The Care Act January 2015 Norwich CCG South Norfolk CCG North Norfolk CCG West Norfolk CCG Gt Yarmouth & Waveney CCG

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Text of The Care Act January 2015 Norwich CCG South Norfolk CCG North Norfolk CCG West Norfolk CCG Gt...

Overview of the Care Act

Todays sessionOverview of the reformsInformation and AdviceIndependent Financial AdviceAdvocacyKey Issues for NorfolkKey Questions

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[Facilitators Note: This slide has animation. Each click brings in a different point for discussion]2Overview of the Care ActFrom April 2015 care and support in England is changing for the better:

More consistency across the country

Putting people more in control of the care & support they receive

More help for people providing unpaid care

More financial help for those who need it

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[Facilitators Note: This slide has animation. Each click brings in a different point for discussion]3New duties / key changes

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4From April 2015Responsibility of local authorities to promote wellbeing and work collaboratively to prevent, reduce and delay the need for care and support (Clauses 1-7) National minimum threshold for eligibility (Clause 13)

Needs assessments and carers assessments (Clause 9-12): focus on first contact and likely to mean a lot more assessments carried out by the local authority Personal Budgets, direct payments and care and support plans (Clauses 24-33): new Independent Personal Budgets for anyone with eligible care needs

Independent advocates (clauses 67-68) to support people to be involved in assessment and care planning and safeguarding processes, where the person would be unable to be involved otherwiseNorwich CCG South Norfolk CCG North Norfolk CCG West Norfolk CCG Gt Yarmouth & Waveney CCG

Need for care and support + meet the eligibility criteria = the local authority must consider what could be done to meet those needs (if person is a resident in their area)Would expect this to be similar to critical and substantial which is County Councils current policy Norfolk County Council quite far ahead on a lot of these things

5From April 2015Duty for councils to join up with health and housing where this delivers better care and promotes wellbeing Duty on councils to ensure there is a wide range of care and support services available that enable local people to choose the care and support services they want (market shaping)

Transition for children to adult care (Clauses 58-66): co-operation, planning ahead and smooth transition; assessment of young carers

Prisons, approved premises and bail accommodations: the local authority will be responsible for assessing and meeting the care and support needs of the offenders residing there, regardless of which area the individual came from or where they be released to (new) Norwich CCG South Norfolk CCG North Norfolk CCG West Norfolk CCG Gt Yarmouth & Waveney CCG

6From April 2015New charging framework (Clause 14): power to charge- more detail in regulations Deferred payments agreements (Clauses 34-36) option to defer the sale of the home during the persons lifetime- regardless of whether or not the local authority pays for their care: may rather than must until regulations confirmed

New duty to provide information, advice and information to service users and carers who do not meet the eligibility threshold (Clause 4) Safeguarding framework for adults (Clauses 42-47): requires local authorities to ensure enquiries are made into allegations of abuse or neglect, and to establish a safeguarding adults board (SAB) in their area

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Councils will be required to provide comprehensive information and advice about care and support services in their area and what process people need to use to get the care and support that is available. They will also need to tell people where they can get independent financial advice about how to fund their care and support.

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From April 2016

Extended means test increase in capital thresholds /extension to the means test Introduction of a cap on costs of meeting eligible needs for care and support (to be set at 72,000 for those of state pension age and above when it is introduced) including independent personal budgets and care accounts

Care accounts Norwich CCG South Norfolk CCG North Norfolk CCG West Norfolk CCG Gt Yarmouth & Waveney CCG

No contribution expected for young people entering adulthood with an eligible care need. Lower cap for adults of working age (level to be determined). Everyone will know what they have to pay towards the cost of meeting their eligible needs for care and support. People will be protected from having to sell their home in their lifetime to pay for any care home costs. People will be helped to take responsibility for planning and preparing for their care needs in later life.

8Changes to assessment, eligibility and financial assessment processDeferred payment agreementPerson appears to have needsAssessmentAre their needs eligible?YESNO (written explanation)Financial assessmentAdvice and informationAppearance of needs, strengths-basedNew eligibility thresholdWritten explanation & adviceUniversal schemeNorwich CCG South Norfolk CCG North Norfolk CCG West Norfolk CCG Gt Yarmouth & Waveney CCG

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9An adult meets the eligibility criteria:Their needs are caused by physical or mental impairment or illnessAs a result of the adults needs they are unable to achieve two or more specified outcomesAs a consequence there is or is likely to be a significant impact on the persons well-beingWellbeing:Personal dignityPhysical, mental & emotional healthProtection from abuse & neglectControl over day to day lifeParticipation in work, education, training and recreationSocial and economic wellbeingDomestic, family and personal relationshipsSuitability of living accommodationAn individuals contribution to society

The specified outcomes are: Managing and maintaining nutrition Maintaining personal hygiene Managing toilet needs Being appropriately clothed Being able to make use of the home safely Maintaining a habitable home environment Developing and maintaining family or other personal relationships Accessing and engaging in work, training, education or volunteering Making use of necessary facilities or services in the local community including public transport and recreational facilities or services Carrying out any caring responsibilities the adult has for a childNew national eligibility threshold

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Carers AssessmentA carers assessment must explore:the carers needs for support ANDsustainability of caring role

It must also consider impact on the carers activities beyond their caring responsibilities, including the carers:desire and ability to workability to partake in education, training or recreational activitiesopportunities to have time to themselves[Facilitators Note: This slide has animation click once to emphasis impact on wellbeing]

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National Carers Eligibility FrameworkAfter completion of the assessment process, the local authority will determine whether the carer has eligible needsCarers can be eligible for support in their own right The Act introduces a national carers eligibility threshold: whether the carers needs are due to providing necessary care for an adultwhether those needs puts the carers health at risk or means that they are unable to achieve specified outcomes; and as a consequence there is, or is likely to be, a significant impact on their wellbeing[Facilitators Note: This slide has animation click once to emphasis impact on wellbeing]

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