A Vision for Adult Social Care:

Capable Communities and Active Citizens

The Coalition Government’s

approach to future reform of adult social

care

A vision for Adult Social Care:Vision for a modern system of

social care built on seven principles::

PreventionPersonalisation

PartnershipPlurality

ProtectionProductivity

People

A vision for Adult Social Care:Prevention

First priority is to restore independence and autonomy:

•Best achieved by working with community organisations to enable ‘big society’ approach•Carers are first line of prevention and should be offered a range of personalised support•Range of preventative and early intervention services such as telecare, re-ablement etc, should be commissioned

A Vision for Adult social Care:Personalisation

People should get personal choice and control over services from supported

housing through to personal care:•From April 2013 everyone eligible to be provided with a personal budget, preferably via a direct payment•Reform to social care systems to be accelerated to support a personalised system that focuses on giving all users choice whatever the setting•Regardless of how care is paid for, all members of the community to have access to high quality and accessible information, advice and advocacy.

A Vision for Adult Social Care:Plurality and Partnership

Diverse service provision and coherent and integrated services will deliver true person centred services:

•Mainstream service providers can move into the social care market eg, transport and leisure without operating exclusively in the sector•Council and NHS partners to move away from block contracts•Statutory services to agree a shared view of local priorities and outcomes to be achieved

A Vision for Adult Social Care:Protection

Risk is no longer an excuse to limit people’s freedom. Safeguards must

be sensible:•People must be allowed to make a decision without intrusive interference from the state.•People who may lack capacity have the right to as much choice and control as possible•Citizens have a part to play in preventing, detecting, and reporting abuse and neglect

•Local government to act as the champion of safeguarding

within communities.

A Vision for Adult Social Care:Productivity

Innovative ways to deliver social care, maintain quality and work in a more integrated way with the NHS is essential:Promote independence – employment, re-ablement and telecare services are key factors in promoting independence and delivering efficiencies

Reduce Spend on long term residential care – Supported housing and extra care can provide better outcomes at lower costs than traditional nursing and residential care

A Vision for Adult Social Care:Productivity (continued)

• Maximise spend on front line services – Minimise spend on back office functions; Market should replace substantial in-house provision

• High quality care management services – reduce unnecessary assessment and care management costs

• Quality at the heart of social care – Move away from focus on meeting targets. New sector led outcomes framework will emphasise information generated by people who use services. Both quality and efficiency must be delivered

A Vision for Adult Social Care:People

The whole workforce including care workers, nurses, occupational therapists, physiotherapists and social

workers will provide care and support with skill, compassion and imagination

•The principle of partnership and plurality will lead to staff working across traditional boundaries and in different types of organisations•New career pathways will be delivered including more apprenticeships, and a new care worker role in the home and residential care and more PA’s.•Sickness absence in the social care sector must be tackled•The recommendations of the Social Work Taskforce will be implemented•The Localism Bill will give organisations the opportunity to challenge LA’s

A Vision for Adult Social Care:Conclusion

• This vision is part of the Government’s ambition to reform health and social care alongside an integrated public health service focused on prevention

• Councils will need to make tough choices to deliver efficiency and transform services

• Reforms are intended to shift power from central to local, from state to citizen, from provider to people who use services.