1 The proposed
Order on charging for non-residential social care
Purpose
11. As outlined above, if enacted the proposed Order
would extend the legislative competence of the National Assembly
for Wales to enable the Assembly to legislate in respect of charges
for non-residential social care provided or secured by local authorities,
and in respect of direct payments to individuals or their carers
in order to secure non-residential social care. This is set out
in the proposed Order, as follows:
In Field 15 (social welfare), after Matter 15.8 insert
-
"Matter 15.9
Charges levied by local authorities for non-residential
social care provided or secured by them and payments in respect
of individuals with particular needs relating to their well-being
so that they, or persons looking after them, may secure non-residential
social care to meet those needs."
12. At present the Welsh Assembly Government is able
to issue statutory guidance to local authorities on their charging
arrangements under Section 7 of the Local Authorities Social Services
Act 1970.[10] However,
local authorities are able to depart from this guidance and consequently
a significant variation has arisen between the amounts charged
by different local authorities in Wales. In a statement to the
National Assembly on 27 November, Deputy Minister for Social Services,
Gwenda Thomas AM, referred to:
... some significant differences between the charging
policies of local authorities in Wales, and therefore wide variability
in the impact on service users in various areas of the country.[11]
13. Later in the same statement the Deputy Minister
gave examples of the discrepancies between the maximum weekly
charges which varied from £16.20 to £185, while seven
local authorities have no set maximum charge. It is this variation
which the proposed Order is intended to address, by giving the
National Assembly the power to legislate - rather than just issue
guidance - to set maximum charges for non-residential social care
provided by or secured by local authorities. In addition, the
Deputy Minister referred to a disparity in the way in which individuals
are assessed for the purposes of disability-related expenditure
or benefits,[12] concluding
that:
All of this has resulted in inequalities and uncertainties
for service users, carers and their representatives.[13]
The Deputy Minister told the Assembly Committee:
it seems to me that the level of variation
is certainly significant enough to require action.[14]
And, in a later letter to the Chair of the Assembly
Committee:
We are quite clear that variations in charging policies
are widespread across Wales, are significant, and have a negative
effect on service users.[15]
14. We received two written submissions, both of
which referred to the variation in charges by local authorities
for non-residential social care. Age Concern Cymru said that:
The current situation
creates a "postcode
lottery" across Wales, and needs to be rectified.[16]
In its submission to us, Help the Aged in Wales expressed
the view that:
Charges should not be based on geography or finance[17]
This view was supported by those who submitted written
evidence to the Assembly Committee. For example, Mencap Cymru
wrote:
The current charging system in Wales is leading to
a postcode lottery, with the amount a person is charged for care
varying widely depending on the local authority in which they
live.[18]
15. The new powers are being sought, the Deputy Minister
explained, "to achieve a fairer and more consistent approach
to charging for all adult recipients of non-residential social
services across Wales",[19]
although it was not the Welsh Assembly Government's intention
to "fetter the fundamental discretion that local authorities
have to charge for certain services and to recover such charges
as they consider to be reasonable".[20]
This discretion is set out at Section 17 of the Health and Social
Services and Social Security Adjudications Act 1983. The Deputy
Minister explained:
... the intention here is not to prevent local authorities
from charging for non-residential social services, but to ensure
that, should they choose to do so, they do it in accordance with
a specified set of requirements.[21]
The discretion that local authorities have will remain;
there is no question about that.[22]
What we want to achieve is consistency - to do away
with the great differences that exist at present. We feel that
we cannot do that through guidance.[23]
16. If the proposed Order were approved, the Welsh
Assembly Government's intention would be to conduct a review of
charging to be completed by the next comprehensive spending review
in 2011-12, as a result of which Measures would be brought forward.
