Implementing the Care & Support Reform Programme ADASS Seminar 11 July 2013

1. Implementing the Care & Support Reform Programme ADASS Seminar 11 July 2013

2. The vision for transforming care and support set out in the Care Bill will have profound implications for local authority systems, processes and people

3. Care & Support Reform Programme Governance Structure Sector Led Improvement and Delivery Groups Department of Health Board Towards Excellence in Adult Social Care (TEASC)-Chair ADASS Focus on local government performance improvement Major Projects Authority Cabinet Office Other DH Programme Boards DH Major Project Boards (MPB) 1 Outcomes & Information Development Board (OIDB) Chairs: ADASS & DH Outcomes agenda in relation to sector-led improvement. Other working groups to be added over time Care and Support Programme & Implementation Board Chair: Jon Rouse ASC Workforce Development Programme Board Chair: Glen Mason External Engagement Board – co-production and engagement Care and Support Transformation Group Co-Chairs: MS(CS) and Helena Herklots (Carers UK) Function: Engagement and support Paying for Care Transformation Group Chair: Ed Moses External Chair tbc Financial Services Steering Group Chair: Shaun Gallagher Assessment & Eligibility Task & Finish Group Think Local Act Personal (TLAP) Co Chairs x 4 cross sector leadership partnership focused on driving forward work with personalisation, community-based social care Workforce Task & Finish Group Note: 1 The MPB’s role is to ensure an integrated approach within the department for authorising, prioritising and assuring of all major programmes.

4. C&S P&I Board Paper 3 Programme Governance and Management Arrangments There are interdependencies between national and local government and potential opportunities for collaboration… National Policy Statutory guidance Legislation/regulations National, regional or local? Problem solving Communications Training materials Local LA systems, processes and staffing Contracting with providers Client interface (eg. assessments)

5. Collaboration between national and local government can help ensure coherence and support implementation… DH, LGA and ADASS developing a ‘joint programme office’ to: • Facilitate engagement in national policy, regulations and statutory guidance • Identify key operational milestones, risks and interdependencies for local government • Provide assurance on implementation • Coproduce tools and other resources to support implementation

6. DH, LGA and ADASS developing a joint programme officeto oversee and support implementation….

7. Care & Support Reform Programme Projects Enablers Prevention Information & Advice Care Planning Paying for Care Charging for Care Workforce Legislation IT systems Assessment & Eligibility Quality & Safety Care Markets Policy commitments Comms Campaign Financial services Implement cap system Capacity Improving local on line services Evidence Library Personalis’ Action Plan Quality Ratings Market oversight regime Direct payments in res. care Housing Fund Capability Developing Care Markets Secondary legislation Financial assmt.; Care Accounts; Deferred payment; NHS Boundary; Ordinary res.; Continuity; Delayed discharges Charging; Cap level; Debt recovery Assessments; Eligibility criteria; Safeguarding Adults Boards Provider failure; Market oversight Personal budgets; Direct payments; Choice of accn.; Top-ups; Cross-border Prevention charging; Statutory guidance Transition; NHS Boundary; Ordinary res.; Continuity; Delayed discharges Needs assessment; Carer’s assessment; Eligibility Training and support for frontline Information and advice (inc. financial advice) Care planning (inc. areas above); Calculating care costs; Cross-border Financial assmt.; Deferred payment; Safeguarding Wellbeing; Prevention; “Asset-based” approach Charging; Implement cap system; Debt recovery Commiss’g; Market shaping; Provider failure; Market oversight

8. Care & Support Reform Programme Out of Scope • Pilots • Care Audit • Social Impact Bonds • Time-giving • Projects with other governance arrangements • Integration • Regulation (care standards, chief inspector, etc.) • National information (ICSP, NHS 111) • HealthWatch • “Business as usual” issues • Adult Social Care Outcomes Framework • Provider Quality Profiles • Administering HSCVF

9. June 2013– Dec 2013 Jan 2014–June 2014 Jul 2014–Dec 2014 Jan 2015–June 2015 Jul 2015 –Dec 2015 Jan 2015 – Mar 2015 Information Systems Identify requirements Agree requirements/ procurement approach Examine high level options Build information systems, trial and roll-out Workforce Development Identify workforce requirements Agree & implement workforce development programme Roll-out of workforce development programme including training Sector Recommendations Develop & implement joint government –sector programme Financial Services Sector product development Awareness, information & advice Develop & agree awareness, info & advice strategy & programme Implement awareness, info & advice programme Deliver awareness campaign Allocations 14/15 Allocations 15/16 Local Government Finance Allocations 16/17 SR15? SR13 Integration pool local planning Integration pool implemented Data collection Develop & consult new formula Develop regulations & guidance Consult & update Assessment Early assessments of self-funders Develop Guidance Engage draft regulations Eligibility Extended financial support begins Publish 16/17 regulations Publish 14/15 regulations Charging Charging framework policy Level of cap WAA cap policy Cap begins Disputes Resolving disputes policy IMPLEMENTIG FUNDING REFORM CONSULTATION RESPONSE Care Account policy Measuring cap progress NEW LEGAL FRAMEWORK INTRODUCED CONSULT DRAFT STATUTORY GUIDUANCE/REGULATIONS 15/16 PUBLISH STATUTORY GUIDUANCE/REGULATIONS 15/16 Independent Personal Budget DPAs in all LAs 14/15 Deferred payments policy Deferred Payments Homeowner support roll out Homeowner support policy LA position statements Care Markets Explore market changes Direct Payments in residential care DPs in res care Trailblazer sites ‘go live’

10. The purpose of today is to explore implementation issues in terms of 3 key questions…. • What do local authorities need to by when in preparing for implementation? • Where local implementation is dependent on legislation or guidance, what does national government need to do by when to address this? • What are the priorities for development of tools and other resources to support local implementation (e.g.. action at national or regional level)?

11. Exercise 1 - What’s the big picture? Looking at the programme as a whole, what are the: • Immediate needs for information/intelligence gathering? • Key operational systems that will underpin implementation? • Workforce capacity and capability requirements? • Strategic risks and cross-cutting issues?

12. Exercise 2 - Priority actions for national and local government? In each programme area, what are the: • Things that local authorities must do and by when in preparing for implementation? • Key dependencies on national government? • Things that national government must do and by when to enable local implementation?

13. Exercise 3 – Priorities for support? Thinking about opportunities for collaboration… what are the: • Priorities for developing tools and other resources at national level? • Potential roles and contributions of networks?