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483040

registered interest
date	21/03/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether he has made an estimate of the number of people in each of the next five years that would have received financial support as a result of the introduction of the cap on care costs proposed for April 2016 which has been postponed until April 2020.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	31810
answer	answer is ministerial correction date of answer 24/03/2016 answer text <p>The Department published an Impact Assessment of the cap on care costs system alongside a consultation on draft regulations and guidance in February 2015. This estimated that the numbers of people who would receive financial support as a result of the introduction of the cap and extensions to the means test from 2016 to 2026 would have been as follows:</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2016/17</p></td><td><p>2017/18</p></td><td><p>2018/19</p></td><td><p>2019/20</p></td><td><p>2020/21</p></td><td><p>2021/22</p></td><td><p>2022/23</p></td><td><p>2023/24</p></td><td><p>2024/25</p></td><td><p>2025/26</p></td></tr><tr><td><p>Additional people supported</p></td><td><p>23,000</p></td><td><p>24,000</p></td><td><p>28,000</p></td><td><p>38,000</p></td><td><p>53,000</p></td><td><p>64,000</p></td><td><p>71,000</p></td><td><p>74,000</p></td><td><p>78,000</p></td><td><p>81,000</p></td></tr><tr><td><p>Number reaching the cap</p></td><td><p>0</p></td><td><p>0</p></td><td><p>19,000</p></td><td><p>37,000</p></td><td><p>74,000</p></td><td><p>101,000</p></td><td><p>115,000</p></td><td><p>121,000</p></td><td><p>128,000</p></td><td><p>132,000</p></td></tr></tbody></table><p> </p><p>The Government remains committed to the implementation of the cap on care costs in 2020. This will offer financial protection and peace of mind to people who need care and support. In the meantime, means-tested financial support remains available for those who cannot afford to pay for care to meet their eligible needs.</p><p>The capital limits, which determine how much capital a person may hold whilst receiving means-tested financial support towards their social care, will remain at their current levels for the financial year 2016/17.</p><p>The Department plans to introduce the appeals system for adult social care in April 2020, alongside of the implementation of the cap on care costs.</p><p>Due to concerns around the potential impact, Ministers also decided to delay the implementation of Section 18(3) of the Care Act 2014 until 2020 in line with the timetable for implementing funding reform. This will allow the Department enough time to research the likely impact of these reforms on the market and develop effective mitigations.</p><p>Information on the number of delayed transfers of care is published by NHS England on a monthly basis and is available at the following link:</p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/delayed-transfers-of-care/delayed-transfers-of-care-data-2015-16/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/delayed-transfers-of-care/delayed-transfers-of-care-data-2015-16/</a></p><p>- see the delayed days by responsible organisation spreadsheet.</p><p>We do not have centrally held figures regarding the numbers of people who will enter the social care system in future, any impact that the cap on care costs might have on delayed transfers of care, or the numbers of people who might have asked local authorities to arrange their care under s18(3) of the Care Act 2014.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 32038 32039 32040 question first answered 24/03/2016 10:23:16 answering member 1201 label Biography information for Alistair Burt
tabling member	1439 label Biography information for Norman Lamb

483182

registered interest
date	21/03/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many delayed transfer days in England were recorded in the NHS in each year since 2010; and what assessment his Department has made of the potential effect on the number of delayed transfer days of the introduction of the cap on social care costs in each year between 2020 and 2026.
tabling member constituency	Wolverhampton North East
tabling member printed	Emma Reynolds
uin	32040
answer	answer is ministerial correction date of answer 24/03/2016 answer text <p>The Department published an Impact Assessment of the cap on care costs system alongside a consultation on draft regulations and guidance in February 2015. This estimated that the numbers of people who would receive financial support as a result of the introduction of the cap and extensions to the means test from 2016 to 2026 would have been as follows:</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2016/17</p></td><td><p>2017/18</p></td><td><p>2018/19</p></td><td><p>2019/20</p></td><td><p>2020/21</p></td><td><p>2021/22</p></td><td><p>2022/23</p></td><td><p>2023/24</p></td><td><p>2024/25</p></td><td><p>2025/26</p></td></tr><tr><td><p>Additional people supported</p></td><td><p>23,000</p></td><td><p>24,000</p></td><td><p>28,000</p></td><td><p>38,000</p></td><td><p>53,000</p></td><td><p>64,000</p></td><td><p>71,000</p></td><td><p>74,000</p></td><td><p>78,000</p></td><td><p>81,000</p></td></tr><tr><td><p>Number reaching the cap</p></td><td><p>0</p></td><td><p>0</p></td><td><p>19,000</p></td><td><p>37,000</p></td><td><p>74,000</p></td><td><p>101,000</p></td><td><p>115,000</p></td><td><p>121,000</p></td><td><p>128,000</p></td><td><p>132,000</p></td></tr></tbody></table><p> </p><p>The Government remains committed to the implementation of the cap on care costs in 2020. This will offer financial protection and peace of mind to people who need care and support. In the meantime, means-tested financial support remains available for those who cannot afford to pay for care to meet their eligible needs.</p><p>The capital limits, which determine how much capital a person may hold whilst receiving means-tested financial support towards their social care, will remain at their current levels for the financial year 2016/17.</p><p>The Department plans to introduce the appeals system for adult social care in April 2020, alongside of the implementation of the cap on care costs.</p><p>Due to concerns around the potential impact, Ministers also decided to delay the implementation of Section 18(3) of the Care Act 2014 until 2020 in line with the timetable for implementing funding reform. This will allow the Department enough time to research the likely impact of these reforms on the market and develop effective mitigations.</p><p>Information on the number of delayed transfers of care is published by NHS England on a monthly basis and is available at the following link:</p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/delayed-transfers-of-care/delayed-transfers-of-care-data-2015-16/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/delayed-transfers-of-care/delayed-transfers-of-care-data-2015-16/</a></p><p>- see the delayed days by responsible organisation spreadsheet.</p><p>We do not have centrally held figures regarding the numbers of people who will enter the social care system in future, any impact that the cap on care costs might have on delayed transfers of care, or the numbers of people who might have asked local authorities to arrange their care under s18(3) of the Care Act 2014.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 31810 32038 32039 question first answered 24/03/2016 10:23:16 answering member 1201 label Biography information for Alistair Burt
tabling member	4077 label Biography information for Emma Reynolds