[24]
The proposed
Order and existing Welsh Assembly Government policy
17. In our examination of a Legislative Competence
Order in Council proposed by the Welsh Assembly Government, one
of our considerations is the extent to which it is consistent
with existing Welsh Assembly Government policy. In her statement
to the National Assembly, the Deputy Minister for Social Services
emphasised that the powers being sought were consistent with the
Welsh Assembly Government's strategy to move away from the provision
of residential care towards support for independence at home.[25]
The Deputy Minister stated that the powers being sought under
the terms of the proposed Order were consistent with existing
Welsh Assembly Government strategies and principles such as those
contained in One Wales[26]
and Fulfilled lives, supportive communities.[27]
This was supported by many of those organisations which submitted
written evidence to the Assembly Committee, including the Welsh
Therapy Advisory Committee:
The publication of the 10-year strategy for social
care in Wales provides the vision for services. The strategy is
a uniquely Welsh document and we believe it is important that
the National Assembly has the relevant powers to enable that vision
to become a reality.[28]
18. We
agree that the proposed Order represents a "good fit"
with existing and previously announced Welsh Assembly Government
policy, and is consistent with it.
The devolution
settlement
19. The Explanatory Note to the proposed Order lists
various matters which are excepted from its provisions.[29]
These relate to child support, tax credits, child benefit and
guardian's allowance, social security, independent living funds
and motablity - in other words, to a range of State benefits and
awards.[30] The Deputy
Minister commented in evidence:
The inclusion of the various benefits as an exception
makes clear that they are excluded from the competence because
they are the responsibility of the United Kingdom Government.
This LCO therefore reflects the general devolution settlement.[31]
The Parliamentary Under-Secretary of State made the
same point to us:
It is very important that we
define clearly
those areas which are retained
those issues
are
all retained functions and none of these LCOs are meant to challenge
that.[32]
20. Cardiff County Borough Council, in its written
submission to the Assembly Committee, felt that there was a need
for further clarity on the exception regarding motability:
There are always issues about transport costs and
how these should be included in any charging arrangements
As such a debate would be welcomed to consider if the Mobility
Allowance should be included in charging assessments as a contribution
towards transport costs.[33]
21. The Deputy Minister confirmed in evidence to
the Assembly Committee that:
The excepted matters will not impair the Assembly's
ability to deal with the treatment of benefits
It does
not change the situation as it is now.[34]
22. We
agree that the proposed Order reflects the current devolution
settlement, by setting out in the Excepted Matters certain aspects
which are retained as the responsibility of the UK Government.
We note the Welsh Assembly Government's view that the Excepted
Matters will not impair upon its ability to enact the policies
for which it seeks the powers contained in the proposed Order.
Use of
the Legislative Competence Order in Council procedure
23. Another of the considerations to be made by this
Committee is whether the Legislative Competence Order in Council
procedure is the most appropriate route by which to achieve the
policy result being sought. In evidence to the Assembly Committee,
the Deputy Minister was clear that the Welsh Assembly Government's
opinion was that the Order in Council procedure was the most appropriate
- indeed, the only - way by which its policy commitment could
be delivered:
I consider this to be the only way to achieve the
uniform approach that we seek. Anything less than an LCO will
not provide the guarantee that change will happen, and that fairer
charging will result.[35]
24. Use of a Legislative Competence Order in Council
was supported by the Chief Executive of Disability Wales, in evidence
to the Assembly Committee:
I think that the LCO would add clarity. It would
make the situation clear for those who are assessed as needing
services and those who support them. [36]
25. We note that written submissions to the Assembly
Committee from Carers Wales, the Coalition on Charging, Help the
Aged in Wales, Disability Wales and Age Concern Cymru, while all
supportive of the principle of the proposed Order, also advocated
action by the Welsh Assembly Government using its existing
powers in relation to assessment and charging practices. Disability
Wales said in evidence to the Assembly Committee:
I think that it is important for the Assembly to
use the powers that it has in addition to the further powers that
it seeks.
We feel that it is not using the powers that
it has
[37]
26. However, in a subsequent letter to the Chair
of the Assembly Committee, the Deputy Minister again stressed
the Welsh Assembly Government's view that a Legislative Competence
Order was the most appropriate way to achieve the desired policy
result, which could not be pursued using existing legislation:
we have previously attempted to improve the
situation by issuing Fairer Charging guidance, but
the
disparities and inequities for service users continue. The fundamental
stumbling block is that the Assembly Government's power to issue
guidance on this subject to local authorities would not enable
[the Welsh Assembly Government] to issue guidance that fettered
the discretion contained in Section 17 of HASSASSA.[38]
The legal advice we have is unequivocal: we cannot use the powers
in Section 7 of the Local Authority Social Services Act 1970 to
achieve the degree of consistency and fairness that we are seeking
to achieve.
