The Care Act 2014 in England

Joanna Marczak

The Care Act 2014 introduced historic changes to the system of adult social care in England by imposing new legal responsibilities on local authorities. The focus on the wellbeing of individuals, personalisation, preventing, reducing and delaying the need for care and support were some of the significant changes. The act, for the first time, gave carers a legal right to receive assessment and support for specific needs, and it introduced new national eligibility criteria. The statute has implications for the safeguarding of vulnerable adults, managing the care markets, promoting cooperation, the integration of services within the local authority departments and between the authority and the health agencies. The Act also introduced changes to how and when people are required to contribute towards the cost of their care. The reforms are intended to improve the cost-effectiveness of the care system and to manage the increasing demands for care demands in an ageing population. However, the implementation of some aspects of the legislation has been impaired by the current policy of fiscal austerity.

Przygotowanie do wydania elektronicznego publikacji - zadanie finansowane w ramach umowy Nr 780/P-DUN/2017 ze środków Ministra Nauki i Szkolnictwa Wyższego przeznaczonych na działalność upowszechniającą naukę.

Słowa kluczowe: Ustawa o opiece zdrowotnej 2014, reforma opieki społecznej w Anglii, prewencja w opiece społecznej, integracja służby zdrowia i pomocy społecznej, formalna i nieformalna opieka, koszty opieki społecznej, kryteria przyznawania pomocy społecznej

1. Jones M., Lowe R., From Beveridge to Blair: The First Fifty Years of Britain’s Welfare State, Manchester University Press, Manchester 2002.

2. Joint Committee on the Draft Care and Support Bill, Draft Care and Support Bill, House of Lords, House of Commons 2013.

3. HM Government, National Assistance Act 1948, UK, 1948.

4. Lewis J., West A., Re-shaping social care services for older people in England: Policy development and the problem of achieving ‘good care’, “Journal Social Policy” 2014; 43 (1): 1–18.

5. Glasby J., Understanding Health and Social Care. Understanding welfare, Vol. Third. Policy Press, Social Policy Association, Bristol 2017; xiv: 202.

6. Departament of Health, Modernising Health and Social Services, Department of Health, London 1998.

7. HM Government, Putting People First: Shared Vision and Commitment to the Transformation of Adult Social Care, 2007.

8. HM Government, Shaping the Future of Care Together, The Stationary Office, London 2009.

9. Dilnot Commission, Fairer Care Funding: The Report of the Commission on Funding of Care and Support, London 2011.

10. Law Commission, Adult Social Care, The Stationary Office, London 2011.

11. HM Government, Caring for our Future: Reforming Care and Support, The Stationary Office, London 2012.

12. HM Government, Draft Care and Support Bill, The Stationary Office, London 2012.

13. The Secretary of State for Health, The Care Bill Explained. Including Response to Consultation and Pre-legislative Scrutiny on the Draft Care and Support Bill, The Stationary Office Limited, London 2013.

14. Department of Health, Care Bill becomes Care Act 2014, 2014, (accessed: 04.06.2017).

15. HM Government, Care Act 2014, The Stationary Office, London 2014.

16. Richards B., Williamson L., Supporting innovation in the UK: Care Act 2014 developments in social care legislation in England and the medical innovation bill, “Journal of Bioethical Inquiry” 2015; 12 (2): 183–187.

17. Needham C., Duffy S., Commissioning in an era of personalisation, in: Commissioning for Health and Well-being, Glasby J. (ed.), Policy Press, Bristol 2012: 225–243.

18. Jarrett T., Social Care: Direct Payments from Local Authority (England) in Briefing Paper, House of Commons Library, London 2015.

19. Clements L., The Care Act 2014 overview, Clements, Leeds 2017.

20. Slasberg C., Beresford B., Government guidance for the Care Act: Undermining ambitions for change?, “Disability & Society” 2014; 29 (10): 1677–1682.

21. McNicoll A., High Court Allows Legal Challenge Over Care Act Wellbeing Principle, Community Care, London 2016.

22. Wistow G., Lewis H., Preventative Services for Older People: Current Approaches and Future Opportunities, Anchor Trust Kidlington, London 1997.

23. Godfrey M., Prevention: developing framework for conceptualizing and evaluating outcomes of preventive services for older people, “Health & Social Care in the Community” 2000; 9 (2): 89–99.

