Care Act 2014 : Should / Could / Would Act 2014 ... R.I.P. ?

[charles47]

I'd just got the link up on my computer at work and was about to post it...

[bowlingbun]

Online complaint to LGO just sent!

[Chris From The Gulag]

Interesting article on the potential blur between the NHS and social care.

Written in 2014 before the bill became law.

http://www.communitycare.co.uk/2014/07/ ... le-adults/

Carers feature half way down the article.

I'm not sure whether the Bill itself took account of these observations.

[Chris From The Gulag]

A comprehensive study undertaken by Luke Clements , Professor of Law , Lees University , 26 Nov 2016.

http://www.lukeclements.co.uk/wp-conten ... 016-11.pdf

59 pages worth. Again , not for the faint hearted , and needs to read in chunks.

A goldmine of information.

I quote the Index Guide as to what one will find inside :

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

[Chris From The Gulag]

A more general guide to NHS Continuing Health Care and the effects of the Care Act on those.

http://caretobedifferent.co.uk/the-care ... ealthcare/

Mainly aimed at those within care homes but some useful explanations that are related to carers.

[Chris From The Gulag]

A very interesting article taken from the Disabled People Against Cuts web site : March 2015.

http://dpac.uk.net/2015/03/car-act-summ ... in-points/

Very comprehensive without the usual technical language often encountered when written by our so
called professionals detailing their plans for us mere carers.

If ever there was a starting point for any reader wanting to take a first step under the provisions of The
Care Act , this is as good a place as anywhere else to start.

[Chris From The Gulag]

A joint LGA / Adass report ... August 2014 ... detaling quite clearly the problems facing , and to be faced
by , LAs across the country with the added burden from the provisions of The Care Act.

http://dpac.uk.net/2015/03/car-act-summ ... in-points/

My own recommendation to any readers is to scan through the Report , and then compare with others
posted throughout this thread just to see the published effectiveness of the Act when compared with
actual reports on the effectiveness.

Just one quote as a taster ... carer numbers mentioned towards the end :

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).

I take no pleasure in that I already told you so.

A chasm ?

A good Act ? YES.

But somewhat hollow if the additional monies needed are not provided ?

And , in the end , who loses ?

One quess ... carers !

[Chris From The Gulag]

Another analysis type report from the Guardian ... April 2015 .... can it deliver ?

https://www.theguardian.com/social-care ... s-promises

One interesting comment in reply to the article :

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?

18 odd months later , the jury is still out.

Reports coming in indicate problems as earlier posts reveal.

What is interesting to put on record is the reluctance from outside sources to assist in giving a closer
view from their position.

That in itself is interesting.

Why ?

Good Act.

It's the delivery that is causing problems. Lack of ring fenced finance and LA existing support services
close to meltdown.

Is there more to this ?

I can but research.

[Chris From The Gulag]

Another report from the archives .... an easy read , for once !

This one deals with the history , changes and likely outcome.

http://www.39essex.com/content/wp-conte ... -FM-BT.pdf

One section worth quoting purely on the figures given.

Base figure as if any reader needed reminding ...... 6 million+ carers

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).

As mentioned previously , The Care Act applies to ALL carers.

1 in 24 to apply for a Carers Assesstment.

What would happen if 1 in 20 applied ?

Or 1 in 15 ?

Therein lies a problem ....

[Chris From The Gulag]

Another one dealing with problems likely to occur with the LAs and independent advocacy.

http://www.communitycare.co.uk/2015/02/ ... -advocacy/

One case already reported under another thread of a local carers supporting organisation being paid by
a LA to provide independent advocacy.

Probably 99% okay but .... there will always be an element of doubt as to precise details behind such an
arrangement.

Where money is involved , sometimes one can kiss goodbye to professional ethics.

LAs countywide are short of money. And yet , one pays a third party which . by their actions , could cost
them money ?

Strange bedfellowers ?

This is social care , and there is money around.