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