483183

registered interest
date	21/03/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate his Department has made of the number of people in each year between 2015 and 2026 who will (a) enter the social care system, (b) be affected by the cap on care costs being delayed from April 2016 until April 2020, (c) be affected by the increase in the ceiling of the means test being delayed until April 2020 and (d) be affected by the delay until April 2020 of the full introduction of the duty on local authorities under Section 18(3) of the Care Act 2014 to meet the eligible needs of self-funders in care homes; and if he will make a statement.
tabling member constituency	Wolverhampton North East
tabling member printed	Emma Reynolds
uin	32038
answer	answer is ministerial correction date of answer 24/03/2016 answer text <p>The Department published an Impact Assessment of the cap on care costs system alongside a consultation on draft regulations and guidance in February 2015. This estimated that the numbers of people who would receive financial support as a result of the introduction of the cap and extensions to the means test from 2016 to 2026 would have been as follows:</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2016/17</p></td><td><p>2017/18</p></td><td><p>2018/19</p></td><td><p>2019/20</p></td><td><p>2020/21</p></td><td><p>2021/22</p></td><td><p>2022/23</p></td><td><p>2023/24</p></td><td><p>2024/25</p></td><td><p>2025/26</p></td></tr><tr><td><p>Additional people supported</p></td><td><p>23,000</p></td><td><p>24,000</p></td><td><p>28,000</p></td><td><p>38,000</p></td><td><p>53,000</p></td><td><p>64,000</p></td><td><p>71,000</p></td><td><p>74,000</p></td><td><p>78,000</p></td><td><p>81,000</p></td></tr><tr><td><p>Number reaching the cap</p></td><td><p>0</p></td><td><p>0</p></td><td><p>19,000</p></td><td><p>37,000</p></td><td><p>74,000</p></td><td><p>101,000</p></td><td><p>115,000</p></td><td><p>121,000</p></td><td><p>128,000</p></td><td><p>132,000</p></td></tr></tbody></table><p> </p><p>The Government remains committed to the implementation of the cap on care costs in 2020. This will offer financial protection and peace of mind to people who need care and support. In the meantime, means-tested financial support remains available for those who cannot afford to pay for care to meet their eligible needs.</p><p>The capital limits, which determine how much capital a person may hold whilst receiving means-tested financial support towards their social care, will remain at their current levels for the financial year 2016/17.</p><p>The Department plans to introduce the appeals system for adult social care in April 2020, alongside of the implementation of the cap on care costs.</p><p>Due to concerns around the potential impact, Ministers also decided to delay the implementation of Section 18(3) of the Care Act 2014 until 2020 in line with the timetable for implementing funding reform. This will allow the Department enough time to research the likely impact of these reforms on the market and develop effective mitigations.</p><p>Information on the number of delayed transfers of care is published by NHS England on a monthly basis and is available at the following link:</p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/delayed-transfers-of-care/delayed-transfers-of-care-data-2015-16/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/delayed-transfers-of-care/delayed-transfers-of-care-data-2015-16/</a></p><p>- see the delayed days by responsible organisation spreadsheet.</p><p>We do not have centrally held figures regarding the numbers of people who will enter the social care system in future, any impact that the cap on care costs might have on delayed transfers of care, or the numbers of people who might have asked local authorities to arrange their care under s18(3) of the Care Act 2014.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 31810 32039 32040 question first answered 24/03/2016 10:23:16 answering member 1201 label Biography information for Alistair Burt
tabling member	4077 label Biography information for Emma Reynolds

