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Debate on the Care and Support Green Paper - Page 3 - Carers UK Forum

Debate on the Care and Support Green Paper

Share information, support and advice on all aspects of caring.
62 posts
On news tonight TELECARE got a mention from some guy who is part of some care trust he was asked how he wanted to be cared for in his old age he said within his own home by someone he could trust he then said with the help of TELECARE it could be made possible .

I aint a fan of anything like TELECARE it aint the panacea that some think it is can telecare make beds wash sheets make meals oganise medication dress your caree and on and on oh eye if you do have a fall they will come and help thank god for telecare .
I've been out all day at various meetings and have only just caught a glimpse of the Green Paper.

Looks like there's a fair amount to go through but first impressions are that I'm not exactly impressed.
Not sure where i read- heard it but it was stated that some 60% of the elderly who access residential social care have to look at selling their homes to pay for their fees .
Up to 45000 a year George.
Oh what a good idea another NICE that will make sure that nothing happens in a hurry and at twice the price.
The lovely thing about all the options is that it doesn't matter much if you are a prince or a pauper, you still leave in a box, stark naked and with no cash or possessions to take with you ! Image Image Image Yes, its socialism all right... and you better start getting used to it.
Yes, its socialism all right... and you better start getting used to it.
Socialsim with a blue rinse Image .
Yes, well flagged up Matt,

Image

The ''big care debate'' well worth a read or play the footage, either way, everyone should take a look, it will affect us all eventually.

Maybe we can add our views & make a difference for our children's sake if not our own.

That would be quite a legacy to leave them, rather than, the society we curently inhabi, unfortunately.

These forums can make a diifference. Image
I see I am not the only one who says pay for it out of tax and NI
Some quotes onn integrating disability benefits into social care funding:

Page 14:
1. More joined-up working
We need services that will keep people independent and well for longer. They should also help people with ongoing care needs to continue living in their own homes, if this is what they want, and maintain their independence. One way of doing this is through better joined-up working between health, housing and social care services and between social care and the disability benefits system.
Services will be fully joined up between the NHS and the new National Care Service. This will mean that people receive more appropriate care in the right setting, reducing costs, improving outcomes and ensuring that services work together to keep people healthy and active wherever possible.
Page 15:
Making the most of current funding
During the engagement process, many people told us that we need to make sure that the taxpayers’ money that is already in the system is being used as well as possible. We have looked at the wide range of funding sources that make up the care and support system, to consider whether they are being used to the best effect.
In developing the new system, we think there is a case for drawing some funding streams together to enable us to deliver the new and better care and support system we want to create. We think we should consider integrating some elements of disability benefits, for example Attendance Allowance, to create a new offer for individuals with care and support needs.
If we did this, the future care and support system would build on the main advantages of the current disability benefits system, providing people with flexibility and an entitlement to have at least some of their care funded wherever they live in England.
Whatever the outcome of the consultation, we want to ensure that people receiving any of the relevant benefits at the time of reform would continue to receive an equivalent level of support and protection under a new and better care and support system.
Page 40:
The cost of care and support is increasing
These changing expectations and demographics have massive implications for the funding of care and support. If we do not reform the system, in 20 years’ time the cost of disability benefits could increase by almost 50 per cent.16 HM Treasury’s long-term fiscal projections show that the costs of long-term care are set to increase by 17 per cent by 2027/28.
Care and support must change to respond effectively to this increased demand and expectation. And the changes to the way we fund the future system must be fair, simple and affordable, with sufficient flexibility to allow local authorities to design solutions that are appropriate to the local area.
Page 41:
The need for reform to meet future pressures
We need to reform the care and support system radically to meet these future pressures, to meet both people’s changing expectations of care and support and the pressure on funding.
Without this reform, it is likely that families (and, in some cases, children) will be under pressure to provide levels of care and support that are too demanding for them, and in some cases people will go without support and become ill. If we fail to get to grips with these long-term issues, we will fail to provide quality of life for people and, consequently, demand for NHS services will increase.
If we do not reform the system, local authorities will struggle to manage their budgets in years to come, and social care funding will increasingly be restricted to those with the very highest needs and lowest incomes. Funding for disability benefits will also come under increasing pressure.
We believe there is an argument for a better-integrated care and support system that can allocate funding on a more consistent basis, focused on providing some support for everyone. Chapter 6 sets out the Government’s more detailed proposals for funding the new care and support system.
Local government has achieved substantial savings through increased efficiency within the current system. But value for money could be improved even further, for example through more early intervention. Furthermore, we will not be able to meet the rising costs of care and support through efficiency savings alone. We need to consider both how we can allocate the funds already within the care and support system more efficiently and fairly and how we can bring more funding into the system.
Page 72:
More joined-up working between care and the benefits systemThe care and support system is not just about ensuring that formal services are provided. It also includes the financial support that is provided by different parts of government funding. Disability benefits play a particularly important role in providing a contribution to the extra costs associated with disability.
The disability benefits and care and support systems have developed separately, and we know that they are not joined up well. People have to apply separately for disability benefits via the benefits system, and for other elements of care and support through their local authority’s social services. This can mean that people have to give their personal information several times, and the complex application process can put people off applying – particularly as people are often trying to find their way through the system at a point of crisis. But we also know that the disability benefits system has many advantages and is valued by many people. We want to make sure that, if we make any changes to disability benefits, we keep these advantages and are able to deliver better overall support to people. We also want to make sure that we continue to support carers in the valuable role they play.
Page 101:
Sources of funding for care and support
The two largest sources of government funding for care and support are the social care system and disability benefits. The state spent £14.7 billion on social care in England in 2007/08.40 Expenditure on the disability benefits specifically targeted at older people was about £6.1 billion.41

