General Duties to be placed on the Council: Promoting i ndividual wellbeing Prevention

1. Care Bill ImplementationDiscussionAndrew OsbornHead of Service, Adult Care Commissioning(Personalisation and Carers)

2. Care Bill General Duties to be placed on the Council: • Promoting individual wellbeing • Prevention • Information and advice • Cooperation between health and care • Integration • Market shaping

3. Care Bill • Right to assessments for carers – April 2015 • Single national minimum eligibility threshold • Outsourcing of assessments possible • Joint assessments to be more common • Appeals • Major changes to assessment, eligibility and support planning

4. Care Bill • Right to Personal Budgets and Direct Payments • Increase to means test threshold of £118,000 for residential care, £27,000 for care at home • Care Cap set at £72k (April 16) – different levels expected for age groups • Assessments of self funders can begin Sept 15 • Council needs to maintain care accounts. • Universal Deferred Payments Scheme • New financial support arrangements

5. How will this work – • Care Cap Case Study Examples

6. Case studies

7. Case Studies He Has Mr A, aged 70, develops dementia and moves into a care home. His assets are over £118,000, so he does not qualify for local authority support. Assets £300,000 Income £390pw (from his pension and AA) In addition to his pension, he receives attendance allowance (AA)* at the higher rate of around £90 per week. The local authority calculates his needs can be met in a local care home which costs £650 per week. However he chooses to pay an additional £150 per week to move into a different care home of his choice. He contributes Care Costs (which count towards the cap) £420 per week Daily Living Costs £230 Top Up £150 (3rd Party) Local authority contributes He contributes He reaches the cap after 3 years and 4 months, after which: The local authority pays £420 per week to meet his needs. He remains responsible for his daily living costs and a 3rd party for the £150 top-up. Daily Living Costs £230 Care Costs (which count towards the cap) £420 per week Top Up £150 (3rd Party) Mr A remains in the care home for one more year, after which his remaining assets are around £210,000. *Attendance Allowance (AA) is a non means tested benefit for severely disabled people aged 65 or over who need help with personal care

8. Case studies Mrs B, age 80, develops arthritis and needs care and support in her own home. She has Income The value of her assets excluding her home is £20,000. Her home Assets is worth £200,000 but this is not considered within the calculation of her assets because she is receiving care in her own home. £260pw £20,000 Her income is £260 per week, including lower rate attendance (from her pension and AA) (exc. her home) allowance (AA)* worth around £60 per week. Local authority She contributes The local authority calculates her needs can be met at a contributes cost of £100 per week. £62 per week She has a financial assessment to determine how much she can afford to pay. As a result, she contributes £62 a week. After 3 years her care needs increase and she moves into a care home. At this point her progress towards the cap is £16,000. This is the total amount paid by Mrs B and the local authority by that point. Her assets (not including her home) have reduced to £18,500. *Attendance Allowance (AA) is a non means tested benefit for severely disabled people aged 65 or over who need help with personal care £38 per week

9. Case studies

10. How will this work – • Eligibility Case Study Examples

11. Eligibility criteria: • Currently in draft and guidance expected later this year • Expectation that criteria will be set at Substantial and Critical • Common view that current criteria is much lower • Only need to meet one condition • Need to be at significant risk • Will be able to take assessments with you

12. Examples to discuss – no right or wrong answer at this stage