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1654157

	registered interest
	date	18/07/2023
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Social Services: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government how many applications for social care have been assessed for need and have been funded after having been means tested in each of the past 10 years.
	tabling member printed	Lord Turnberg
	uin	HL9474
	answer	answer is ministerial correction date of answer 24/07/2023 answer text <p>Local authorities are responsible for assessing individuals’ care and support needs and, where eligible, for meeting those needs. Where individuals do not meet the eligibility threshold, they can get support from their local authorities in making their own arrangements for care services, as set out in the Care Act 2014.</p><p> </p><p>Eligible needs are those which relate to, for example, maintaining personal hygiene and nutrition, and maintaining and developing relationships, and which significantly impact on the adult’s wellbeing. Full details of the eligibility requirements can be found in The Care and Support (Eligibility Criteria) Regulations 2014.</p><p> </p><p>We do not currently hold data on how many applications for social care have been assessed for need. Through a new data collection, Client Level Data, we are beginning to collect event-level information from local authorities on adult social care activity. This will include records of assessment of eligible needs and the funding status of local authority-commissioned services.</p><p> </p><p>To assess means, local authorities must follow The Care and Support (Charging and Assessment of Resources) Regulations 2014 and have regard to the Care and Support Statutory (CASS) guidance. The responsibility for interpreting and applying the Regulations and the CASS guidance rests with local authorities.</p><p> </p><p>Whether or not a person qualifies for any financial support towards their care costs depends on their capital assets as follows: anyone who has above the upper capital limit of £23,250 is expected to meet the full cost of their care; anyone who has below the lower capital limit of £14,250 pays what they can afford from income only; and anyone between the above two limits pays what they can afford from income plus a contribution from their assets.</p><p> </p><p>A means-tested contribution from assets is determined by tariff income, which assumes that a person can afford to pay £1 per week for every £250 of assets between the limits. In 2021/22 there were almost 1,978,550 requests for support from new clients received by local authorities. Data on the funding of means testing done in the past 10 years is not held centrally.</p> answering member printed Lord Markham grouped question UIN HL9472 question first answered 24/07/2023 14:24:05 answering member 4948 label Biography information for Lord Markham
	tabling member	2537 label Biography information for Lord Turnberg

938832

	registered interest
	date	11/07/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Social Services: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, in preparing the forthcoming Green Paper on the future funding of adult social care, whether emphasis will be placed on personalised preventative medicine and Screening Saves Lives; and what plans they have to reduce the screening age from 60 to 50 years.
	tabling member printed	Baroness Redfern
	uin	HL9448
	answer	answer is ministerial correction date of answer 23/07/2018 answer text <p>The Green Paper on care and support will primarily focus on social care for older adults.</p><p>In terms of personalised preventative medicine, NHS England introduced the general practitioner contract in 2017/18. This aims to support people to live well for longer, through identifying patients who may be living with frailty and ensuring that they have access to the key evidence-based interventions including a falls assessment and medications review.</p><p>The Government is committed to providing well-managed screening programmes that are introduced following a robust process using peer reviewed evidence. The UK National Screening Committee (UK NSC) advises ministers and the National Health Service in all four countries about all aspects of screening policy and supports implementation. The national cancer screening programmes in England include adult cancer screening programmes for cervical, breast and bowel cancer with varying age parameters, and any changes made to existing screening programmes will follow the UK NSC’s published evidence review process.</p> answering member printed Lord O'Shaughnessy question first answered 23/07/2018 14:08:21 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4551 label Biography information for Baroness Redfern

