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514510

	registered interest
	date	20/04/2016
	answering body	Home Office
	answering dept id	1
	answering dept short name	Home Office
	answering dept sort name	Home Office
	hansard heading	Social Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for the Home Department, what role her Department had in the selection of appointed local authority heads of social services departments from 1985 to 2015.
	tabling member constituency	Streatham
	tabling member printed	Mr Chuka Umunna
	uin	34804
	answer	answer is ministerial correction date of answer 28/04/2016 answer text <p>The Home Secretary has not had any involvement in appointing local authority heads of social services departments.</p> answering member constituency Staffordshire Moorlands answering member printed Karen Bradley question first answered 28/04/2016 16:45:46 answering member 4110 label Biography information for Dame Karen Bradley previous answer version 57219 answering member constituency Staffordshire Moorlands answering member printed Karen Bradley answering member 4110 label Biography information for Dame Karen Bradley
	tabling member	4128 label Biography information for Chuka Umunna

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

657025

	registered interest
	date	12/12/2016
	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, which organisation is responsible for the inspection and regulation of social care services commissioned and delivered by local authorities; and if he will make a statement.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	57247
	answer	answer is ministerial correction date of answer 15/12/2016 answer text <p>The Care Quality Commission (CQC) is the independent regulator of health and adult social care providers in England.</p><p> </p><p>All providers of regulated activities, including National Health Service and independent providers, have to register with CQC and follow a set of fundamental standards of safety and quality below which care should never fall.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 15/12/2016 10:18:21 answering member 4080 label Biography information for David Mowat
	tabling member	1538 label Biography information for Rosie Cooper

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

99860

	registered interest
	date	20/10/2014
	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, when his Department will publish a response to the consultation Updating our care and support system: draft regulations and guidance, published on 6 June 2014.
	tabling member constituency	South Shields
	tabling member printed	Mrs Emma Lewell-Buck
	uin	211058
	answer	answer is ministerial correction date of answer 23/10/2014 answer text <p>A consultation on the draft regulations and guidance to support implementation of part one of the Care Act 2014 opened on 5 June 2014 and ran for 10 weeks to 15 August 2014.</p><p> </p><p> </p><p> </p><p>The Government will publish a response to the consultation shortly. The statutory guidance to support implementation of part one of the Care Act will be published at the same time.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 23/10/2014 11:36:29 answering member 1439 label Biography information for Norman Lamb
	tabling member	4277 label Biography information for Mrs Emma Lewell-Buck

57741

	registered interest
	date	04/06/2014
	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 the annual cost to the public purse is of processing applications for free social care in England.
	tabling member constituency	Truro and Falmouth
	tabling member printed	Sarah Newton
	uin	198598
	answer	answer is ministerial correction date of answer 10/06/2014 answer text <p>Access to State financial support for adult social care in England is means-tested and is not generally provided free of charge. In this way, individuals are expected to pay towards the cost of their care and support based on what they can afford.</p><p> </p><p>Adults with less than £23,250 in capital can seek help with the cost of social care from their local authority. Local authorities carry out a financial assessment to decide what an individual can afford to pay. Local authorities must take account of an individual's capital assets and income, including income from Benefits and the State Pension.</p><p> </p><p>Information on the cost to local authorities of carrying out financial assessments is not collected centrally.</p><p> </p><p>In its 2011 report, the independent Palliative Care Funding Review recommended the provision of free social care at the end of life. A series of palliative care funding pilots were established to test the review's recommendations, and these completed their work in March 2014. NHS England is currently analysing the financial data collected from the pilots. Once this analysis has been completed, a decision will be made on the issue of free social care at the end of life, taking into account this analysis and wider policy and financial considerations.</p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 198597 198599 question first answered 10/06/2014 14:38:10 answering member 1439 label Biography information for Norman Lamb
	tabling member	4071 label Biography information for Sarah Newton