Social care funding
Currently, the means-tested social care system funds care only for those people who meet the particular level of need set by their local area, according to the national FACS framework. A substantial proportion of people with support needs, particularly older people, are outside this eligible group. Those who do not receive state-funded care may purchase care privately, rely on care from family or friends or, in some cases, go without support.
In recent years, increases in the number of people needing care and cost pressures have meant that public funding for social care has increasingly been focused on those with the highest needs, with the result that services have been withdrawn from people lower down the needs scale. These pressures will increase and, without reform, increasingly large numbers of people in need of support will not qualify for any state-funded social care assistance.
Disability benefits
Attendance Allowance is the main disability benefit for older people. It is available to anyone who has a care need that develops at or after the age of 65. Attendance Allowance operates in parallel with the social care system for those aged 65 and over. Attendance Allowance is not a benefit paid to replace lost income: it is intended for broadly the same purposes as social care – to contribute to the extra disability-related costs of those individuals who need assistance to live independently. Like social care, Attendance Allowance is subject to increasing funding pressures. But Attendance Allowance is not means-tested, so people get it regardless of how well-off they are. Many disabled older people will receive support from other parts of the benefits system, including through Disability Living Allowance, instead of Attendance Allowance.
We know that disability benefits such as Attendance Allowance are highly valued by the people who receive them, and that they give people control over how they spend their money to meet their care and support needs. However, we also recognise that there are inconsistencies of approach between disability benefits and social care within the current system. This is because the social care and disability benefits systems have developed in isolation from each other and these two largest portions of government care and support expenditure are being allocated on different bases. This can lead to inconsistent and unfair outcomes.
Having two different funding streams also means that older people have to apply separately for the two sources of support and undergo different needs assessment processes which may put people off applying for support. This can result in some people not receiving all of the support they are entitled to.

Funding options
“The Review recognises the importance of the financial help that Attendance Allowance provides, including support in meeting care costs and also compensating people for other needs-related expenditures. However, it appears that Attendance Allowance might not be the best vehicle to provide both forms of this financial help.â€Â
62 posts