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Summary of main points from bill and funding progress report

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The government has committed to the principle of introducing a cap on the costs of care that an individual should be exposed to in their lifetime, if the funding can be found to pay for it

An extra £300m will be transferred to councils from NHS funds. Of this, £100m will be transferred in 2013-14 and £200m in 2014-15. The money will be taken from NHS efficiency savings and used “to support better integrated care”

By 2015 councils will have to offer loans, with interest, to anyone in need of residential care who would otherwise have to sell their home to fund it. The loans will be repaid when the person’s house is sold, after their death. The government’s progress report says it is not clear how much this system will cost because the level of interest payments has not been set. But, crucially, it says: “We will fund local authorities for this new requirement”

When a care user moves to a new area, the local authority will be required to continue providing the same level of care that they had previously received, until a reassessment is carried out. The DH estimates that “portability” will cost councils £11m a year

Councils will receive £32.5m in “start-up funding” to provide more information online about local care and support services. The DH estimates the service will cost councils between £17m and £23m in “transition costs” and between £10m and £15m per year to maintain

The government will set up a £200m five-year fund for specialised housing for older and disabled people

There will be a “national minimum eligibility threshold” for care assessments from 2015. The DH estimates that the cost to councils of switching to this system will be £13.4m, and the average annual cost of maintaining it will be £18m

All carers will be entitled to a needs assessment and will be eligible for support. There will be a national minimum eligibility framework for support for carers. The DH estimates the changes will cost councils on average £144m per year

Care users will be given a legal entitlement to personal budgets

Councils will have a range of new responsibilities.

There will be duties to:

  • Promote the integration of services
  • Develop and maintain a diverse range of high-quality care providers in the area, so that people have different care options to choose from
  • Commission preventative services
  • Promote diversity and quality in the provision of services, strengthening the role of user-led organisations, small businesses and social enterprises. They will be given support to write a “market position statement” that sets out how they will do this
  • Provide “independent advice and support” to care users, working with voluntary and private providers


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