171266

	registered interest
	date	17/12/2014
	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 the (a) actual and (b) percentage change was in expenditure per head of population aged 65 and over on adult social care services in each English local authority in 2009-10 and 2013-14.
	tabling member constituency	Westminster North
	tabling member printed	Ms Karen Buck
	uin	219191
	answer	answer is ministerial correction date of answer 05/01/2015 answer text <p><del class="ministerial">Data on expenditure per head of population aged 65 and over on adult social care services is not held centrally and could only be obtained at disproportionate cost. The attached table provides the net current expenditure per head of population who receive adult social care aged 65 and over, broken down by local authority and year. The last column shows the percentage change between 2009-10 and 2013-14.</del></p><p> </p><p><ins class="ministerial">Local authorities in England spent £6.7 billion on social care for people aged over 65 and over in 2013-14, compared with £7.4 billion in 2009-10. In 2013-14 the National Health Service transferred £859 million to social care but we are unable to include this investment in the overall spending figure as we do not hold information on how much of it was spent on people aged 65 and over.</ins></p><p><ins class="ministerial">The attached table provides a breakdown of expenditure on social care per head of population aged 65 and over broken down by local authority in 2009-10 and 2013-14. The table also details the percentage change and actual change between those two financial years. The figures do not include NHS transfer funding.</ins></p><p><ins class="ministerial"> <p> </p><p> </p><p /> <p> </p></ins></p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 05/01/2015 16:21:02 question first ministerially corrected 13/01/2015 14:57:52 answering member 1439 label Biography information for Norman Lamb attachment 1 file name Revised table PQ 219191.docx title Social care spend per head of population 2009-14 previous answer version 36913 answering member constituency North Norfolk answering member printed Norman Lamb answering member 1439 label Biography information for Norman Lamb attachment 1 file name 2014-12-22 PQ219191 Karen Buck Table on over 65 LA Expenditure.docx title Over 65 LA expenditure
	tabling member	199 label Biography information for Ms Karen Buck

105974

	registered interest
	date	03/11/2014
	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 steps his Department takes to ensure that local authorities are aware of their obligations to investigate complaints about poor-quality social care; and what assistance the Government provides to help them meet those obligations.
	tabling member constituency	Mid Bedfordshire
	tabling member printed	Nadine Dorries
	uin	212938
	answer	answer is ministerial correction date of answer 10/11/2014 answer text <p>Each local authority is responsible for the quality of social care services it commissions. There is no national register or oversight of complaints in social care. However, local authorities are required, pursuant to the Local Authority Social Services and National Health Service (England) Regulations 2009, to keep a record of each complaint received, the subject matter and outcome and timescales for responding.</p><p> </p><p> </p><p> </p><p>They are also obliged to make a summary of this information available to the public via an annual report. The Government believes that we should be committed to ensuring the system for resolving complaints about care is compassionate, personal, responsive, timely and ensures lessons are learned.</p><p> </p><p> </p><p> </p><p>The Department established a national complaints programme board in December 2013. A comprehensive programme has been developed with national partners, including the Care Quality Commission (CQC), NHS England, Healthwatch England, the Parliamentary and Health Service Ombudsman, the Local Government Ombudsman, the Local Government Association, Monitor and the NHS Trust Development Association, to bring about important changes to the way complainants are supported and complaints are handled across the health and social care systems.</p><p> </p><p> </p><p> </p><p>We are informed by the CQC that it is committed to strengthening its approach to assessing complaints and concerns during inspections. During an inspection, CQC inspectors will use key lines of enquiry to ascertain the standard of care. A mandatory key line of enquiry used during inspections of adult social care is whether the service routinely listens and learns from people’s experiences, concerns and complaints.</p><p> </p><p> </p><p> </p><p>Under the Care Act, local authorities will have a new market shaping duty, meaning that they should work with local people and communities and engage with their local care providers to facilitate a diverse supply of high quality services.</p><p> </p><p> </p><p> </p><p>The Care Act reforms should increase transparency and support more effective competition in local care markets. This will help providers of high quality care to attract more people, and to grow and diversify their share in the market.</p><p> </p><p> </p><p> </p><p>We have just issued statutory guidance to local authorities about their new market shaping duties. Together with Association of Directors of Adult Social Services and the Local Government Association, we are developing a series of commissioning standards to improve local authority commissioning practices and encourage more flexibility, allowing providers to engage with them in new ways. We are keen to move commissioning from a “time and task” based to an outcomes-driven activity.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 212937 212939 212941 212944 212945 question first answered 10/11/2014 16:42:56 answering member 1439 label Biography information for Norman Lamb
	tabling member	1481 label Biography information for Ms Nadine Dorries