Investing in Stockport

Preventative Commissioning Strategy

Part 1

Implications of the Care Act for prevention

Content of this session

• Brief overview of the Care act

• Details of the relevant sections of the Act

• Implications

• What we’re doing

Care Act Overview• Care & support legislation has been developed over

time and is in need of consolidation into a single statute;

• Part 1 of the Act received Royal Assent in 15 May 2014;

• Part 1 of the Act is comprised of 7 specific areas of focus and 1 general;

• Local councils' new duty to promote people's wellbeing will now apply not just to users of services, but also to carers

•

What’s in the Act• General Duties & Universal Provision;• For the first time, this gives the same rights to carers

as those given to the people they care for• First contact and identifying needs;• Charging and financial assessment;• Person-centred care and support planning;• Integration and partnership working;• Adult safeguarding;• Moving between areas: inter local authority and

cross-border issues.

GENERAL DUTIES AND UNIVERSAL PROVISION

• Well Being Principle– Explicit new legal duty designed to embed

individual well-being behind care and support– Creates a statutory principle underpinning all

functions under Part 1 of the Care Act

• Prevention – reducing and delaying needs clause i.e. ‘Prevent, reduce & delay’– A need to provide a range of preventive services to

help prevent and delay the development of care and support needs, or reduce care and support needs

–

GENERAL DUTIES AND UNIVERSAL PROVISION – Cont.

• Information and Advice – Duty to provide information and advice to everyone

in the local authority area, regardless of eligibility of care needs incl. independent financial advice

• Market shaping– Duty to promote diversity, quality & a range of

different providers available for care & support services.

• Managing Provider failure– Duty to meet an adults needs for care and support

as a result of provider failing

Implications• The practicalities of applying ‘well-being’ across

services; how do we measure this?

• The importance of identifying the services, facilities and resources that are already available which could form part of the overall local approach to prevention;

• How we balance identifying unmet need with increasingly challenging financial landscape;

• Ensuring the integration of prevention for care & support provision with wider partners in health, housing and beyond.

Implications cont.• The challenge of consolidating our approaches to

information & advice and avoiding duplication and confusion;

• Carers underpin much of the Care Act and will require building on existing good practice but refreshed/new approaches too;

• We need to facilitate and encourage new approaches for care & support via market shaping, but also work to develop more sustainability.

What we’re doing• Main area of work has been the development of our

approach to a new commissioning programme for prevention;

• 4 community consultation in Marple, Reddish, Offerton and Cheadle to test out the case for change;

• Continued development and implementation of our vulnerable adults pathway;

• In the process of developing a Market Position Statement.