We remain firmly of the view, therefore, that the
only way to deliver a consistent and fair approach to charging
is by the conferral of legislative competence and the bringing
forward of Measures subsequently.
In my view there are no alternative effective and
guaranteed means of bringing about the consistency and fairness
without needing to go through the Measure process.
in the absence of any realistic alternatives,
the Assembly Government would want to press on to obtain the legislative
competence that we need to enable us to take action by statutory
means.[39]
27. We
agree that the use of the Legislative Competence Order in Council
procedure is the most appropriate way for the Welsh Assembly Government
to pursue its policy objectives in this area, and that this could
not be achieved by use of existing legislation. It is also understood
that there is no Government bill in prospect which could address
these issues through primary legislation.
The timing
of the proposed Order's introduction
28. In his evidence to us, the Parliamentary Under-Secretary
of State said that the proposed Order was "not only welcomed
by service users but also in principle by the WLGA."[40]
However, in oral evidence to the Assembly Committee the Welsh
Local Government Association expressed reservations. These included
the timing of the proposed Order, given that the UK Government
has indicated a commitment to a public consultation and subsequent
Green Paper on a new long-term funding settlement for adult social
care.[41]
29. Although the consultation, which is expected
to start in Spring 2008, concerns the provision of adult social
care services in England, it is anticipated that the Green Paper
will have implications for Wales.[42]
As the Deputy Minister told us, although the Green Paper will
apply only to England, "there will be issues that will be
of great import to Wales".[43]
The Welsh Local Government Association's view was that "we
should wait and see what the impact is in Wales".[44]
30. Mr Steve Milsom, the Acting Director of the Older
People and Long Term Care Policy Directorate of the Welsh Assembly
Government, told the Assembly Committee:
It is clear that this will not happen immediately
or quickly.
[The Green Paper] will not contradict in any
way what is proposed in the LCO, which is quite narrow and specific.[45]
31. The Deputy Minister's view was that the forthcoming
Green Paper was not a reason to delay the introduction of the
proposed Order:
There will always be a reason for waiting while some
other piece of work is undertaken, but this is an important manifesto
commitment and we need to get on with it
[46]
This LCO fulfils a clear "One Wales" policy
commitment that we need to get on with, and we cannot hold it
up in order to wait and see what may or may not happen as a result
of the Green Paper.[47]
32. We
note that some valid concerns were expressed by witnesses before
the Assembly Committee as to the timing of the introduction of
the proposed Order, particularly in relation to a forthcoming
Green Paper for social care in England, and we draw such concerns
to the attention of the Welsh Assembly Government.
The scope
of the proposed Order: the exclusion of residential care
33. The Deputy Minister for Social Services has confirmed
that the proposed Order is restricted to charges levied by local
authorities for non-residential social care. It would not enable
the Assembly to legislate in respect of charges levied by private
care providers (which, we were told, currently provide 80% of
these services[48]),
nor would its provisions apply to residential care.[49]
When asked why the proposed Order had been drafted so as to be
confined to non-residential care, the Deputy Minister explained
that the problem of inconsistencies in charging by local authorities
did not exist in the case of residential care.[50]
Mr Steve Milsom, the Acting Director of the Older People and Long
Term Care Policy Directorate, of the Welsh Assembly Government
explained:
The way we ensure consistency in the charging for
residential care is through something called CRAG (Charging for
Residential Accommodation Guidance); and that sets out capital
limits that have to be applied to individual circumstances.
We already have a robust mechanism in place to ensure consistency
in respect of residential accommodation charging
Therefore,
we do not need to do that through this LCO.[51]
34. The Deputy Minister confirmed that, should the
Welsh Assembly Government wish to legislate on matters concerning
residential care in the future, an additional Legislative Competence
Order (or framework power) would be required in order to do so.[52]
35. We agree
that the proposed Order as drafted applies only to non-residential
social care provided by or secured by local authorities, and to
payments made in respect of individuals with particular needs
relating to their well-being.
