This discussion paper, published by the Association of Adult Directors of Social Services, that outlines the developmental steps needed to be taken immediately after the General Election in order to ensure a safe, secure and personalised care and health system for older and disabled people.
The paper calls for central government to protect social care funding and align it with the NHS. This should make provision for the £4.3 billion gap in social care funding by 2020 alongside the estimated £8 billion gap in health service funding over the same period.
The authors assert that newly designed social and health care services concentrate on:
- Providing good information and advice to enable us to look after ourselves and each other, and to get the right help at the right time as our needs change.
- Recognising that we are all interdependent and need to build supportive relationships and resilient communities.
- Developing services that help us get back on track after illness and help disabled people to be independent.
- Addressing our mental, physical and other forms of wellbeing. Services should be much better joined-up around our individual needs and those of our carers. Personal budgets are central to this approach.
The authors argue that these aims can be achieved by:
- Introducing a single shared outcome framework for health care, public health and social care.
- Funding the gap facing social care by 2020 alongside that facing the NHS and using the next spending review to work towards a single funding settlement for social care and the NHS.
- Addressing immediate pressures and the double-running costs of developing alternatives through a transformation fund in which investment is conditional on reform.