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Implementing the Care & Support Reform Programme

ADASS Seminar11 July 2013

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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

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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

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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

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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

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DH, LGA and ADASS developing a joint programme officeto oversee and support implementation….

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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

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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

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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

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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)?

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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?

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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?

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Exercise 3 – Priorities for support?

Thinking about opportunities for collaboration… what are the:

•Priorities for developing tools and other resources at national level?•Potential roles and contributions of networks?