Respite
services
36. In evidence, the question of whether the provision
of respite care would fall within the scope of the proposed Order
was raised.[53] The Deputy
Minister clarified the position in a subsequent letter to the
Chair of the Assembly Committee:
The LCO covers charges and payments made by local
authorities for non-residential social care. It would therefore
cover respite services received in a person's own home such as
24 hour emergency care or sitting services. However it does not
cover charges and direct payments for residential social care.
Consequently charges or payments made in respect of securing temporary
respite care in a care home would fall outside the scope of the
Order.[54]
37. We
agree that the proposed Order as drafted would cover respite services
received in a person's own home, but would not extend to respite
care in a care home.
The power
to abolish charging
38. In addition to the power for the National Assembly
to set maximum charges levied by local authorities for non-residential
social care, the proposed Order would also enable it to abolish
such charges. That the National Assembly should have the power
to abolish charging was strongly supported by the Wales Carers
Alliance, Disability Wales and Age Concern Cymru in evidence to
the Assembly Committee,[55]
although the Welsh Local Government Authority said that the abolition
of charges "would be seen in a very unfavourable light"
by local authorities.[56]
39. In a statement to the Assembly, the Deputy Minister
confirmed that she did "not see there being any danger of
this LCO going down the route of free homecare":
... although we would want to support the principle
of free homecare, the budget does not currently allow for that.[57]
40. However, the Deputy Minister also confirmed that,
as drafted, the proposed Order would transfer to the Assembly
the ability to legislate to abolish charges:
The LCO is certainly wide enough to allow for charges
to be abolished or for certain services to be nil rated
there is provision, and the scope of the LCO is wide enough.[58]
41. This view was shared by the Parliamentary Under-Secretary
of State, although with the "strong proviso" that the
policy intention was to "try and regulate the wide range
as opposed to the complete abolition of non-residential and domiciliary
charges:"[59]
Yes, the competence is there; the intention is not
there to do that at the moment.[60]
42. The Deputy Minister was asked which non-residential
social care services might be "zero-rated" should the
proposed Order take effect, and told the Assembly:
I cannot answer specifically what services would
be rated as zero charge; it is too early to do that. However,
the LCO would give us the scope to do that.[61]
The Deputy Minister also confirmed that although
the abolition of such charges was not a current policy proposal
of the Welsh Assembly Government because of affordability, "certainly
it would not exclude it".[62]
43. We agree
that the proposed Order as drafted would enable the National Assembly
to abolish charges made by local authorities for the provision
of non-residential care services. We acknowledge that the Welsh
Assembly Government has made clear that it does not intend to
do so, but note that the power to do so would be conferred under
the terms of this Order.
A requirement
to charge
44. Conversely to the above, a concern was raised
during evidence that the proposed Order included the power to
require local authorities to charge for the provision of
non-residential care services. The Deputy Minister told the joint
meeting of our two committees:
There is no intention whatsoever in this LCO to make
it a requirement of local authorities to charge for their [non-residential]
services. That discretion will stand within the local democratic
system, and the LCO will have no bearing on that. What we want
to do is to have the power to legislate
and ensure that
payments are more equitable and more consistent. I do not see
that bringing in either a cap or a floor would assist that in
any way whatsoever.[63]
45. While
we acknowledge that the Welsh Assembly Government does not intend
to make it a requirement of local authorities to charge for the
provision of non-residential social care, we note that the proposed
Order as drafted does include the power to do so.
Non-residential
social care services for children
46. When asked whether the proposed Order would allow
the Assembly to legislate in respect of charges for non-residential
social care in respect of children and young people, the Deputy
Minister confirmed that it would do so:
Yes. That is quite clear. The LCO
would enable
us to introduce a measure on charging by local authorities for
children's services. However, we have no intention of introducing
such a measure in the foreseeable future - but it would allow
it.[64]
47. The Parliamentary Under-Secretary of State agreed:
the terms of this Order in Council would encompass
children as well in terms of non-residential domiciliary care.[65]
48. Both the Welsh Local Government Association and
the Association of Directors of Social Services Cymru confirmed
that they would like to see the word "children" disapplied
in respect of the proposed Order.[66]
The Director of Social Care and Housing, Association of Directors,
told the Assembly Committee:
there is a real danger of including this
If something like this gets out, the message might be that the
Assembly is looking for a Legislative Competence Order to introduce
charging for children. There would be huge opposition to that
The other issue is whether, when you get into the detail,
you are charging the child or the parents, and what income you
take into consideration.[67]
This was supported by the Wales Carers Alliance and
by Disability Wales:
we have a great deal of concern about this
area.
