Adult social care 2019/20

This year is the final year for increases in the adult social care precept. Devon has raised the adult social care precept by 1% for 2019/20, which amounts to approximately £3.86 million.

The impact of the National Living Wage increase, due in April 2019, on labour costs for adult social care providers is estimated to be £5.629 million. Therefore, additional precept income will contribute towards funding this.

Government announced in the Budget on 8 March 2017 that there would be an additional £2 billion over the next three years for social care. Devon County Council received a non-recurrent Improved Better Care Fund (iBCF) grant of just over £15.1 million for 2017/18, £10.1 million in 2018/19, and will receive £5 million in 2019/20.

Further to this, the Chancellor announced an additional £650 million of funding for adult and children’s social care in the October 2018 Budget. £410 million is for a Social Care Support Grant that is being given in response to concerns nationally of pressures in social care, including children’s social care. The remaining £240 million is a Winter Pressures Grant which will need to be pooled into the Better Care Fund but is specially for Councils to spend on adult social care. Devon’s share of the £240 million Winter Pressures grant is £3.576 million.

There are conditions attached to the grants, to ensure that the money is spent on adult social care services and supports improved performance at the health and social care interface.

For 2019/20, the £5.045 million of new iBCF grant of temporary funding from government is included in the Adult Care and Health Operations budget, and the deployment of this funding is subject to joint agreement with NHS partners. The government requires the additional improved BCF grant to be used for adult social care purposes; reducing pressures on the NHS, including supporting more people to be discharged from hospital when they are ready; and ensuring that the local social care provider market is supported.

The Authority proposes to take a zero-tolerance approach towards delayed transfers of care, with funding decisions made jointly with NHS partners, and informed by the following principles:

  • Address local reasons for delayed transfers of care by improving flow and reducing demand.
  • Manage demand through improved short-term services offer and developing individual and community resilience.
  • To implement the Sustainability and Transformation Plan priorities of:
    • single assessment process
    • single point of access
    • rapid response
  • Solutions will be strategically designed and agreed in principle but locally delivered.

The Authority will allocate the funding as follows:

  • Strategic county-wide investments – for areas where it makes sense to design change on a county-wide basis
  • Locality footprints (north, east, south and west localities) and specialist systems
  • Mental health
  • Disabilities.

The national multi-agency guidance High impact change model: Managing transfers of Care  has a focus on getting people out of hospital, but we would also do this by reducing demand through prevention and increasing sufficiency and innovation in the personal care and care homes markets, as well as developing community resilience through the voluntary and community sector.