Equality Impact Assessment

Overview:

Assessment Name: Response to consultation and proposals for a new Contributions Policy for Adult Social Care Services
Department: Adult Services Date Created: 25/02/2011 13:48:47
Lead Author: Carole Bennett Lead ID: sshqpmcb
Additional Authors (if applicable): Alison Heywood
 
 
 
 
Aims and Objectives: The policy aims are to ensure the Council seeks contributions towards services that: support people to live at home on a fair and equitable basis. The objectives are to: protect people on low incomes; faciltiate choice and control over the services used to meet social care needs; promote prevention and reablement by offering a range of services for free; support carers wellbeing and the caring relationship by providing certain services for free and to provide people with timely, clear and concise information about the costs of their care.
Main Activities: A supported financial assessment to determine whether an individual should contribute towards the costs of the social care services they use.

Advice and support to apply for Welfare Benefits entitlements

Information to explain why, what, how and when any contribution would be payable

Who's intended to benefit: The policy is relevant to 13,000 older and disabled people who may, subject to their financial circumstances, be required to contribute towards the cost of their services.

Summary of Report:

Summary of Main Findings: The report to Cabinet dated 28 February 2011, recommends the approval of a new policy to be called ‘Contributions Policy for Adult Social Care – non-residential and short term residential care’ which is relevant to 13,000 people who use services and 8,000 carers, though most will be unaffected by the changes proposed. The proposals take into full consideration the responses from the public consultation exercise.

ncome from charging for services is an essential component of the council’s financial strategy. It is estimated that, should all the recommendations be agreed by Cabinet, the changes proposed would generate additional income in the region of £3.5m to £5m, which would be used to offset the cost of providing services.

It is an important principle of contributions policies that everyone should have an individual financial assessment and no-one should be put in financial hardship as a result of paying for their care. The benefits of the proposals are that the new policy would be fairer to service users and raise some additional income to offset the cost of services.

Estimates from an analysis of current service users is that, depending on the decisions made by Cabinet, 60% of services users would not see a change in what they pay, with 40% continuing to pay nothing at all. The 40% who would see a change, could expect to pay between £28 and £36 more per week.

Age:

What do you know about the breakdown of people who use your services compared to the community profile: The policy does not apply to people who use Children's services. The proposals are relvant to approximately 13,000 elderly and disabled adults in Hampshire. The proposals are also relevant to 8,000 people who provide regular and substantial care.
Will some people be able to use or benefit from the service: The policy will affect people who are eligible to receive publically funded social care in order to live at home; and have the financial means to make a contributuion to their care costs.
How could the iniative improve equality of access: The Council currently charges for some services and not others; and has a number of charging arrangements for specific services. The introduction of a single policy would simplify and clarify the charging arrangements. This would facilitate greater choice over the range of services used by all groups of service users and carers.

Disabled People:

What do you know about the breakdown of people who use your services compared to the community profile: The role of Adult Services is to meet the social care needs of the most vulernable in society. The breakdown of people who use services are primarily older people, those with disabilties (including mobility, sight, hearing, speech & language disability or learning difficulty, mental health); and those who care for them.
Will some people be able to use or benefit from the service: The policy will affect people who are eligible to receive publically funded social care in order to live at home; and have the financial means to make a contributuion to their care costs.
How could the iniative improve equality of access: The Council currently charges for some services and not others; and has a number of charging arrangements for specific services. The introduction of a single policy would simplify and clarify the charging arrangements. This would facilitate greater choice over the range of services used by all groups of service users and carers.

Faith:

What do you know about the breakdown of people who use your services compared to the community profile: The Faith of people who use social care services is taken into account and recorded where relevant as part of an individuals assessment of needs, but is not aggregated for statistical purposes.
Will some people be able to use or benefit from the service: The policy will affect people who are eligible to receive publically funded social care in order to live at home; and have the financial means to make a contributuion to their care costs.
How could the iniative improve equality of access: The Council currently charges for some services and not others; and has a number of charging arrangements for specific services. The introduction of a single policy would simplify and clarify the charging arrangements. This would facilitate greater choice over the range of services used by all groups of service users and carers.