there are no charges for children's services at the
moment. If anything, we feel that the LCO should reduce charging
rather than introduce other avenues of charging.
we would
not want to see such charges included in any LCO.[68]
49. In later evidence to the Assembly Committee the
Deputy Minister again clarified that while this power was included
in the proposed Order, the Welsh Assembly Government had no plans
to require local authorities to introduce charges for non-residential
care services for children:
there is no intention on the Assembly Government's
part to encourage or require local authorities to charge for non-residential
care services for children. In fact, we are heading in quite the
opposite direction. Children's services are included within the
scope only because we want to be able to take remedial action
in the future if the need were to arise.[69]
50. We note that the proposed Order would allow the
Welsh Assembly Government to legislate in this area and that it
was being sought only as "an insurance policy for any developments
that might occur in the future", in the event that a Welsh
local authority decides to introduce charges for non-residential
social care for children.[70]
The proposed Order, if enacted, would mean that the Welsh Assembly
Government would not have to repeat the process of seeking a further
Order in respect of services provided for children. As the Deputy
Minister said in evidence:
... should that situation arise in the future
the scope of this LCO needs to be wide enough to ensure that any
changes so introduced would be fair.[71]
51. While we acknowledge that the Welsh
Assembly Government does not intend to require local authorities
to charge for the provision of non-residential social care services
to children, we note that the proposed Order does include the
power to do so. It will be for the National Assembly to decide
how to exercise this power in the future.
Variation
in assessments for charging
52. It was not only the variation of the level of
charges between local authorities which led the Welsh Assembly
Government to propose this Order, but also concern at differences
in the way in which people are assessed for those charges.[72]
In its memorandum to us, Help the Aged in Wales referred to:
a lack of clarity regarding the ways in which
authorities arrive at the charges an individual is expected to
pay which adds to the confusion.[73]
The Deputy Minister, in evidence to the Assembly
Committee, acknowledged that:
there are discrepancies with regard to the
extent to which individual payments of attendance allowance and
war widows' pension are taken into account in the financial assessment.[74]
Mr Steve Milsom, the Acting Director of the Older
People and Long Term Care Policy Directorate of the Welsh Assembly
Government, said in evidence to the Assembly Committee:
The approach across Wales is quite different on the
level of disregards - some are far more generous, particularly
in relation to disability-related expenditure, but some are certainly
not.[75]
53. In evidence to our joint meeting, the Deputy
Minister noted:
We would not want to exclude the opportunity to ensure
that the financial assessment process is as fair as the charge
itself.[76]
54. Both the Parliamentary Under-Secretary of State
and the Deputy Minister confirmed that the proposed Order would
enable the Assembly to bring forward measures relating to the
process of assessment for charging:[77]
[the proposed Order] would allow the Assembly
to determine the way in which local authorities currently take
into account income factors within their calculation of charging.[78]
55. We
note that the evidence submitted to this Committee and to the
Assembly Committee points to inconsistencies and uncertainty in
the assessment of income between different local authorities in
Wales for the purposes of charging for the provision of non-residential
social care. We acknowledge that this proposed Order would enable
the National Assembly to introduce legislation (by measure) with
the aim of establishing such consistency, and believe that this
is an appropriate legislative competence to devolve.
The relation
between Field 15 (social welfare) and Field 12 (local government)
56. While Field 15 of Schedule 5 of the Government
of Wales Act 2006 relates to social welfare, another Field, Field
12, relates to local government. When asked whether the ability
to make Measures under the proposed Order was conditional on the
Assembly having additional competence in Field 12, the Deputy
Minister assured us:
... we do not need the ability to legislate in Field
12 for the rights that we are seeking in Field 15 to be effective.[79]
57. We
agree that the proposed Order would enable the National Assembly
to legislate in the Field of social welfare, without requiring
amendment to Field 12 relating to local government.