450535

registered interest
date	03/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many local authorities with a social care responsibility have made local authority-funded care available for those with less than substantial care needs, in each of the last five years.
tabling member printed	Lord Lansley
uin	HL5897
answer	answer is ministerial correction date of answer 11/02/2016 answer text <p>The following table shows where local authorities set their local eligibility criteria within the eligibility framework set out in the statutory guidance <em>Prioritising Need in the Context of Putting People First: A whole system approach to eligibility for social care</em>.</p><p> </p><table><tbody><tr><td><p><strong> </strong></p></td><td><p>Critical</p></td><td><p>Substantial</p></td><td><p>Moderate</p></td><td><p>Low</p></td></tr><tr><td><p>2010/11*</p></td><td><p>-</p></td><td><p>-</p></td><td><p>-</p></td><td><p>-</p></td></tr><tr><td><p>2011/12</p></td><td><p>3</p></td><td><p>121</p></td><td><p>25</p></td><td><p>3</p></td></tr><tr><td><p>2012/13</p></td><td><p>3</p></td><td><p>127</p></td><td><p>19</p></td><td><p>3</p></td></tr><tr><td><p>2013/14</p></td><td><p>3</p></td><td><p>130</p></td><td><p>16</p></td><td><p>3</p></td></tr><tr><td><p>2014/15**</p></td><td><p>-</p></td><td><p>-</p></td><td><p>-</p></td><td><p>-</p></td></tr></tbody></table><p> </p><p>Source: ADASS Budget Survey</p><p>* Data not collected</p><p>** Data not published</p><p> </p><p>The Care Act 2014 provides the power for Secretary of State to set national eligibility criteria. The national criteria are set out in the Care and Support (Eligibility Criteria) Regulations 2015, which were implemented in April 2015. The national eligibility threshold is set at a level where an adult’s needs have a significant impact on their wellbeing. Local authorities cannot tighten eligibility above this threshold, but they can choose to meet needs below this threshold.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 11/02/2016 15:09:59 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	123 label Biography information for Lord Lansley

445627

registered interest
date	18/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the effect of pension freedoms policy on the cost to local authorities of residential care.
tabling member constituency	Wrexham
tabling member printed	Ian C. Lucas
uin	22919
answer	answer is ministerial correction date of answer 22/01/2016 answer text <p>The pension freedom reforms are a fundamental change to how people can access their pension savings. The Government believes it is important to monitor these changes to understand their effects on the market and consumers. The impact of people’s pension choice can affect the extent to which they have to contribute to their social care costs.</p><br /><p>The Department of Health, working with other Government Departments, assessed the potential effect of the policy on the cost to local authorities of residential care to be small compared to overall expenditure on residential care.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 22/01/2016 10:29:17 answering member 1201 label Biography information for Alistair Burt
tabling member	1470 label Biography information for Ian C. Lucas

439694

registered interest
date	21/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment the Department of Health or NHS England has made of the risk of the wide-scale withdrawal of adult social care providers from publicly-funded social care markets and the implications of such a withdrawal for the NHS; and whether such a possible withdrawal features on the Department of Health risk register.
tabling member printed	Lord Warner
uin	HL4770
answer	answer is ministerial correction date of answer 05/01/2016 answer text <p>The Department monitors a number of risks to the health and social care system through its high level risk register, including the availability of good quality adult social care that is affordable for local authority and National Health Service commissioners.</p><br /><p>The Department is working with local authorities, NHS England, the Care Quality Commission and the provider sector to understand the extent of this risk and its potential drivers, which will include consideration of the extent to which some providers are possibly withdrawing from the publically funded adult social care market.</p><br /><p>The Care Act (2014) places duties on local authorities to step in and ensure people’s needs continue to be met if a provider fails financially and services cease. The Department has worked with the Association of Directors of Adult Social Services and the Local Government Information Unit to publish guidance to support local authorities develop effective contingency plans for provider failure - <em>Care and Continuity: Contingency planning for provider failure</em>. The guidance is attached. The guidance recommends that contingency plans are co-produced with relevant partners, including NHS Clinical Commissioning Groups to ensure these plans are aligned.</p><br /><p>Local authorities routinely manage market exits in their area and discharge their Care Act duties. If a situation arose that local authorities found challenging, for example because of its scale and the lack of spare capacity in the area, the Department would work with partners to support them.</p> answering member printed Lord Prior of Brampton question first answered 05/01/2016 11:41:29 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Care-ContinuityFINAL.pdf title Contingency Planning for Provider Failure
tabling member	1732 label Biography information for Lord Warner

