Positive Ageing Shaping the future of older Londoners’ health and social care Anne Bristow Corporate Director of Adult & Community Services, LB Barking & Dagenham
Positive Ageing Shaping the future of older Londoners’ health and social care Anne Bristow Corporate Director of Adult & Community Services, LB Barking.
Dec 15, 2015
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Positive AgeingShaping the future of older Londoners’ health and social care
Anne BristowCorporate Director of Adult & Community Services, LB Barking & Dagenham
Society is changing
Advancing technology
Shifting demography
Rising expectations
Longer lives
What Do Older People want?
0 10 20 30 40 50 60 70 80 90 100
Would you ask this question of everyone in this
age bracket?
So why do we ask it about
everyone in this age bracket?
To stay in control? To have choices?
To carry on being ‘me’?
The Changing Care System
The cost of personal care
Personal assistants
Personal budgets
Micro-providers
The Changing Care System
Prevention/wellbeing
Support for carers
Safeguarding duties
Market-shaping
Information & advice
Major funding reform
Increasing emphasis on preventing or delaying care needs, including through better choices earlier
The Changing Care System
Prevention/wellbeing
Support for carers
Safeguarding duties
Market-shaping
Information & advice
Major funding reform
Right to an assessment and a duty on the Council to provide services for carers in their own right
The Changing Care System
Prevention/wellbeing
Support for carers
Safeguarding duties
Market-shaping
Information & advice
Major funding reform
Statutory basis for Safeguarding Adults Boards
The Changing Care System
Prevention/wellbeing
Support for carers
Safeguarding duties
Market-shaping
Information & advice
Major funding reform
A duty on the Council to work to ‘shape’ an active market in social care services locally. Presumption everyone has a personal budget
The Changing Care System
Prevention/wellbeing
Support for carers
Safeguarding duties
Market-shaping
Information & advice
Major funding reform
A duty to provide information and advice for the whole community, and independent financial advice
The Changing Care System
Prevention/wellbeing
Support for carers
Safeguarding duties
Market-shaping
Information & advice
Major funding reform
A raft of funding reforms, including:• cap on lifetime care
costs;• new financial and
eligibility criteria; • deferred payments;• portable assessments; • portable ‘Care
Account’
Elements and timingsKey requirements Timing
Duties on prevention and wellbeing
From April 2015
Duties on information and advice (including on paying)
Duty on market shaping
National minimum threshold for eligibility
Assessments (including carers’ assessments)
Personal budgets and care and support plans
Safeguarding
Universal deferred payment agreements
Extended means test
From April 2016Capped charging system
Care accounts
Integration
• Avoiding the queue of professionals on the garden path
• A single, shared view of service user needs
• Care closer to home• Joining up funding…• …but fundamentally
different funding regimes continues to be an issue
Challenges
Loneliness and isolation
Dementia
Getting the funding right
Getting the new system in place
Supporting choice
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