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Personal budgets Care Act 2014
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Personal budgets Care Act 2014. Outline of content Introduction Introduction Elements of the personal budget Elements of the personal budget Calculating.

Dec 23, 2015

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Ethel Campbell
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Page 1: Personal budgets Care Act 2014. Outline of content  Introduction Introduction  Elements of the personal budget Elements of the personal budget  Calculating.

Personal budgets

Care Act 2014

Page 2: Personal budgets Care Act 2014. Outline of content  Introduction Introduction  Elements of the personal budget Elements of the personal budget  Calculating.

Outline of content

Introduction Elements of the personal budget Calculating the personal budget Agreeing the final budget Use of a personal budget Use of a carer’s personal budget Appeals/disputes Summary

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Page 3: Personal budgets Care Act 2014. Outline of content  Introduction Introduction  Elements of the personal budget Elements of the personal budget  Calculating.

Introduction

The Care Act places personal budgets into law for the first time, making them the norm for people with care and support needs.

Personal budgets enable the person to: exercise greater choice take control over how their care and support needs are met

It is vital that people: are clear how their budget was calculated have confidence that the personal budget allocation is correct and

therefore sufficient to meet their care and support needs

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Page 4: Personal budgets Care Act 2014. Outline of content  Introduction Introduction  Elements of the personal budget Elements of the personal budget  Calculating.

Personal budgets

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Care Act 2014

Personal Health

Budgets

Personal Budgets

Improving Life

Chances of Disabled People

Page 5: Personal budgets Care Act 2014. Outline of content  Introduction Introduction  Elements of the personal budget Elements of the personal budget  Calculating.

Personal budgets: evaluation of impact

Increase in numbers of people receiving personal budgets, in March 2014, 648,000 people had one

The POET survey (2013) gained data from 22 volunteer councils with responses from 2022 personal budget holders and 1386 carers

70% of personal budget holders reported a positive impact: independent as you want to be getting the support you need and want being supported with dignity

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Page 6: Personal budgets Care Act 2014. Outline of content  Introduction Introduction  Elements of the personal budget Elements of the personal budget  Calculating.

Care and support planning

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Local authority

Third party

Page 7: Personal budgets Care Act 2014. Outline of content  Introduction Introduction  Elements of the personal budget Elements of the personal budget  Calculating.

Elements of the personal budget

The personal budget must always be an amount sufficient to meet the person’s care and support needs

The overall cost must be broken down into: the amount the person must pay (following the financial

assessment) the remainder of the budget that the authority will pay

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Page 8: Personal budgets Care Act 2014. Outline of content  Introduction Introduction  Elements of the personal budget Elements of the personal budget  Calculating.

Other costs that may be presented or excluded

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• Local authority brokerage fee Presented

• Any additional payment or a “top-up”Presented

• Costs for intermediate care or reablement must be excluded Excluded

Page 9: Personal budgets Care Act 2014. Outline of content  Introduction Introduction  Elements of the personal budget Elements of the personal budget  Calculating.

Calculating the personal budget

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Transparency

SufficiencyTimeliness

Page 10: Personal budgets Care Act 2014. Outline of content  Introduction Introduction  Elements of the personal budget Elements of the personal budget  Calculating.

Sufficiency of the personal budgetand implications for direct payment

The personal budget must:

always be sufficient

reflect the cost to the local authority of meeting the person’s needs

be open to challenge

Direct payments are not intended to be less than is required to

purchase care and support on the local market

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Page 11: Personal budgets Care Act 2014. Outline of content  Introduction Introduction  Elements of the personal budget Elements of the personal budget  Calculating.

Agreeing the final budget

The final budget should be agreed at the end of the planning process

Sign off should take place if

the plan is within the indicative budget (or justifiably above it)

the proposed use of the money is: appropriate legal meets the needs identified in assessment

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Page 12: Personal budgets Care Act 2014. Outline of content  Introduction Introduction  Elements of the personal budget Elements of the personal budget  Calculating.

Use of a personal budget

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Maximum possible range of options

Local authority managed PB

Third party managed PB

(ISF)

Direct payments

Mixed package

Page 13: Personal budgets Care Act 2014. Outline of content  Introduction Introduction  Elements of the personal budget Elements of the personal budget  Calculating.

Use of a carer’s personal budget

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The carer’s personal budget must

enable the continuation of the carer role

take into account carer outcomes

have regard to carer wellbeing

Page 14: Personal budgets Care Act 2014. Outline of content  Introduction Introduction  Elements of the personal budget Elements of the personal budget  Calculating.

Implications for the personal budget

of the person needing care

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The person would be liable to pay any charge, and must agree to do

so

Consider joint plans and budget

A carer’s need for support can

be met by providing care to the person they care for

Page 15: Personal budgets Care Act 2014. Outline of content  Introduction Introduction  Elements of the personal budget Elements of the personal budget  Calculating.

Carers’ personal budgets where the adult being cared for does not have eligible needs

In these situations a carer will receive a support plan specifying: how the carer’s needs are going to be met and including a personal budget

The personal budget must specify the costs to the local authority and the costs to the carer

Replacement care costs have to be met by the person receiving care

.

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Page 16: Personal budgets Care Act 2014. Outline of content  Introduction Introduction  Elements of the personal budget Elements of the personal budget  Calculating.

Appeals/disputes

The local authority must make its own arrangements for dealing with complaints in accordance with the 2009 regulations

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Page 17: Personal budgets Care Act 2014. Outline of content  Introduction Introduction  Elements of the personal budget Elements of the personal budget  Calculating.

Summary

The Act places personal budgets into law for the first time, making them the norm for people with care and support needs

Personal budgets are designed to enable people to exercise greater choice and take control over how their care and support needs are met

The personal budget must: always be sufficient to meet the person’s care and support needs include the cost to the local authority and the amount the person

must pay exclude the provision of intermediate care and reablement

The carers personal budget must enable the continuation of the carer role and must have regard to the wellbeing principle of the act

The local authority is under an ongoing duty to keep the person’s plan and personal budget under review

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