Reimbursement
to local authorities
58. If measures were to be introduced under the terms
of this proposed Order limiting charges which local authorities
could make for the provision of non-residential social care, some
authorities would lose revenue. The Deputy Minister for Social
Services told us:
I believe that one of the aspects that the measure
could deal with is this aspect of capping, but this is something
that we will consider as we move towards a measure
[80]
59. Some witnesses were concerned that, should this
be the case, the quality of services provided could suffer. In
its written submission to the Assembly Committee, Denbighshire
County Council commented:
The emphasis on reducing charges is extremely worrying
if it does not also result in higher grant allocations to local
authorities.
without an increased level of funding, services
are bound to suffer.[81]
60. When asked whether there was a risk that in future
a ceiling or cap on charges could lead to lower quality services
in some areas and to price increases in other areas, the Deputy
Minister replied:
I do not see that placing a cap on charges would
create any problems in terms of quality of services because there
are other ways
of ensuring that the care meets the necessary
standards.[82]
61. The Welsh Local Government Association, while
broadly welcoming of the proposed Order, cautioned that in its
view:
While there persist long term funding shortfalls
in the social care system, variances and inequity will continue
to exist across Wales.
The LCO
will not solve this
fundamental problem and even with the power the situation will
not improve in the short term. We approve in principle of the
LCO but have serious concerns about the potential impact.
Changes in isolation to the big picture may well cause damage
to the delivery of social care services and increase demand way
beyond that which is affordable to the Country as a whole.[83]
62. Beverlea Frowen, Director of Social Services
and Health Improvement of the Welsh Local Government Association,
told the Assembly Committee:
in principle, we cannot disagree with the
overall desire to smooth out unacceptable variances. Beyond that
we have to look at it in the context of the
overall
ways and mechanisms of funding social care in Wales.
We
feel that to start looking at measures that potentially drastically
change the ability of councils to apply charges in this climate
is premature.
we believe that there is time for
reflection before [proceeding] immediately to an LCO on this matter.[84]
63. This view was supported by the Association of
Directors of Social Services Cymru, whose Director of Social Care
and Housing told the Assembly Committee:
I suppose the question will be
whether this
is the appropriate time to be pursuing the LCO when there are
bigger issues that we need to be looking at
in terms of
the overall funding regime.[85]
at the moment we do not know what it is that
we will be asked to support in terms of the detail, therefore
we have to reserve our judgement.[86]
64. The Deputy Minister for Social Services told
us that the cost to local authorities of providing non-residential
care services was "around £153 million", although
only £23 million was recouped by local authorities by way
of charges.[87] However,
it was not the intention to prevent local authorities from charging
altogether so, as Mr Steve Milsom, Acting Director of the Older
People and Long Term Care Policy Directorate of the Welsh Assembly
Government told the Assembly Committee, "there would still
be an income stream".[88]
65. The Deputy Minister told us in evidence that
the extent of any compensation could only be decided in the context
of a measure:
The extent to which we decide to compensate local
authorities for any revenue that they may lose as the result of
a subsequent measure on charging is an issue for consideration
when the measure is developed.[89]
66. We
note the concern expressed by the representatives of local authorities
that in order for the quality of their non-residential social
care services not to be adversely affected by the imposition of
a limit on the amounts they could recoup in charges, they would
need to be reimbursed for lost revenue. We also note the Welsh
Assembly Government's assurance that it was its aim to do so,
although this could only be defined when measures are brought
forward.[90] We must
therefore note that there are potentially significant financial
implications with measures which may be brought forward under
the powers devolved by the proposed Order.
