The Future Landscape
Harold Bodmer
Vice-President, ADASS
26th January 2016
Distinctive, Valued, Personal
• March 2015 ADASS published a
report ‘Distinctive Valued, Personal.
Why Social Care Matters: The Next 5
Years’
• We want to see a system that is
protected, aligned, and re-designed.
• To achieve this:
– Personalised services need to be
more joined-up around the individual
– Good information and advice to
enable people to look after
themselves
– Building supportive relationships
– Maintaining independence
Personalisation
• Putting the individual at the centre of
the process of working out:
– What their needs are
– Choosing what support they need
– Having control over their life
• Building a system of care and support
that is designed with a persons full
involvement and tailored to meet their
own unique needs
• Engagement of people who use
services – peer support – coproduction
• Allows people to live better and more
fulfilled lives
Personal Budgets
• We need services that are:
– Personalised
– Of good quality, that address our
mental, physical, and other forms of
wellbeing
– Much better joined-up around our
individual needs and those of our carers
• Personal budgets are central to this
approach
• The mainstream use of personal
budgets is improving the choice and
control individuals have over their care
and support, and their lives
Integrated Personal Commissioning
• People can access a
combined budget covering
health as well as social care
needs (Integrated Personal
Commissioning) creates the
potential for integrated care
to be driven as much by
individuals as by
organisations
• Building new partnerships
and conversations with
individuals and organisations
Financial context
• More people living longer with
complex needs
• Fewer people getting care and
those that do getting less
• The number of people over 65
and in need of care is forecast
to increase by over 40%
between 2005-2020
• Social care funding gap +£700
million a year, excluding NLW
• 2% council tax precept for
social care – still not enough
Care Act 2014
•
•
•
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The Care Act is an important step forward, replacing various pieces of legislation
with a single statute
The principles of wellbeing, personalisation and integration are enshrined in the
Care Act 2014
The Care Act provides a new legislative focus on personalisation by mandating
care and support plans and personal budgets for everyone with care and support
needs, increasing opportunities for greater choice, control and independence
Choices around the country
Challenges:
• Ensuring that there is
sufficient flexibility to cover
the universal
responsibilities which
councils have
• To reflect the diverse range
of care markets
Delivering the right care in the right settings
• Integrated pathways are key, with
social care working closely with
partners (particularly the NHS) to
help individuals experience
seamless coordinated services that
are effective and efficient
• Duty to offer personalisation and
focus upon wellbeing outcome of the
individual
• The engagement of the independent
sector in the planning,
commissioning, and delivery of
joined-up services will be essential
Individual at centre of
decision making
• Placing the individual at the centre
of decision making – rather than
conditions or treatments
• Integration starts with people not
structures
• There is no one size fits all solution.
• Services need to be better aligned
to achieve better outcomes
• More community based solutions,
based around primary care
Improving integration
• Too often people experience services
that are fragmented, poorly coordinated
and hard to navigate
• Integrated pathways are key, with social
care working closely with partners
(particularly the NHS) to help individuals
experience seamless coordinated
services that are effective and efficient
• Behaviors and culture change
• Need integrated commissioning across
health, social care and housing
Opportunities
• Individuals are empowered to be the
integrators of their own care and support
• Considered the most powerful way to join
up health and care
• Integrated personal health and care
budgets and/or commissioning will be used
to meet most needs for long term health
and care support
• The engagement of the independent sector
in the planning, commissioning, and
delivery of joined-up services is essential
Challenges
• Making sure that health and social care
are equal partners
• Importance of whole care sector
• The current funding arrangements need
to be simplified
• More support in and from the community
• Risk of return to Assessment and Care
Management as default for systems
Summary
• Starts with the individual, rather than
the service and recasts the
relationship between professionals,
organisations, and the people they
serve
• We need services to support this
• Personal budgets helps improve
choice and control individuals have
over their care and support
• Need new narrative about
personalisation in time of austerity