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					Delivering the
Transformation of Social
Care
David Behan
Joint University Council Social Work Research
Conference
Wednesday 9th July 2008
Why are we here?
• David - a 72 year old man with severe rheumatoid arthritis
  wants to plan his future and not create additional demands
  on his family
• Rufus - a 27 year old with bi-polar disorder wants support
  to get back into work and stay in work
• Patricia - a 42 year old mother of three with MS wants
  support to continue being able to look after her family
• Preeti - a 31 year old with profound learning disabilities has
  a family who want support to remain her primary carers
• Ethel - a 85 year old woman with dementia wants support
  to stay healthy and safe in her own home
What is the problem we are
trying to solve?

• The current social care system is not sustainable
• A 20th century system for 21st century need
• 4 policy drivers:
            • Population
            • Expectations
            • Technology
            • Economy
UK population
• The number of those aged over 65 will
  increase by almost a third by 2020
• Over 85s will double. Over 100s quadruple
• Increase of 2.9 million people with disabilities
  to 8.6 million by 2040
Older People
• Average man will have 9 years with long term limiting illness
  compared to 6 years in 1981
• As the numbers grow, demand for care will increase, creating
  a need for public services but also for informal carers such as
  family and friends
• We expect 1.7 million more people will require care and
  support in 20 years
Expectations
“There are now 17 million baby boomers marching towards
  retirement with a high set of demands and a clear
  expectation of what they want in retirement....”
Age Concern 2004

• The Disabled People’s movement has succeeded in
  driving huge changes to the way we think about equality
  and opportunities for disabled people, emphasising the
  need for people to have control over their own lives

• Expectations will create demands for new and higher
  quality services
Expectations

I need         Tell me what I need – give it to me how and when I want


                      I know what I need give me the solution I want when
        I want        and how I want


                              I don’t know what I need, nor what the solution is
                 I can        can we have a conversation


                                      I don’t want a service I want support
                         I am         and tools to self manage


From Charles Leadbetter: The rise of the I can economy
Information

• People’s desire for information, combined with trends in
  the use of technology, means people will increasingly
  expect to be kept well informed and involved
Technological change

• From stair lifts to pressure packs, sensors
  and motion detectors

• Social networking and web 2.0
Economic change

• 2.8 million more in employment than 1997

• An average 70 year old has illiquid assets of
  £215,000 in 2005 compared to £88,000 in 1995

• In 2004 people 60+ owned £932 billion in equity
  on homes
Current system
• Unfair
          – lack of consistency and rationing
          – Lack of choice and control
• Lack of clarity
          – Lack of understanding of the system which is
            complex and complicated
          – Multiple funding and assessment procedures
• Value for money
          – Lack of early intervention
          – Balance of services focused on
• Outcomes
          – Are reduced as a consequence
What does this mean?
• Improvements over the last decade across all public
  services have created a strong foundation for responding
  to future challenges
• The next phase of public service improvement will depend
  on developing a new professionalism and more
  personalised approaches to meet people’s diverse needs
• Public services need to become more tailored to prevent
  and address complex needs, such as chronic health
  conditions
• There needs to be a greater emphasis by public services
  on integrating their responses for those with complex and
  entrenched problems, by joining up and tailoring services
  around the whole family
What are we doing?

• The current system is not sustainable

• Therefore we are committed to a 2 stage
  strategy
         –Transformation through Putting People
          First
         –Care and Support Green Paper
Key policy drivers




Overarching principle –
Families and Communities in 21st Century
 Transformation programme
• Establishes a collaborative
  approach
• Sets out shared aims and
  values to guide transformation
  of adult social care
• Everyone who receives care
  and support will have choice
  and control
• System is universal
• Intervention is early
A personalised adult social
care system
• Joint Strategic Needs Assessments
• commissioning to stimulate high quality responsive
  services
• provision of universal information
• common assessment processes
• Person Centred Planning
• personal budgets
• support for user led organisations & other advocacy
• workforce strategies to promote the values
  set out in PPF
The case for change
• The Government has
  committed to publish a
  Green Paper on the reform
  of care and support
• We want to engage with the
  public and stakeholders to
  debate this issue
• This week we published a
  document launching a large
  scale public debate which
  sets out the issues and
  trade-offs
Our vision for the future of Care and Support is
shaped by the needs of the people
                  We want a society where


                                                           Everyone
                                                       should be able
                                    Public services
                                                        to understand
 Everyone is                         enable people
                 Everyone has                             their role in
respected and                            to feel
                the opportunity                         terms of what
  included as                         empowered
                  to fulfil their                      they contribute
equal members                        and supported
                    potential                           to society and
   of society                       in meeting their
                                                         what they are
                                       aspirations
                                                       entitled to from
                                                         government
Three principles will underpin any new system


                  Ensure that
                 everyone can
                   receive the    Be affordable
    Promote       high-quality          for
independence         care and     government,
 , choice and     support they     individuals
    control;        need, and     and families
                    support is     in the long
                   targeted at        term.
                 those most in
                      need;
1. What more do we need to do to make our
   vision of independence, choice and control
   a reality?
2. What should the balance of responsibility
   be?
3. Should the system be the same for all or
   should we consider varying the way we
   allocate state funding?
What does this mean for
you?


• Research to enable transformation of social care

• How do we ensure the workforce have the skills
  to deliver this agenda?
What we will do to support
this?
• UK Social Care Research Collaboration
• Central Register for Social Care Research
• NIHR School for Social Care Research
• SCIE’s development and focus on research into
  practice
• Review of Social Work Education
         Thank you

David Behan, Director General
Social Care, Local Government and Care Partnerships

				
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