Issue - meetings

One of the Council’s strategic goals for the wellbeing of residents is to support our residents to live longer and live well.  We do this in many ways with the aim of enabling people to live independently at home in their own community. We also support people to return home sooner from hospital with the care they need. Surrey’s population is both rising and ageing. It is estimated that older people will make up 20% of the population by 2021, increasing the demand on health and social care services.

Income from charging is an essential contribution to Adult Social Care’s budget to support the delivery of Adult Social Care Services to help people live and age well. The Council has faced a significant reduction of core central Government funding for 2016/17, alongside the increasing demographic demand for services.

At the Cabinet meeting on 22 March 2016 it was agreed that the Council would consult on proposals to revise the charging policy for Adult Social Care. If the proposals are not implemented, then it is likely that the additional savings required in their place, would affect a much wider range of individuals in receipt of care services. The proposed changes to the charging policy are therefore a more equitable approach, as they are based on each person’s ability to pay towards their care, subject to their personal circumstances. 

This report summarises the responses to the consultation and sets out a new charging policy for Adult Social Care services. The Cabinet should consider the summary of consultation responses which can be found at Annex 1.

[The decision on this item may be called in by the Social Care Services Scrutiny Board]

RESOLVED:

1.     That the Council continue to apply the disregard of £20.00 per week when charging for respite care.

2.     That subject to the revisions in recommendation 1 above, the charging policy for Adult Social Care as found at Annex 2 of the submitted report be approved and implemented.

3.     That these changes take effect from 3 October 2016.

Reasons for decisions

In light of the very significant financial pressures the Council faces and the increasing demand for services, it is important to review the charging policy to ensure that those who are assessed as being in a position to contribute towards their care costs are making an appropriate contribution that will help maintain high quality care and support for all residents of Surrey with eligible social care needs.

The proposals do not significantly change charging for the majority of people in receipt of non-residential care and support, but will contribute to the sustainability of providing adult social care services. 

The proposed policy will continue to provide an open and transparent framework which will enable people to make informed decisions about how their care and support needs may be met and will bring the Council’s charging policy in line with the majority of other local authorities.

The Cabinet Associate for Adult Social Care, Wellbeing and Independence introduced the report on behalf of the Cabinet Member. He informed Members that the first report on this issue came before Cabinet in February 2015 when approval was sought to go out to consultation regarding four proposals to amend aspects of the Adult Social Care charging structure. He went onto say that the four proposals were as follows:

1.     For an administration fee to be charged for full cost payers.

2.     For an increase from 90 to100% of the available income to be taken into account in charges for people in receipt of non-residential care and support.

3.     For the full rate of allowances received by people in receipt of national disability benefits to be taken into account when determining the level of support provided by Adult Social Care.

4.     For the current £20 per week disregard when assessing a person’s ability to contribute towards respite care to be removed.

He stressed that further detail was contained within the report and that the proposals were expressly permitted under the Care Act. He highlighted that details of the consultation were outlined in the report and informed the Cabinet that 7000 people in receipt of chargeable services were contacted alongside a further 700 that could potentially be impacted in the future. He explained that just under a quarter of those contacted had responded and their responses could be found within annex 1 of the submitted report.

He drew particular attention to the Equalities Impact Assessment action plan and the Council’s duty and policy to regularly reassess residents in receipt of Adult Social Care services. He stressed that should the Cabinet approve these proposals, the intervening period before the implementation date of 3 October 2016 would be used by the Adult Social Care service to gauge the impact of the proposals at an individual level via the assessment process.

He summarised by saying that the budget challenges were great and would be greater going forward and informed Members that should the proposals not be implemented then it would be likely that additional savings required would affect a much wider range of individuals in receipt of care services.

The Cabinet Associate for Community Safety said that she had read the report with interest and had concerns about the Equalities Impact Assessment regarding carers in communities. She stated that she understood bringing charges in line with statistical neighbours but that respite care was hugely important and that removal of the £20 disregard could have a negative impact on the wellbeing of carers.

The Cabinet Member for Children and Families Wellbeing also expressed concerns about the impact on carers and said that this should not be overlooked. She stated that this proposal was as much about wellbeing as about financial concerns and she then proposed an amendment to the recommendations to ensure that the Council continued to apply the £20 disregard per week when charging for respite care.

This amendment was agreed by the Cabinet and  ...  view the full minutes text for item 152