938831

	registered interest
	date	11/07/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Social Services: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, in preparing the forthcoming Green Paper on the future funding of adult social care, whether more emphasis will be placed on giving people greater control over the care they receive, and making paying for social care fairer and less dependent on the illness a person contracts.
	tabling member printed	Baroness Redfern
	uin	HL9447
	answer	answer is ministerial correction date of answer 23/07/2018 answer text <p>The Green Paper on Care and Support will include a focus on the principles of whole-person, integrated care and giving people receiving support the highest possible control.</p><p>The Government is committed to ensuring that everyone has access to the care and support they need, but we are clear that there should continue to be a principle of shared responsibility, and that people should continue to expect to contribute to their care as part of preparing for later life.</p><p>The Green Paper will bring forward ideas for including an element of risk pooling in the system, which will help to protect people from the highest costs. This will include proposals to place a limit on the care costs individuals face.</p> answering member printed Lord O'Shaughnessy question first answered 23/07/2018 14:06:07 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4551 label Biography information for Baroness Redfern

935188

	registered interest
	date	05/07/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Social Services: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of the implications for the NHS if additional resources for social care are not secured.
	tabling member printed	Lord Ouseley
	uin	HL9305
	answer	answer is ministerial correction date of answer 19/07/2018 answer text <p>The Government recognises that National Health Service and social care provision are two sides of the same coin. It is not possible to have a plan for one sector without having a plan for the other. Indeed, we have been clear with the NHS that a key plank of its plan must be greater integration of the two services. We will not allow the pressure from the social care system on the NHS to increase further.</p><p>We are committed to creating a sustainable system of social care in England, and that is why the Government has given councils access to up to £9.4 billion more dedicated funding for social care over the three years up to 2019-20. This funding will allow councils to support more people and sustain a diverse care market. It will also help ease pressures on the NHS, including by supporting more people to be discharged from hospital and into care as soon as they are ready.</p><p>The Department commissioned a study, finalised in 2008, which explored the relationship between additional spend on care home services and expenditure relating to hospital utilisation. The results indicated that for each additional £1 spent on care homes, hospital expenditure falls by £0.35.</p><p>Looking forward, it is right that social care funding is agreed alongside along the rest of the local government settlement at the forthcoming Spending Review. We will ensure that social care places no additional pressure on the NHS.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 19/07/2018 14:38:06 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2170 label Biography information for Lord Ouseley

935187

	registered interest
	date	05/07/2018
	answering body	Treasury
	answering dept id	14
	answering dept short name	Treasury
	answering dept sort name	Treasury
	hansard heading	Social Services: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what consideration they are giving to raising additional resources through taxation to meet the predicted shortfall in social care funding.
	tabling member printed	Lord Ouseley
	uin	HL9304
	answer	answer is ministerial correction date of answer 19/07/2018 answer text <p>Decisions on the funding settlement for social care will be made as part of wider local government arrangements at the spending review.</p><p> </p><p>Councils have access to £9.4 billion more dedicated funding for social care between 17/18 and 19/20 as a result of measures introduced since 2015. The government will also publish a Green Paper by autumn 2018, setting out its proposals to put social care on a more sustainable footing.</p> answering member printed Lord Bates question first answered 19/07/2018 15:40:29 answering member 1091 label Biography information for Lord Bates
	tabling member	2170 label Biography information for Lord Ouseley

1174117

	registered interest
	date	28/01/2020
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Social Services: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to stabilise the funding of the adult social care sector in England in order to enable the agreement of a long-term funding plan for that sector.
	tabling member printed	Lord Warner
	uin	HL888
	answer	answer is ministerial correction date of answer 06/02/2020 answer text <p>We are providing councils with access to an additional £1.5 billion for adults and children’s social care in 2020/21. This includes an additional £1 billion of grant funding for adults and children’s social care, and a proposed 2% precept that will enables councils to access a further £500 million for adult social care. This £1.5 billion is on top of maintaining £2.5 billion of existing social care grants and will support local authorities to meet rising demand and continue to stabilise the social care system.</p><p>Putting social care on a sustainable footing, where everyone is treated with dignity and respect, is one of the biggest challenges we face as a society. The Government will bring forward a plan for social care this year.</p> answering member printed Baroness Blackwood of North Oxford question first answered 06/02/2020 17:17:45 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1732 label Biography information for Lord Warner

