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436274

	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, with which external stakeholders his Department has discussed contingency planning for provider failure in the social care market.
	tabling member constituency	Cambridge
	tabling member printed	Daniel Zeichner
	uin	19073
	answer	answer is ministerial correction date of answer 16/12/2015 answer text <p>In 2013, Government carried out a public consultation (‘Oversight in Adult Social Care’) on a detailed set of proposals for market oversight and provider failure.</p><br /><p>The feedback from stakeholders including individual local authorities, local authority membership organisations, individual care providers, provider representative organisations and commercial experts formed the basis of a number of reforms in the Care Act 2014 that ensures people do not go without the care they need when their providers’ business fails. This includes:</p><br /><ol><li>Duties on local authorities to temporarily meet the needs of individuals and their carers where their provider is unable to carry on because of business failure. Statutory guidance to support local authorities to discharge these functions was subject to a full public consultation and can be found at:</li></ol><br /><p><a href="https://www.gov.uk/government/publications/care-act-2014-statutory-guidance-for-implementation" target="_blank">https://www.gov.uk/government/publications/care-act-2014-statutory-guidance-for-implementation</a></p><br /><p>The Department also worked with the Association of Directors of Adult Social Services, the Local Government Association, and the Local Government Information Unit (LGiU) to produce a guide to support local authorities to develop contingency plans for provider failure in the social care market. Numerous stakeholders, including local authorities, providers and insolvency practitioners were involved in the development of the guide and participated in the LGiU consultation exercises.</p><br /><p>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 Department commissioned the consultancy Cordis Bright to produce guidance to support local authorities with market oversight at the local level to enable them to meet their new responsibilities under the Care Act for ensuring continuity of care in the event of a provider business failure. The materials were produced following extensive input from both councils and providers.</p><br /><ol start="2"><li>New duties for the Care Quality Commission (CQC) 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.</li></ol><br /><p>The CQC 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><br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 16/12/2015 17:43:01 answering member 1201 label Biography information for Alistair Burt
	tabling member	4382 label Biography information for Daniel Zeichner

381125

	registered interest
	date	15/06/2015
	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, with reference to page 11 of the Association of Directors of Adult Social Services annual budget survey, published on 4 June 2015, if he will make an assessment of the implications for his policy of the findings that seven per cent of directors who responded to that survey are fully confident that planned savings can be met in 2016-17 and that a smaller proportion of directors is so confident in respect of 2017-18.
	tabling member constituency	Bermondsey and Old Southwark
	tabling member printed	Neil Coyle
	uin	2452
	answer	answer is ministerial correction date of answer 23/06/2015 answer text <p>Funding decisions for 2016/17 onwards, including on adult social care, are subject to the forthcoming Spending Review.</p><p> </p><p> </p><p> </p><p>The Department will continue to work closely with local government and the National Health Service to understand future funding requirements, including continuing scope and opportunities to make savings, to support decisions relating to the upcoming Spending Review.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 23/06/2015 10:41:00 answering member 1201 label Biography information for Alistair Burt
	tabling member	4368 label Biography information for Neil Coyle

483184

	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 his Department plans to (a) introduce the appeals system set out in Section 72 of the Care Act 2014 and (b) revise the current care capital limits.
	tabling member constituency	Wolverhampton North East
	tabling member printed	Emma Reynolds
	uin	32039
	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 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

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

420109

	registered interest
	date	09/10/2015
	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, what measures his Department is taking to improve social care quality.
	tabling member constituency	Houghton and Sunderland South
	tabling member printed	Bridget Phillipson
	uin	10852
	answer	answer is ministerial correction date of answer 14/10/2015 answer text <p>I refer the hon. Member to the reply I gave on 13 October 2015 to Question <a href="http://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2015-09-16/10428/" target="_blank">10428</a>.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 14/10/2015 14:32:18 answering member 1201 label Biography information for Alistair Burt
	tabling member	4046 label Biography information for Bridget Phillipson

386559

	registered interest
	date	30/06/2015
	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, what guidance his Department issues to local authorities on the length of time a care and support assessment following a referral should take.
	tabling member constituency	Leeds North West
	tabling member printed	Greg Mulholland
	uin	4828
	answer	answer is ministerial correction date of answer 08/07/2015 answer text <p>The Government does not intend to impose such a time limit. The Care Act 2014 places a duty on local authorities to carry out a needs assessment on any adult with an appearance of having care and support needs, and any carer with the need for support. Local authorities are under a general duty to carry out their functions in a timely manner, and this includes when they should start an assessment following initial contact from the adult or after a referral.</p><p> </p><p> </p><p> </p><p>Assessments can take different periods of time to undertake depending on the needs of the adult and their ability to be involved in the assessment. To ensure that assessments are carried out in a manner that is suitable to the adult, the Care and Support (Assessment) Regulations 2014 requires all assessments to be carried out in in an appropriate and proportionate manner and have regard to:</p><p> </p><p> </p><p> </p><p>(a) the wishes and preferences of the individual;</p><p> </p><p>(b) the outcomes the individual seeks from the assessment; and</p><p> </p><p>(c) the severity and overall extent of the individual’s needs.</p><p> </p><p> </p><p> </p><p>The Care Act statutory guidance clarifies that “an assessment should be carried out over an appropriate and reasonable timescale taking into account the urgency of needs and a consideration of any fluctuation in those needs. Local authorities should inform the individual of an indicative timescale over which their assessment will be conducted and keep the person informed throughout the process”.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 4789 question first answered 08/07/2015 13:33:24 answering member 1201 label Biography information for Alistair Burt
	tabling member	1540 label Biography information for Greg Mulholland

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

423775

	registered interest
	date	26/10/2015
	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, what estimate he has made of the additional financial resources needed by local authorities to meet their new duties under the Care Act 2014 in each of the next five years; and if he will make a statement.
	tabling member constituency	Stockton North
	tabling member printed	Alex Cunningham
	uin	13257
	answer	answer is ministerial correction date of answer 02/11/2015 answer text <p>The Department’s estimate of the additional financial resources needed by local authorities to meet their new duties under the Care Act 2014 is set out in the Care Act impact assessment, which can be found here:</p><br /><p><a href="http://www.legislation.gov.uk/ukpga/2014/23/impacts" target="_blank">http://www.legislation.gov.uk/ukpga/2014/23/impacts</a></p><br /><p>Page five of the impact assessment has a summary of all estimated costs related to Part 1 of the Care Act 2014 over 10 years from 2015/16. The impact assessment sets out the basis for the estimates in each case.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 02/11/2015 17:41:39 answering member 1201 label Biography information for Alistair Burt
	tabling member	4122 label Biography information for Alex Cunningham

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

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