Research indicates that significant savings could be made if local authorities focused on care enablement instead of care provision… As local authorities grapple with the challenges of the Care Act, it is becoming clear that significant change is required in the way that adult social care is managed and delivered. The UK needs a successful modern care system that addresses both personalisation and value for money. While the personalisation agenda aims to allow choice and flexibility in care provision and how people manage their money, the feedback from the local authorities I spoke to at this year’s Local Government Strategy Forum is that this agenda cannot be easily fulfilled using the methods in practice today. Some local authorities had already begun or completed strategic reviews of their social care systems with the aim of finding a better way. Many had found that personalisation created challenges – particularly in care management and financial reconciliation processes, but also in the development of diversity in care provision. There were also widespread complaints about increasingly siloed care information – for example, between those using direct payments and authority-managed care, and betw
This year’s State of Care report – published October 13, 2016 – shows that most health and adult social care services in England are providing people with safe, high quality and compassionate care, but it also raises concerns about the sustainability of this position in the future. The report provides the most comprehensive view yet of our inspection findings to date and is based on inspections and ratings of more than 21,000 services. This the first time we have been able to report on what happens after our inspections when we return to re-inspect. Despite increasingly challenging circumstances, many services have managed to either improve or maintain quality. However, there is also evidence of deterioration in quality, and some providers that are struggling to improve, despite being given clear information on where improvement is needed.
We continue to see good care and improvement
Around three-quarters (76%) of NHS services, care homes, general practices and other services that were rated as ‘inadequate’ were able to improve their ratings following re-inspection. 23% went from ‘inadequate
Radical plans to encourage people to save to meet their own social care costs in old age have been discussed in government, with a leaked memo warning of the potential significant “economic and social distress” of a looming crisis. Senior sources said the health secretary, Jeremy Hunt, is among those who favour motivating people to put money aside for social care, as they do for pensions. A former minister with knowledge of discussions in government said the idea would be that people “should be encouraged to think again about spending money on a new car or a cruise”. With the government having shelved a proposal from Sir Andrew Dilnot for government to limit people’s financial liability, ministers are becoming more aware of the need to offer an alternative. Ideas include Isa-style savings accounts – known as “care Isas” – with preferential interest rates for a pot of up to £75,000, which you would be able to withdraw to fund your social care or leave, tax-free, in a will. Another plan is that tax incentives could be offered if people wished to take from the