Gender:

What do you know about the breakdown of people who use your services compared to the community profile: The Council provides adult social home care services to approximately 13,000 people of which 36% are male and 64% are female.
Will some people be able to use or benefit from the service: The policy will affect people who are eligible to receive publically funded social care in order to live at home; and have the financial means to make a contributuion to their care costs.
How could the iniative improve equality of access: The Council currently charges for some services and not others; and has a number of charging arrangements for specific services. The introduction of a single policy would simplify and clarify the charging arrangements. This would facilitate greater choice over the range of services used by all groups of service users and carers

Race:

What do you know about the breakdown of people who use your services compared to the community profile: People from BME groups are marginally under-represented in our client groups overall, compared with the background population.
Will some people be able to use or benefit from the service: The policy will affect people who are eligible to receive publically funded social care in order to live at home; and have the financial means to make a contributuion to their care costs.
How could the iniative improve equality of access: The Council currently charges for some services and not others; and has a number of charging arrangements for specific services. The introduction of a single policy would simplify and clarify the charging arrangements. This would facilitate greater choice over the range of services used by all groups of service users and carers

Gay, Lesbian, Bisexual:

What do you know about the breakdown of people who use your services compared to the community profile: This information is not aggregated.
Will some people be able to use or benefit from the service: The policy will affect people who are eligible to receive publically funded social care in order to live at home; and have the financial means to make a contributuion to their care costs
How could the iniative improve equality of access: The Council currently charges for some services and not others; and has a number of charging arrangements for specific services. The introduction of a single policy would simplify and clarify the charging arrangements. This would facilitate greater choice over the range of services used by all groups of service users and carers

Socio Economic Factors:

What do you know about the breakdown of people who use your services compared to the community profile: The Marmot Review http://www.marmotreview.org/ shows a clear link between deprivation, poor health at an earlier age and more years spent in ill health. It also recognises that recipients of social care services are likely to be the most socially disadvantaged and most will have a long-term debilitating illness or disability

Approximately 40% of people who use social care services are on low incomes. The educational acheivement of people who use services is not aggregated. The policy applies to people living in all areas of the County.

Will some people be able to use or benefit from the service: The policy will affect people who are eligible to receive publically funded social care in order to live at home; and have the financial means to make a contributuion to their care costs
How could the iniative improve equality of access: The Council currently charges for some services and not others; and has a number of charging arrangements for specific services. The introduction of a single policy would simplify and clarify the charging arrangements. This would facilitate greater choice over the range of services used by all groups of service users and carers

Rural Isolation:

What do you know about the breakdown of people who use your services compared to the community profile: Further work would be needed to profile service users in sparsely populated rural areas (existing sources of information include towns and large villages).
Will some people be able to use or benefit from the service: The policy will affect people who are eligible to receive publically funded social care in order to live at home; and have the financial means to make a contributuion to their care costs
How could the iniative improve equality of access: The Council currently charges for some services and not others; and has a number of charging arrangements for specific services. The introduction of a single policy would simplify and clarify the charging arrangements. This would facilitate greater choice over the range of services used by all groups of service users and carers

Other groups affected:

Are there other groups affected not already mentioned: Carers are positively affected by the current and proposed policy

Conclusions of Potential Impact:

Possible Impact: The policy proposals treat all people the same and recognises the impact of financial charges on the most vulnerable in society through a number of measures such as protecting people on low incomes, taking into account the higher costs of disabilty; and providing certain services free to people with regular and sustantial caring responsibilities.
If any groups are disadvantaged is this likely to be unlawful: Not considered likely
Group Affected: N/A
Evidence: N/A

Further Actions to be taken:

Action: In response to the public consultation, there is a need to improve the information made available to the public, service users, carers and staff. The Council will continue to offer this information in a range of formats and languages.
Responsibility: Head of Business Management Services
Timescale: July - October 2011
Expected Outcomes: Improved access to information about the Council's policy for seeking financial contributions towards the cost of services.

Review Summary:

Review Update:  
Review Date: 21/02/2014 Date sent to Web Editor: 19/04/2011 15:15:30