24. Departament of Health, Vision for Adult Social Care: Capable Communities and Active Citizens, Department of Health, London 2010.

25. ADASS, ADASS Budget Survey 2016, Association of Directors of Adult Social Services, London 2016.

26. Department of Health, Local Government Association, and Association of Directors of Adult Social Services, Practice guidance to support Local Authorities to facilitate access to independent financial information and advice under the Care Act 2014, 2015.

27. LGA and ADASS, Care Act: Regulations and Guidance. LGA and ADASS Joint Consultation Response, Local Government Association, Association of Directors of Adult Social Services, London 2014.

28. Barker K., New Settlement for Health and Social Care. Final Report, Commission on the Future of Health and Social Care in England (ed.), Kings Fund, London 2014.

29. HM Government, Our Health, Our Care, Our Say: New Direction for Community Services, The Stationary Office, London 2006.

30. NAO, Health and Social Care Integration, National Audit Office, London 2017.

31. NHS, Five Year Forward View, NHS, London 2014.

32. Houses of Parliament, Big Data and Public Health, The Parliamentary Office of Science and Technology, London 2014.

33. Marczak J., Wistow G., Commissioning long-term care, in: Long-Term Care Reforms in OECD Countries: Successes and Failures, Gori C., Fernandez J.L., Wittenberg R. (eds.), Policy Press, Bristol 2015.

34. Laing W., Strategic commissioning of long-term care for older people. Can we get more for less?, in: LaingBuisson White Paper, LaingBuisson, London 2014.

35. NAO, Adult Social Care in England: Overview, National Audit Office, London 2014.

36. Brennan D. et al., The marketisation of care: Rationales and consequences in Nordic and liberal care regimes, “Journal of European Social Policy” 2012; 22 (4): 377–391.

37. National Audit Office, Oversight of User Choice and Provider Competition in Care Markets, National Audit Office, London 2011.

38. Department of Health, Care and Support Statutory Guidance Issued under the Care Act 2014, D.o. Health (ed.), London 2014.

39. Carers Trust, Prevent, Reduce, Delay: Are Councils Meeting their New Duties to Support Unpaid Carers?, Carers Trust, London 2015.

40. Yeandle S., Wigfield A., New Approaches to Supporting Carers’ Health and Well-being: Evidence from the National Carers’ Strategy Demonstrator Sites Programme, CIRCLE, University of Leeds, Leeds 2011.

41. HM Government, Carers Strategy: Second National Action Plan 2014–2016, DH, London 2014.

42. CSCI, Cutting the Cake Fairly. CSCI Review of Eligibility Criteria for Social Care, The Commission for Social Care Inspection, London 2008.

43. Fernandez J.L., Snell T., Marczak J., An Assessment of the Impact of the Care Act 2014 Eligibility Regulations, PSSRU, LSE, London 2015.

44. Fernandez J., Snell T., Wistow G., Changes in the Patterns of Social Care Provision in England: 2005/6 to 2012/13, PSSRU, London 2013.

45. Bolton J., Predicting and Managing Demand in Social Care, Institute of Public Care, Oxford Brookes University, Discussion paper, Oxford 2016.

46. Humphries R. et al., Social Care for Older People. Home Truths, The King’s Fund, London 2016.

47. Hopkins N., Laurie E., Social citizenship, housing wealth and the cost of social care: Is the Care Act 2014 ‘fair’?, “The Modern Law Review” 2015; 78 (1): 112–139.

48. Fitzgerald G., Care Act Guidance on Safeguarding Must be Clearer to Ensure Victims are Protected, Community Care, London 2016.

49. Schwehr B., Why the Care Act 2014 guidance on safeguarding short-changes social workers, 2014, (accessed: 04.07.2017).

50. LGA, Under Pressure. How Councils are Planning for Future Cuts, Local Government Association, London 2014.

51. House of Commons, Care Act First-phase Reforms and Local Government New Burdens, The Stationary Office Limited, London 2015.

52. CQC, The State of Health Care and Adult Social Care in England 2015/16, Her Majesty’s Stationary Office, Newcastle 2016.

53. Weightmans, The Care Act 2014 – two years on, in: Local Government, Weightmans LLP, London 2017.