2015 Report details for project: Care and Support Implementation Programme

Project name: Care and Support Implementation Programme - there are 2 reports for this project: 2015, 2016
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Organisation: DOH (D12) - see all reports for this organisation
Report year: 2015 (data is from Sept 2014)
Category: Transformation - see all reports for this category
Description: The Care and Support Reform Programme is the most significant and far-reaching programme of reform in adult social care undertaken in over 65 years. It will have a profound impact on the way the care and support system works, the responsibilities of local government and partners, and the rights, outcomes and experience of people who need care, carers and their families. The 'Caring for our future' White Paper published in July 2012 set out a wide ranging set of proposals that provide the framework for transforming care and support including: refocusing the care system onto prevention and early intervention; strengthening integration across the care and wider support system; empowering people through transparent information on the quality of the care; supporting communities and neighbourhoods to play a more active role; embedding person-centred care and supporting carers; creating a vibrant, sustainable market to support choice; a commitment to implement a cap on care costs. The new system will promote people’s well-being by enabling them to prevent and postpone the need for care and support, and put them in control of their lives to pursue opportunities, including education and employment, to realise their potential. The programme supports realisation of the vision for care and support set out in the White Paper by: • delivering the legal framework, including the Care Act 2014, regulations and statutory guidance. • ensuring that appropriate local government implementation plans are in place for April 2015 and April 2016 milestones and providing assurance on state of readiness. • providing national leadership and practical support for implementation, including communications materials, specifications (e.g. data standard and interoperability requirements) and learning and development. Implementation of the programme occurs in two phases. Phase 1, introduced from 1 April 2015, will see the implementation of a large number of generally lower-risk reforms that will have the greatest effect on the provision of care and support. Phase 2 changes, introduced from 1 April 2016 will see the implementation of a smaller number of higher-risk reforms, related to funding of care and support and the creation the cap on care costs. Together these reforms represent a major change programme across 152 local authorities and their partners.
DCA (RAG): Amber/Red
DCA text: The MPA RAG rating was Amber/Red at Q2 2014. Because of the complexity of the Programme and the indirect nature of the delivery mechanisms, as well as the separate and inherent risks to local government arising from fiscal constraint, the Delivery Confidence at this point remains as: Amber/Red. The recent rating reflects strong support and commitment across the system, but also the residual challenges to local authorities and risk profile. The Amber/Red rating reflects greater complexity, uncertainty and the risk of diversion during 2015. The Programme has made good progress and 2015/16 delivery is now more secure. The Care Bill achieved Royal Ascent in May 2014 becoming the Care Act 2014, regulations and guidance underpinning the reforms that come into effect in April 2015 were published in October 2014, including agreement of the funding for local government of the new burdens from the changes. The tripartite partnership between DH, LGA and ADASS at the heart of the programme continues to be a strong one and a major asset to the Programme. The partnership with the LGA and ADASS ensures shared ownership and implementation of a programme management approach to assure delivery. An assurance and implementation support strategy has been agreed that combines oversight, monitoring and assessment at all levels with a commitment to target resources appropriately to tackle risk. Steps we have taken to address the risk to date risk include the provision of £19m direct to local authorities to build programme management capacity and support engagement in assurance, with £4m of funding for local authorities in addition to £2.7m provided to establish nine regional delivery partnerships to support local implementation. We have also made a significant investment in a range of implementation support products that support local authorities and providers to prepare their workforce for the changes and assist communication. Good progress has been made with implementation of an action plan to address MPA recommendations, as well as in delivering the Programme Plan. Programme Management has been strengthened and lessons from Phase 1 are being applied to reduce risk to delivery for Phase 2. Improvements in the transition from policy development to implementation have been identified and are being applied to Phase 2. We recognise the risk that the uncertainty caused by the election and Spending Review may undermine efforts to deliver Phase 2, however we are confident that we are developing plans and contingency options to do everything within our control to manage this uncertainty and encourage preparations to allow implementation Phase 2.
Start date: 2013-06-04
End date: 2016-12-01
Schedule text: Phase 1 delivery is on track for 1 April 2015. A LGA / ADASS stocktake survey completed in September 2014 (prior to delivery of key support products and funding) identified that 97% of councils are very or fairly confident that they will be able to deliver the Care Act reforms from April 2015 and confidence increasing on most measures of progress. Delivery of Phase 2 remains on time for introduction of reforms from 1 April 2016. Whilst the consultation on the 16/17 reforms has been put back from December 2014, a focused and effective consultation early in 2015 will allow the timetable for Phase 2 to stay on track.
Baseline: £62.90m
Forecast: £0.40m
Variance: -99.40%
Variance text: Q2 forecast return reports actual spend at this point. Profile of spend such that most commitments and spend occur towards the end of the financial year. We anticipate the forecast / actual spend reported in Q4 will be within 1% variance of budget. This variance is due to the fact that it does not reflect the funding to local authorities to support them in implementing the Care Act which accounts for approximately a third of the variance. The majority of grant payments to delivery partners are scheduled for the latter 2 quarters of the year. Business cases for implementation support products were largely approved between October and December thus this significant area of spend will show in the last quarter. Additional implementation support to Local Authorities has been approved since Q2 and Phase 1 of the public awareness campaign has been approved but will not reflect in the figures until the final quarter.
Whole Life Cost: £1,682.40m
WLCost text: The costs of the reforms are captured within the impact assessments supporting the White Paper and the draft regulations and guidance published in June 2013 for consultation and in the Funding Reform Impact Assessment published with the draft Care Bill in April 2013. These costs and benefits have been updated to reflect the approved changes in the impact assessment published alongside the regulations and guidance for part 1 of the Care Act that come into effect from 1 April 2015. Figures also capture planned departmental programme spending agreed as part of 2014/15 business planning and projections for future years - which are subject to approval. The costs are quoted in 15/16 prices to be consistent with these impact assessments.
Notes1: DOH NON CAPITAL
Notes2:
Sourcefile: IPA_2015.csv

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