Index
3 Overview
4 Terminology
5 Principles
7 Prevention
9 Integration with the NHS
10 Information
11 High quality providers
13 Cooperation
13 Care & Support services
15 Delegation
15 Assessment of adults
17 Assessment of carers
21 Eligibility criteria
28 Duty to provide care & support
28 Care & Support Plans
33 Charging
36 NHS interface
37 Personal Budgets
38 Direct Payments
39 Continuity of Care
40 Ordinary Residence
42 Safeguarding
46 Human Rights protection
46 Advocacy
48 Hospital discharge
49 Prisoners
50 Complaints
51 MHA 1983, s117
52 Transition into adulthood
55 Young carers, disabled children and parent carers
Is there newer data available now?
It is not clear how the calculation takes into account those carers who care for someone who does not have eligible needs could come forward for an assessment.
It would be very helpful to have a further conversation with colleagues about this, as we fear this could be a substantial under- estimate and this may be an area where we need to do more work collectively (and rapidly).
18 odd months later , the jury is still out.The funding challenge is going to be how local authorities can resource the implementation of their new prevention duties in the most beneficial and cost effective way. From a resources perspective the objective of this is to reduce the growth in numbers of people having eligible needs.
So is it best to concentrate effort on people with emerging care and support needs, on people who are engaging with the care and support system for the first time? The argument being that cultural change is more readily achieved where staff are working with people who have not become accustomed to the system.
But what should be the focus? Should we be diverting people away from engaging directly with the care and support system by encouraging them to make their own arrangements by providing comprehensive information and advice services? Or should we be encouraging people to ask for an assessment of their care and support needs sooner rather that later, so that they can benefit from professional advice about prevention?
Section 10provides a detailed framework for carer’s assessments, which brings them much closer to assessments for people who are themselves in need of care and support.
The new duty arises where it appears that a carer may need support “currently or in the future”. This expands the scope of the duty : it is no longer necessary that carers already provide or intend to provide a substantial amount of care on a regular basis.
The Government estimates that there will be up to 250,000 extra carers assessments each year
(ie above the current 400,000 a year).