WelcomeCouncillor Michael Gosling

Cabinet Member for Adult Social Care and Health

Caring for Our Future White Paper

• Set out vision for reformed Care and Support system.

• Accompanied by Care and Support Bill which provides legal framework for putting changes into place.

In order to maintain the health and wellbeing of people who are cared for

we need to spend more time and energy looking after the needs of the

carers themselves by providing regular respite services.

Carers are the cornerstone of social care and are a huge cost saving to

Government.

• Legislates to extend the right to a carer’s assessment, and provide an entitlement to public support for the first time.

• National minimum eligibility threshold for support for carers, as for people who use services.

• From April 2013 the NHS Commissioning Board and Clinical Commissioning Groups will be responsible for working with local partners to ensure that carers are identified and supported.

New Rights for Carers

Helping more Carers in Surrey• At present services we fund support for around

13,000 adult carers a year and support 1,200 young carers.

• However there are just over 108,000 carers in Surrey and 12,000 young carers

• The Care and Support Bill will create new duties to have a range of preventative and information services for carers

Moving Forward Together

Today provides an opportunity for you to discuss how we

can move forward to meet the challenges

and opportunities posed by the Bill.

Making it Real for Carers

Bernadette SimpsonMaking it Real for Carers

Project coordinator

• Will help to mark and make progress towards personalised, community–based support

• Developed by TLAP, led by the Co-Production Advisory Group

• Supported by ADASS, DH,CQC, LGA, Provider bodies

What is Making it Real?

Making it Real aims to turn words into action. An important part of the approach is to involve people who use services and carers in planning the Making it Real programme.

Six key themes

• Information and advice

• Active and supportive communities

• Flexible and integrated care and support

• Workforce

• Risk enablement

• Personal budgets and self-funding

Making it Real for Carers

• Looking at what the 6 Making it Real themes mean to carers.

• Identifying what needs to be in place to make support work well in practice for carers, as well as the people they support

Information and advice“If I am going to be in control as a carer, I need information about the choices available to me”

•Information that’s easily available•Face-to-face contact, emotional support and someone to share my concerns with •A regular review that provides a good platform for information and advice.•Wherever possible and appropriate people including and talking to me as a carer •Confidentiality not used as a barrier to communication with me as a carer.

Active and supportive communities

“I need support for my son’s social life so I can have one too!” •Space to be someone other than a carer•Time to pursue my own hobbies and interests •Good information about the opportunities available to me as a carer •Flexible support – more evening and out of hours support. •Employers, community services, schools and colleges that understand carers issues and listen to carers including young carers

Flexible and integrated care and support

• “If the system is chaotic it disables me and prevents me from deciding the kind of support I need and when, where and how to receive it”

• Support through the maze of care and good information about the process and timescales.

• Good communication between different agencies, organisations and officials so I don’t have to keep making phone calls to sort things out.

• A named social worker/assessor, and information that is shared so I don’t have to tell my story over and over

• Good planning of services and good change management that involves users and carers and is equitable. Carers see the benefits of their involvement.

Workforce

“I want friendly staff who smile at me; who understand my role as a carer and listen to me.” •Professionals who talk to me as the carer about the needs of the person I care for and respect my expertise and knowledge as a carer. •A care worker who connects with the person I support and who knows about a person’s likes, dislikes and personality traits. •To know that I can report poor care without being afraid of the repercussions. •Cover available for my needs as a carer, for example extra hours if I am ill and domiciliary care workers who are available in the evenings as well as daytime. •Training that provides staff with a good understanding of how to work with different people and respond to specific needs.

Risk enablement“Over the top risk assessments can get in the way of me having a life.”

•Knowing that there are support workers I can contact in an emergency•Knowing there’s the availability of a safety net to support me in my caring role. •As a carer, being able to access training such as first aid, hygiene, moving and handling etc•A global review that considers all aspects of support and the options available to me - a review that joins things up. •Staff with good listening skills who get things sorted out promptly so there’s no breakdown in care

Personal budgets and self funding“I value my direct payments and understand how to use the money well.”

•A carers personal budget (regardless of age) that can be spent on what’s important to me•A good range of support services available locally including good quality appropriate respite, affordable and safe transport and a wide range of social activities.•Transport included in any activities for my cared for. •Good information and the right support with direct payments•When a person moves from social care funding to PCT personalised care, direct payments able to be continued.

A whole family approach

“ People need to understand that all of these are important to me as a carer:

•The support I have•My identity as a carer•The person I care for•The support around me.”

The statements can be used to look at what is happening locally for carers, and ask carers to help decide what could be better and how.

What can we do better?

Actions focussing on improving services for carers and whole family approaches can be included in the action plan that an organisation puts onto the Making it Real website.

Organisations can achieve a Making it Real Kitemark to show that they are a Making it Real organisation.

• Organisations who put their information onto the website will see themselves on the Making it Real Map.

• This allows organisations to contact one another and to check on each others progress.

• This also ensures that anyone can check progress of organisations in their area, and comment on how they are doing.

Achieving the aims and vision of the Care and Support Bill

“The law should treat carers as equals, not as an extension of the person they care for”

“Carers will find it easier to access personalised advice and support to help them care for as long

as they wish.”