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Get in on the Act: Health and Care Act 2022
- Author:
- LOCAL GOVERNMENT ASSOCIATION
- Publisher:
- Local Government Association
- Publication year:
- 2022
- Place of publication:
- London
This briefing outlines what the Health and Care Act 2022 covers, how it will impact local government, the timeline for implementation and signposts to additional guidance and resources. The Act is a wide-ranging and complex piece of legislation with many measures that concern internal NHS operations, such as reducing bureaucracy, details about financial and staffing arrangements for establishing new bodies, and miscellaneous items that required primary legislation. This document summarises the broad provisions that are relevant to local government and gives the Local Government Association's (LGA) policy messages where appropriate. The evolving commencement timeline confirmed by DHSC for measures in the Act so far is as follows: by July a small number of preparatory provisions will enter into force to enable integrated care boards to be established; major elements of the Health and Care Act, including but not limited to integrated care boards, integrated care partnerships and the merger of NHSE and NHSI, the NHS Trust Development Authority and Monitor, will come into force on 1 July; other measures of the Act are intended to come into force beyond July. The DHSC will be confirming more details in due course. (Edited publisher abstract)
Ripe for reform: the sector agrees, now the public expects: a guide to the care and support white paper
- Author:
- LOCAL GOVERNMENT ASSOCIATION
- Publisher:
- Local Government Association
- Publication year:
- 2012
- Pagination:
- 24p.
- Place of publication:
- London
For decades, different governments have put forward ideas on exactly how adult social care and support reform will work. The Local Government Association (LGA) has long campaigned for reform of the care and support system and it believes the government is edging closer to seeing real, tangible change for the better. The forthcoming white paper will be the next important step on this journey and the LGA wants to use its publication to continue building the momentum for reform. This reference guide sets out what is hoped for in the white paper and the measures that will be used to judge it. This is about the likelihood of the white paper moving England toward the sort of system that is required in the future. This guide therefore helps the reader to understand what the LGA wants from the white paper and provides a means for gauging its potential impact.
Survey of confidence in adult social care reform
- Author:
- LOCAL GOVERNMENT ASSOCIATION
- Publisher:
- Local Government Association
- Publication year:
- 2022
- Place of publication:
- London
The results of the LGA's survey with council lead members for adult social care, assessing their levels of confidence in the upcoming adult social care reforms. In June 2022 the Local Government Association (LGA) conducted a survey of the lead members for adult social care of all councils in England. A total of 80 responded - a response rate of 53 per cent. Key findings include: seventy-eight per cent of respondents were very or fairly confident in their council's ability to meet existing statutory duties in adult social care, disregarding future reforms, compared to 21 per cent who were not very or not at all confident; the aspects of the reforms which respondents expressed the greatest confidence in being able to deliver was adult social care assurance, which 55 per cent said they were very or fairly confident in their council's ability to deliver within the government's timetable; the aspect of the reforms which respondents were least confident in implementing to the government's timetable was Section 18(3) of the Care Act, whereby self-funders can ask their council to arrange their care at the rate the council pays, with 66 per cent saying they were not very or not at all confident in delivering this aspect of the reforms; the vast majority (98 per cent) of respondents were not very or not at all confident that the government funding earmarked for the adult social care reforms is sufficient to deliver them. A large majority (86 per cent) of respondents thought that some or all of the adult social care reforms should be delayed, including 20 per cent who thought that all of the reforms should be delayed and 65 per cent who thought that some of the reforms should be delayed. Respondents' comments focused on the difficulty of acquiring the necessary staff capacity for the reforms, the significant additional expenditure which the reforms are likely to require, the potential impact on other council services of delivering the reforms, and the simultaneous difficulties imposed by rising demand from deprivation, the ageing population, the rising cost of living and the ongoing impact of the COVID-19 pandemic. (Edited publisher abstract)
Adult social care position statement
- Author:
- LOCAL GOVERNMENT ASSOCIATION
- Publisher:
- Local Government Association
- Publication year:
- 2022
- Place of publication:
- London
Outlines LGA's vision for investing £13 billion into adult social care. Adult social care exists to enable adults of all ages and with a range of conditions to live their best life and an equal life. When done well it can be transformative. But following a decade of underfunding in which adult social care had to manage a funding gap of £6.5 billion, and just as the service started to emerge from the long shadow of COVID-19, the sector is facing a set of soaring inflationary pressures, and others associated with the rising cost of living, that threaten its ability to function at even the most rudimentary level. This statement argues that there is an opportunity for the new Government to demonstrate that an investment in adult social care is about investing in the lives and futures of our loved ones, rather than simply 'fixing a problem'. This requires action on the following three key priorities: an immediate injection of £6 billion to tackle current pressures and limit their immediate and short-term impact; further immediate investment of £7 billion to enable adult social care to deliver its range of statutory duties under the Care Act, particularly in terms of helping prevent the onset or escalation of people’s needs, avoid admission to hospital, and - if that is required - to recover quickly and well from that experience; reconsidering the timetable for wider reform. (Edited publisher abstract)
Must know: integrated health and care: how do you know your council is doing all it can to promote integration to improve health and social care outcomes at a time of change?