928189

	registered interest
	date	20/06/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Social Services: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government when they plan to announce the funding available for adult social care spending in (1) 2019–20, and (2) 2020–21.
	tabling member printed	Lord Warner
	uin	HL8841
	answer	answer is ministerial correction date of answer 03/07/2018 answer text <p>2019-20 falls within the current Spending Review period, announced in 2015. Over the course of the Spending Review, the Government has given councils access to up to £9.4 billion more dedicated funding Government for social care over the three years from 2017/18 to 2019/20. In 2019/20, approximately £1.835 billion is provided by the Improved Better Care Fund and access to approximately £1.8 billion is provided by the Adult Social Care Precept.</p><p>Individual councils are responsible for setting their budgets and dedicating funding to specific services, and in doing this will assess what is required to meet the social care need of their local populations, and more widely to fulfil their statutory duties under the Care Act 2014.</p><p>The funding settlement for years beyond 2019-20 is a matter to be confirmed at the next Spending Review, alongside the rest of the local government settlement, which will take place next year.</p> answering member printed Lord O'Shaughnessy question first answered 03/07/2018 11:18:39 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	1732 label Biography information for Lord Warner

1645498

	registered interest
	date	19/06/2023
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Social Services: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what steps they will take, if any, to increase funding for social care.
	tabling member printed	Lord Jones
	uin	HL8599
	answer	answer is ministerial correction date of answer 22/06/2023 answer text <p>The Government has already provided a historic increase in funding for social care. The Government announced at the Autumn Statement that up to £7.5 billion of additional funding would be available for Adult Social Care and discharge over the next two years. This historic funding boost should put the adult social care system on a stronger financial footing and help local authorities address waiting lists, low fee rates, and workforce pressures in the sector. We will keep working closely with local authorities and the adult social care sector to understand current pressures on service delivery and budgets.</p> answering member printed Lord Markham question first answered 22/06/2023 16:49:12 answering member 4948 label Biography information for Lord Markham
	tabling member	530 label Biography information for Lord Jones

895054

	registered interest
	date	30/04/2018
	answering body	Ministry of Housing, Communities and Local Government
	answering dept id	7
	answering dept short name	Housing, Communities and Local Government
	answering dept sort name	Housing, Communities and Local Government
	hansard heading	Social Services: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how they intend to ensure that the work on the social care Green Paper, and parallel work on working age adults, feeds into (1) the Fair Funding Review of councils’ relative needs, and (2) plans for 75 per cent business rates retention.
	tabling member printed	Baroness Pinnock
	uin	HL7419
	answer	answer is ministerial correction date of answer 14/05/2018 answer text <p>In developing the Social Care Green Paper, the Government is taking the time needed to debate the many complex issues and listen to the perspectives of experts and care users, in order to build consensus around reforms which can succeed. The Green Paper will inevitably cover a range of issues that are common to all adults with care and support needs, whether older people or those of working age.</p><p>MHCLG Ministers and officials have close working relationships with DHSC Ministers and officials leading on the Green Paper, and the departments are also jointly leading work to identify issues relating to social care that are relevant for adults of working age. The emerging impacts of both areas of work will be considered when taking forward the review of local authorities’ relative needs and resources and increased business rates retention.</p> answering member printed Lord Bourne of Aberystwyth question first answered 14/05/2018 16:30:39 answering member 4282 label Biography information for Lord Bourne of Aberystwyth
	tabling member	4341 label Biography information for Baroness Pinnock

1330212

	registered interest
	date	07/06/2021
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Social Services: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to increase the capital thresholds for social care.
	tabling member printed	Baroness Gale
	uin	HL732
	answer	answer is ministerial correction date of answer 21/06/2021 answer text <p>The reform of social care and its funding arrangements are complex areas and a range of options for how to deliver on this commitment are being considered. We will bring forward proposals in 2021.</p> answering member printed Lord Bethell question first answered 21/06/2021 11:11:36 answering member 4708 label Biography information for Lord Bethell
	tabling member	2503 label Biography information for Baroness Gale