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SPRING 2015
where sold
REGULAR FEATURES
INSIDE
THIS
ISSUE
Issue 28
FEATURE
Eating & Hygiene Nurse Call & Infection Uniforms & Energy Nutritional Technology Medication Bathing & Care Control Workwear Solutions & Software Management Washrooms Alarms Page 21
Pages 22-24
Pages 25-27
Pages 28-29
Pages 30-31
Pages 32-34
Page 35
Pages 40-41
Editor's Viewpoint Furniture & Fittings
PAGE 2 35-39
Dementia Care & Training 42-44 Property, Finance
45-47
& Professional
Care Act Brings 'Biggest Shake-Up In 60 Years' Major changes to the care system in england have been introduced from april 1st in what is being called “the biggest shake-up for 60 years”. The much heralded Care Act 2014 has come into force with promises of significant change to the social care landscape. Mary Chant, Partner in Blake Morgan’s Health and Care team outlines the key changes; The early headlines about the Act revolved around the cap on care costs and the increased thresholds for the financial means tests for eligibility for care. Whilst these are important and likely to present operational challenges for providers, they do not come into effect until April 2016 and the detail about how they are to work is yet to be published. The Act is a substantial piece of legislation but it contains a number of key themes: • Care should be centred around the needs of the individual rather than around the services which are available. Previous care legislation focussed on obligations to make certain types of care services available and therefore needs tended to be shaped to fit services rather than the other way around. • The significant focus on the accessibility of comprehensive information about care and support services available in an area means there is an emphasis on authorities and providers working together. This co-operation ensures existing services are publicised and services are developed to suit the local population. • There has been considerable criticism in the past that entitlement to care has varied between areas and the Act seeks to bring consistency in a number of ways. There is now a
definition of "eligible needs", although it is controversial as in some areas the tests will exclude from care and support people who would have qualified previously. • Assessment of needs must be carried out by an authority regardless of the individual's finances. Assessment and financial support are different things. • As well as information about types of care, authorities must provide details about independent financial advice to assist the local population to plan for care and understand how to fund it. The Act imposes most of its obligations on local authorities, and will change the way they commission services due to the focus on promoting the wellbeing of the individual. Leaving aside the issues which providers will face when the change in care and support funding is introduced, the most immediate effect on providers is likely to be practical - co-operation, provision of information, embracing integrated care. However, providers may find they are also at the forefront of educating potential service users, for whom the changes could have a profound impact. David Pearson, president of the Association of Directors of Adult Social Services, said the changes were "probably the most significant development" since 1948. But he said there were still issues to resolve on the underfunding of the system. Unlike the NHS, the care system budget has been cut in real terms this Parliament. Janet Morrison, of the charity Independent Age, said the Care Act had the "potential to revolutionise" services. But she said: "With a rapidly ageing population, we need an honest debate during and after the election about the true costs of care."