+ IS PROJECTED TO INCREASE BY 43% BY 2027.
DATA SOURCE: ONS 2014 AVAILABLE THROUGH NORFOLK INSIGHT[1]
Growing pressures on older carers
There are almost 1.3million people over the age of 65 providing unpaid care to a family member or friend
128% rise in carers aged over 85.
Over half of carers aged over 85 provide 50 hours or more of care a week.
49% of older carers said that their GP practice had not informed them about how to get practical support as a carer. 33% had no information to help them keep well.
Only 38% of older carers feel their community supports them.
Increased number of long term health conditions, reduced social networks and increased isolation and loneliness.
Many older carers disadvantage as access to services move solely online,.
6 in 10 older carers have let a health problem go untreated
59% stated their health is becoming a significant worry
A third of carers care for a parent living in another household…
8
Parent Spouse/civil partner
Son/Daughter Other relative
Friend/neighbour Client of Vol Grp
Other
Parent Spouse/civil partner
Cohabitee Son/Daughter Brother/Sister Other relative
Non-relative
0 10 20 30 40
Exte
rnal
care
rsW
ithin
-hou
seho
ld
care
rs
Inside of H'hold
Outside of H'hold
Inside & Outside of H'hold
Care
s for
mor
e th
an 1
per
son
39% care for someone in household
54% care for someone external
8% care for multiple people
Source: Family Resources Survey 2012/13
3:5 people are carer at some point
3 million+ working carers in UK 15% of the workforce
Across all sectors of society and in all sections of the workforce. Combining work and care occurs at any age.
10
Why are carers more likely to work part-time or not work?• In the State of Caring Survey 2014:
Pressures on time: 62% said it was the stress of juggling everything that meant they gave up work.
A quarter (25%) blamed the difficulty of getting enough time off or negotiating suitable hours to enable them to carry out their caring responsibilities. (NB. while employees have a right to request flexi working it is not guaranteed.)
35% gave expensive or lack of suitable care services as reasons they gave up work or retired early to care.
• Other potential factors: Health problems – 11% of those caring for 20+ hours a week report bad or
very bad health, compared to 5% non-carers (Census 2011). If receiving CA cannot be earning more than £110 pw.
Carers UK survey suggests 2.3 million people have quit work to care and almost 3 million have reduced their working hours…
Business benefits for the wider economy- Tax and national insurance revenue- Loss to the economy plus
additional costs. Many carers want & need to combine paid work and care
• Stress related absence has been reduced by 26% through flexible working alone
• The average increase in productivity for flexible workers is 21% – worth at least £5-6 million on the company bottom line
• Retaining carers through support or special leave arrangements represents a saving to the company of about £1 million a year
• The cost of 2-3 days emergency leave is minimal compared to the costs of re-recruitment
“Accommodating carers isn’t difficult, disruptive or expensive, it’s just plain business sense – a small change in working hours or flexible arrangements can make all the difference both to the employee, workforce and to the business.”Caroline Waters OBE, Chair of Employers for Carers Director, People and Policy for BT Group.
NHS COMMISSIONING FOR CARERS PRINCIPLES.THINK CARER, THINK FAMILY; MAKE EVERY CONTACT COUNTSUPPORT WHAT WORKS FOR CARERS, SHARE AND LEARN FROM OTHERSRIGHT CARE, RIGHT TIME, RIGHT PLACE FOR CARERSMEASURE WHAT MATTERS TO CARERSSUPPORT FOR CARERS DEPENDS ON PARTNERSHIP WORKINGLEADERSHIP FOR CARERS AT ALL LEVELSTRAIN STAFF TO IDENTIFY AND SUPPORT CARERSPRIORITISE CARERS’ HEALTH AND WELLBEINGINVEST IN CARERS TO SUSTAIN AND SAVESUPPORT CARERS TO ACCESS LOCAL RESOURCES
Carer and cared-for online
Approaches to support the individual’s independence, resilience, ability to make choices and promote wellbeing.
Focus on a person’s strengths that can help address needs
Develop on going conversation with individuals that assist with building resilience and coping strategies
Increase personal control
That we are empathetic and compassionate as an organisation
Success?
Reduce Prevent Delay Prevention & Resilience & Planning
Emotional supportReduce caring responsibilities
Support for families
Ingenuity & pragmatism
Tel. 01603 219924www.norfolkcarerssupport.org