Rationing for social care hardwired into the Care Act

This week the Queen’s Speech set out the Coalition’s plans for their final year in Government. Today we learnt the details about one of the most critical reforms of the last year – who will be eligible for social care under the new Care Act.

Last month’s passage of the Care Act represents a huge achievement for the Coalition Government.  For the first time, we have a single modern law that governs social care.  It is a truly aspirational piece of legislation – placing the well-being of those using social care at the heart of the Bill.

For Scope – and other members of the Care and Support Alliance – the final question remained – who will be eligible for social care support?  The Care Act represents a huge opportunity to make sure that every disabled and older person who needs social care support can get it, with the introduction of a new ‘national eligibility threshold’.

Today the Government has released details about who will be eligible for social care – and has confirmed that those older and disabled people who are shut out of the social care system will continue to receive little to no social care support.

For Scope, we believe there is a real risk that continuing to ration social care support will fatally undermine the Government’s focus on improving preventative social care.

We know that as local authority budgets are squeezed, the support that disabled people receive to get up, get washed and get out of the house is also being squeezed.

Take the example of Julie-Ann from Crawley in Sussex. Julie-Ann lost her sight three years ago and is deaf. She used to receive four hours of social care support a week that supported her to wash, cook and get out of her house.

She has been deemed no longer eligible for care, and now struggles with tasks around the house and suffers from loneliness.

Specifically, today’s publication confirms that many people unable to get out and about could fall through the net – this could include people who are on the autistic spectrum or who have dementia, a learning disability or a mental health condition.

With the Care Act comes the opportunity to make sure such people are eligible for social care. However, on the basis of the Government’s plans today, we have instead seen existing rationing for social care hardwired into the Act.

We know that sitting behind this rationing is the chronic underfunding of social care. For the Care Act to be truly transformational – ensuring the wellbeing of everyone who uses social care – it must be matched by bold investment.

With increasing numbers of older people and disabled adults needing care, there must be a new consensus on adequately funding social care services. What’s more, there is increasing consensus that doing so could generate real savings across Government.

The Department of Health is holding a final public consultation on the regulations. Scope will be responding to make sure that the details are improved as far as possible to allow disabled people who need social care support are able to receive it.

We encourage you to get involved, making it clear just how important social care support is in allowing disabled people to live their lives.