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Meeting the ‘PR’ challenge in adult social care services: securing ‘ P ositive R eform’

Meeting the ‘PR’ challenge in adult social care services: securing ‘ P ositive R eform’. Cllr Dr Gareth Barnard Vice Chair, LGA Community Wellbeing Board Monday 20 April 2009. fair funding.

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Meeting the ‘PR’ challenge in adult social care services: securing ‘ P ositive R eform’

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  1. Meeting the ‘PR’ challenge in adult social care services: securing ‘Positive Reform’ Cllr Dr Gareth Barnard Vice Chair, LGA Community Wellbeing Board Monday 20 April 2009

  2. fair funding • National taxation does not fund a free system of care and nor is it funded solely by central government • Councils contribute, on average, 39% (about £5.3bn) to local social care expenditure through council tax. Some councils contribute more than 80% • The social care funding burden on council tax will almost treble from £5.6bn to £16.6bn during 2010 – 2041 • We must consider new options for funding ‘the gap’ and be clear on what individuals, local and central government will contribute • We must consider the funding relationship between adult social care and health

  3. fair access • FACS only works to an extent – because central funding is not keeping pace with need, nearly 75% of councils can only afford to provide individual care to people assessed with ‘substantial’ or ‘critical’ need • Councils spend on average £1.63m on care that can be accessed without a formal assessment • We need a single, transferable needs assessment and financial assessment • This needs to be flexed locally; councils have the best knowledge of their budgets, their citizens’ needs and the local infrastructure available to support services

  4. fair minimum standard • Information, advice and advocacy – this would be very helpful for those who do not qualify for council care and support • The service must: - be clearly communicated - be high quality - be accessible in the wider system, such as at GP surgeries • What more could we include in the universal offer? - Equipment and adaptations - Reablement services - Services to improve benefits take up

  5. transforming adult social care • Transformation is not just about personalisation. We must also consider other elements of work including: • Prevention: preventive ‘upstream’ interventions can delay or avoid the need to admit people to care or nursing homes. And the POPPs work shows that for every £1 spent on services in the community aimed at improving health and wellbeing 73p will be saved on hospital bed days • Reablement: this can provide significant long-term benefits for individuals particularly in terms of increasing independence at home • Technology: this has the potential to make a real difference for people who need help with everyday living. Telecare is changing people’s lives; preventing A&E admissions and reducing the cost of care packages for example

  6. conclusion Tell us what you think by contacting us at: faircare@lga.gov.uk Thank you

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