- Author:
- LOCAL GOVERNMENT ASSOCIATION
- Publisher:
- Local Government Association
- Publication year:
- 2021
- Place of publication:
- London
This ‘Must Know’ outlines major changes to health and care integration arising from the Health and Care Bill. Subject to the Bill’s passage through Parliament, integrated care systems (ICSs), which have been operating as voluntary partnerships, will be placed on a statutory footing in April 2022. Each ICS will have an integrated care board responsible for NHS and wider integration, and an integrated care partnership responsible for promoting health, care and wellbeing. Each ICS will also comprise partnerships at place level and joint arrangements at locality level through primary care networks. This Must Know considers interim guidance as available in Autumn 2021 and sets out key messages for developing arrangements that will drive key aims of integration: improving outcomes for people who use health and care services, carers and communities; improving their experience of services; developing prevention to promote health, wellbeing and independence, and tackle health inequalities so the demand for statutory, intensive or long-term services will be reduced. This Must Know includes examples of health and care systems that have focused on developing strong partnerships both across the system at ICS level and in place-based partnerships. (Edited publisher abstract)
The lives we want to lead: where next for the debate about care and support reform?
- Author:
- LOCAL GOVERNMENT ASSOCIATION
- Publisher:
- Local Government Association
- Publication year:
- 2021
- Place of publication:
- London
The severity of the pandemic and the resultant upheaval and change in our daily lives since then has been staggering. Yet, while it may feel like everything has changed, some things have not. The issues facing social care, particularly the scale of funding pressures are just as pressing, with many having been exacerbated by the pandemic. Summarising the findings of five roundtable discussions with experts from across the sector, this report highlights some of the themes that underpin the debate about care and support reform, including: the nature of the reform debate; lessons from COVID-19; a new vision for social care; national versus local and the provider-commissioner relationship; health and integration. The key common features of a new social care vision identified by participants were as follows: primary focus on the person; seeing the whole person; control, choice and co-production; trust – several participants noted that the “commodification of care” has given rise to a system that “follows the public pound”; workforce – a new deal for the social care workforce needs to be a central feature of a future vision for care and support; and a place-based approaches to health and wellbeing. (Original abstract)
Public health transformation twenty months on: adding value to tackle local health needs
- Author:
- LOCAL GOVERNMENT ASSOCIATION
- Publisher:
- Local Government Association
- Publication year:
- 2015
- Pagination:
- 46
- Place of publication:
- London
This compilation of case studies shows how local authorities are continuing to make progress on improving health and wellbeing and tackling health inequalities since public health was formally transferred in April 2013. It illustrates a range of ways in which public health in councils is approaching its new roles. The case studies include councils spread across England, covering both rural and urban environments and with varying levels of deprivation and affluence. Key themes emerging from the case studies include: organisational structure; councils' regulatory and planning functions; commissioning and procurement; integration and system-wide approaches; the offer to the NHS; and outcomes. The document also highlights challenges and future plans around funding, system-wide integration, engagement across the council structure and priority setting. (Edited publisher abstract)
The reform of adult social care and support: a guide for council leaders and chief executives
- Authors:
- LOCAL GOVERNMENT ASSOCIATION, ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES, SOCIETY OF LOCAL AUTHORITY CHIEF EXECUTIVES
- Publishers:
- Local Government Association, Society of Local Authority Chief Executives
- Publication year:
- 2012
- Pagination:
- 28
- Place of publication:
- London
The LGA, SOLACE and ADASS share similar positions on the care and support reform agenda. This document summarises and comments on significant Coalition Government pronouncements and the wider context of reform leading up to the White Paper 'Caring for our future: reforming care and support' (2012), the related Draft Bill and a progress report on funding reform. The last mentioned item is the government's response to the recommendations on the Dilnot Commission on how much individuals should be expected to contribute to care costs. The implications of these reforms for local government are considered. This guide will be of interest to those whose work focuses on, or has some connection with, adult social care and support. (Original abstract)
Think child: the councillor's guide to Quality Protects
- Authors:
- GREAT BRITAIN. Department of Health, LOCAL GOVERNMENT ASSOCIATION
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 1999
- Pagination:
- 36p.
- Place of publication:
- London
Guide, aimed at councillors in local government, to the government's three year programme designed to improve local authority services to children and young people.
Working in partnership: creating an effective rough sleeper strategy
- Author:
- LOCAL GOVERNMENT ASSOCIATION
- Publisher:
- Local Government Association
- Publication year:
- 2022
- Place of publication:
- London
This paper looks at the key aspects of developing an effective rough sleeper strategy, based on a roundtable to discuss councils' priorities for a new strategy, due to be released later in the year. The roundtable was broken up into three workshops to look at what central government, local government and the third sector can do to help end rough sleeping. The paper sets out the asks for central government (Department for Levelling Up, Housing and Communities (DLUHC), Department for Work and Pensions (DWP), Department for Health and Social Care (DHSC), Ministry of Justice (MoJ), Home Office, and Department for Education (DfE)); asks for local government; and asks for the third sector. It also describes what success looks like; the barriers and challenges; and the changes that are needed. (Edited publisher abstract)