439125

registered interest
date	16/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps are being taken to increase the number of Wellbeing Hubs nationally to help individuals with complex care requirements to access support locally for their individual requirements.
tabling member printed	Baroness Redfern
uin	HL4667
answer	answer is ministerial correction date of answer 21/12/2015 answer text <p>Where commissioned, wellbeing hubs can provide a range services including lifestyle advice, information about self-management courses and help to access local support, including social care. It is for the local National Health Service to decide whether to commission wellbeing hubs and which services should be offered in order to best meet the needs of local populations.</p> answering member printed Lord Prior of Brampton question first answered 21/12/2015 17:49:56 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4551 label Biography information for Baroness Redfern

439127

registered interest
date	16/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what measures are being introduced to improve access to information and advice for those choosing specialist care packages to ensure that the support they receive is best suited to their individual requirements.
tabling member printed	Baroness Redfern
uin	HL4669
answer	answer is ministerial correction date of answer 04/01/2016 answer text <p>The Care Act 2014 places a duty on local authorities to establish and maintain information and advice services relating to care and support for all people in its area. Statutory guidance sets out the detail of what this is required to cover and the manner it in which it should be provided. This includes providing information and advice to those people who are known to the local authority and the wider population, and to those who have not presented to local authorities for assessment but are likely to be in need of care and support. Where it appears to a local authority that an adult may have needs for care and support, the authority must assess their needs. The aim of the assessment is to identify what needs the person may have and what outcomes they are looking to achieve to maintain or improve their wellbeing. The outcome of the assessment is to provide a full picture of the individual’s needs so that a local authority can provide an appropriate response at the right time to meet the level of the person’s needs. This might range from offering guidance and information to arranging for services to meet those needs.</p><p /> <p>The Department has supported local authorities to meet this duty with a range of practical and practice based guides, developed with a wide range of interests through the Think Local Act Personal partnership.</p><p /> <p>General information on care and support is provided nationally through the NHS Choices website. This includes a search facility for all registered providers of care and support that gives practical and quality information on their services. This information is available for all local authorities and other providers of care and support information to re-use through syndication.</p><br /> answering member printed Lord Prior of Brampton question first answered 04/01/2016 11:45:23 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4551 label Biography information for Baroness Redfern

439128

registered interest
date	16/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how they intend to encourage local authorities to include personal assessments as part of a broader care programme alongside other measures to help individuals to achieve greater control over the support they receive.
tabling member printed	Baroness Redfern
uin	HL4670
answer	answer is ministerial correction date of answer 04/01/2016 answer text <p>One of the overarching aims of the Care Act 2014 is to give people more choice and control over their care and support. Local authorities must assess any person who appears to have care and support needs. The aim of the needs assessment is to identify what needs individuals may have, what impact these needs have on their wellbeing, and what outcomes they are looking to achieve. The Act also requires that the person, their carer and anyone else they request must be involved in the assessment.</p><br /><p>The Act clarifies that one method of carrying out an assessment is through a supported self-assessment, where the person and local authority carry out the assessment jointly. This gives the person more control over their own assessment and supports their involvement in the development of their care and support plan.</p><br /><p>The Department published statutory guidance which provides more detail on the assessment provisions for local authorities. The Department also commissioned Skills for Care and the Social Care Institute for Care Excellence to develop materials to support local authorities with the implementation of the assessment requirements, including supported self-assessment.</p> answering member printed Lord Prior of Brampton question first answered 04/01/2016 13:38:56 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4551 label Biography information for Baroness Redfern

436273

registered interest
date	08/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will publish his Department's contingency plans for provider failure in the social care market.
tabling member constituency	Cambridge
tabling member printed	Daniel Zeichner
uin	19153
answer	answer is ministerial correction date of answer 15/12/2015 answer text <br /><p>Local authorities retain responsibility for managing provider failure in the social care market. The Government has worked with the Association of Directors of Adult Social Services and partners to publish guidance to support local authorities to develop contingency plans for managing the failure of a social care provider in their local area. The guidance can be found at:</p><br /><p><a href="http://www.lgiu.org.uk/report/care-and-continuity-guide/" target="_blank">http://www.lgiu.org.uk/report/care-and-continuity-guide/</a></p><br /><p>The Care Act also gave the Care Quality Commission a new function to oversee the finances of care providers which are either large or whose provision is geographically concentrated as their financial failure would make it difficult for local authorities to discharge their statutory responsibilities.</p><br /><p>The oversight function will provide early warning to relevant local authorities in the event that one of these providers is likely to fail and their services cease. This will allow local authorities time to implement contingency plans.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 15/12/2015 13:50:50 answering member 1201 label Biography information for Alistair Burt
tabling member	4382 label Biography information for Daniel Zeichner