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WHF Policy conference: Priorities for social care in England

Westminster Health Forum policy conference

Priorities for social care in England – funding, sustainable reform, and delivering effective integrated care

Morning, Tuesday, 14th December 2021

Book Online | Live Agenda

Sir Andrew Dilnot, Warden, Nuffield College Oxford; and Chairman, Commission on the Funding of Care and Support 2010-2011

Michelle Dyson, Director General, Adult Social Care, Department of Health and Social Care

Anna Severwright, Convener, Social Care Future
Dr José Luis Fernández, London School of Economics and Political Science and NIHR; Professor Jon Glasby, University of Birmingham and IMPACT Centre; Martin Green, Care England; Edel Harris, Mencap; Emily Holzhausen, Carers UK; Richard Humphries, Association of Directors of Adult Social Services; Abdool Kara, NAO; Richard Sloggett, Future Health Research and Former Special Advisor to the Secretary of State for Health and Social Care; Kathryn Smith, Social Care Institute for Excellence; and Simon White, Surrey County Council

Chaired by:

Lord Bichard, Member, Public Services Committee

Key areas for discussion:

Funding and reform

  • the Plan for Health and Social Care – looking at stakeholder perspectives on planned government reform, including:
    • the introduction of a new cap on the amount anyone in England will need to spend on their personal care over their lifetime from October 2023
    • the new Health and Social Care Levy
  • capacity – priorities for developing a long-term plan to address workforce capacity and future demand


Integration and collaboration between health and social care

  • collaboration – next steps for improving collaboration with healthcare in local areas:
    • building on partnerships from the pandemic
    • embedding a focus on outcomes rather than processes in the system
    • overcoming barriers to integration
  • implementation – evaluating the funding and support required to effectively implement proposals within the Health and Care Bill
  • the role of local leadership – looking at how local leadership can be positioned to support integration and collaboration
    • with the Government outlining plans for local leaders to be given the freedom to align incentives and structures to deliver care in the way that is best for their communities
  • data – assessing how the improved use of data can be used to deliver sector improvements
  • quality of services and accountability – examining:
    • government plans to introduce a new assurance framework so as to ensure local authorities deliver on their obligations for users
    • the impact of the NAO report earlier this year which found that there was not enough oversight from local authorities on the delivery of adult social care services
    • the role of the new CQC duty set out in the Health and Care Bill to review the delivery of adult social care services in local authorities, including:
      • ways in which it can improve accountability and transparency
      • the impact of proposals for the Secretary of State to intervene in cases of poor performance
    • priorities for building public trust and the extent to which proposed reforms, with their efforts to improve accountability, support this
    • how reforms and insight from CQC assessments of local authorities can be utilised to improve understanding of the quality of services across the country and tackle variation


Challenges of COVID-19 and priorities for recovery

  • key lessons to take forward – assessing what can be learned from the social care response to the COVID-19 pandemic and how to mitigate challenges in future
  • delivery of care – looking at how the pandemic has impacted the delivery of care and assessing what this means going forward
  • workforce – priorities for supporting the social care workforce through the pandemic and what is required for recovery


Workforce and skills

  • COVID-19 vaccination – evaluating the impact of vaccination becoming a requirement for employment on the capacity of the social care workforce
  • support – examining priorities during the pandemic as well as for recovery, and what is required in the long term to enable the workforce to deliver safe and effective care
  • wellbeing – looking at approaches for supporting mental health and team resilience as well as the role of leadership
  • capacity – what is required from reforms to improve workforce capacity and looking at how to build capacity in order to meet future demand
  • skills and retention – priorities for personal development, pay, and workforce retention
    • with the Government’s Plan for Health and Social Care committing to developing a plan to support professional development and the long-term wellbeing of the workforce


The context for discussion:

Build Back Better: Our Plan for Health and Social Care – the Government’s plan for health and social care, including:

    • a new £86,000 cap on the amount anyone in England will need to spend on their personal care over their lifetime from October 2023
    • a new UK-wide levy, ring-fenced for health and social care, to be funded by an increase of 1.25% in National Insurance Contributions and a 1.25% rise on tax on dividends
      • from 2023 the levy will become a separate tax on earned income
    • plans to provide financial assistance to those without substantial assets
    • a white paper for adult social care which will be developed with care users, providers, and other key stakeholders and focus on proposals for system reform
  • the Health and Care Bill – with proposals to improve the integration and quality of social care services, including:
    • a new duty for the CQC to assess local authority delivery of social care, with the Secretary of State being able to act where the CQC finds areas in need of improvement
    • enhanced insight and understanding of how performance varies around the country
    • supporting collaboration and integration between health and social care within local areas
  • £7bn funding package for health and care services – aiming to support capacity and service delivery, as well as provide additional funding for infection control and testing in social care through the Adult Social Care Infection Control and Testing Fund
  • long-term funding of adult social care inquiry – the Housing, Communities and Local Government Select Committee inquiry into the changing landscape for social care following the pandemic and what this means for long-term funding
  • new law requiring full vaccination for everyone working in care homes – which came into force from October as part of efforts to reduce risk for those living in care homes
  • 2021 to 2022 Better Care Fund policy framework – which aims to support the delivery of integrated and person-centred care within local communities
  • call for evidence on the ending of freedom of movement on the adult social care sector – launched by the Migration Advisory Committee and looking at the long-term impact on recruitment and skills
  • NAO report on the adult social care market in England – looking at the current market, future plans, and the DHSC’s response, as well as offering recommendations for future reform
  • health and wellbeing of the adult social care workforce – guidance from the Department of Health and Social Care to support social care leaders with the wellbeing and resilience of their teams
  • the announcement of extra funding to help adult social care in winter 2021 – an extra £388.3m has been promised by the DHSC to prevent the spread of infection in social care settings
    • including £25m to help care workers access COVID and flu vaccines over the winter months
  • the newly established Office of Health Improvement and Disparities (OHID) – which aims to help address inequalities in public health, reduce pressures on healthcare systems, tackle the healthcare backlog, and put social care on a sustainable footing
  • the Health and Social Care Leadership Review – launched in October 2021, the review will look to improve processes and strengthen leadership in health and social care in England
  • State of Care – the CQC report which assesses the impact of the ongoing pandemic on care services for both workers and service users, looking at inequalities in access to and quality of care, the need for mental health  care, and the strain the pandemic has put on carers
  • the Made with Care recruitment campaign – a media campaign launched on 3rd November to encourage people to pursue a career in care


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