Cross-border
issues
DIVERGENCE OF POLICY
67. As the Explanatory Memorandum to the proposed
Order makes clear, Section 93 of the Government of Wales Act 2006
imposes a geographical limit to Assembly measures in that they
apply only to Wales.[91]
This would clearly be so in the case of any measures introduced
under the terms of this proposed Order.[92]
Nevertheless it raises the possibility that a marked difference
in the delivery of public services and charging arrangements could
develop between England and Wales, which would be particularly
noticeable in the border areas.[93]
The Deputy Minister saw this as being "what devolution means"
and showed that "Wales can lead the way".[94]
The Parliamentary Under-Secretary of State told us that:
We are rightly content with the idea of policy differential,
but that policy differential has to ensure that on both sides
of the border there is proper and good provision for all end users.[95]
PROVISION OF SERVICES
68. If as a consequence of this Order policies in
England and Wales diverge and there is a different level of provision
on either side of the border, people might decide to cross the
border in order to benefit from the better provision - an issue
raised by Denbighshire County Council and by the Welsh Local Government
Association in their written submissions to the Assembly Committee.[96]
According to the Association:
Parts of Wales are subject to variances and pressures
due to their proximity with England. The North Wales coast in
particular suffers from a huge ingress of people wishing to retire
there. It cannot be overlooked that if there were to be a less
costly regime to the individual in Wales this would be a further
deciding factor on individuals choosing to move to Wales for their
retirement.[97]
69. While acknowledging that these were "valid
concerns", the Parliamentary Under-Secretary of State felt
that this was "an issue that should be addressed when measures
are brought forward".[98]
Moreover:
of the 66,000 adults receiving community-based
non-residential services, only around 14,000 of those are actually
being charged at the moment. Add to this the fact that the cost
of any move would far outweigh the amount being saved by reduced
charges, we think that we are very unlikely to see the number
of people retiring to Wales
increasing as a result of this
policy.[99]
70. Following our joint evidence session with the
Assembly Committee, the Deputy Minister wrote to the Chair of
that Committee to clarify the circumstances in which non-residential
social care in border areas in Wales would be provided by local
authorities in England - a situation which, she explained, would
be "quite limited given that the vast majority of non-residential
social services are received in a individual's home".[100]
it might be possible
to have a scenario
where an individual living in the border regions of Wales attended
day care in England. In this situation, while the service would
be provided by an English local authority or private care provider,
it would be provided on behalf of the Welsh local authority. Therefore
any charge for that service to the user would be levied by the
Welsh local authority. As such it would be subject to any changes
introduced by the Welsh Assembly Government as a result of a subsequent
measure
The Welsh service user would not be subject to
English charging arrangements even though they were receiving
a service in England.[101]
71. We have given consideration to
the implications of this proposed Order for the cross-border provision
of services, but do not feel that these are significant at present.
10 Q 2 Back
11
Legislative Statement by the Deputy Minister for Social Services
to the National Assembly for Wales, 27 November 2007 Back
12
Income from salary is disregarded for charging purposes, but income
from occupational pensions is taken into account Back
13
Legislative Statement by the Deputy Minister for Social Services
to the National Assembly for Wales, 27 November 2007 Back
14
Oral evidence before the Proposed Domiciliary Care LCO Committee,
7 February 2008 Back
15
Letter from the Deputy Minister for Social Services to the Chair
of the Assembly Committee, 13 February 2008 Back
16
Ev 27 (para 4.1) Back
17
Ev 25 Back
18
Memorandum submitted to the Proposed Domiciliary Care LCO Committee
by Mencap Cymru Back
19
Legislative Statement by the Deputy Minister for Social Services
to the National Assembly for Wales, 27 November 2007 Back
20
ibid Back
21
Legislative Statement by the Deputy Minister for Social Services
to the National Assembly for Wales, 27 November 2007 Back
22
ibid Back
23
Oral evidence before the Proposed Domiciliary Care LCO Committee,
7 February 2008 Back
24
Legislative Statement by the Deputy Minister for Social Services
to the National Assembly for Wales, 27 November 2007 Back
25
ibid Back
26
One Wales - a progressive agenda for the government of Wales,
Welsh Assembly Government, 27 June 2007 Back
27
Fulfilled lives, supportive communities - a strategy for social
services in Wales over the next decade, Welsh Assembly Government,
February 2007 Back
28
Memorandum submitted to the Proposed Domiciliary Care LCO Committee
by the Welsh Therapy Advisory Committee Back
29
Ev 20 Back
30
Q 38 Back
31
Q 38 Back
32
Q 62 Back
33
Memorandum submitted to the Proposed Domiciliary Care LCO Committee
by Cardiff County Borough Council Back
34
Oral evidence to the Proposed Domiciliary Care LCO Committee,
7 February 2008 Back
35
ibid Back
36
Oral evidence to the Proposed Domiciliary Care LCO Committee,
31 January 2008 Back
37
ibid Back
38
Health and Social Services and Social Security Adjudications Act
1983 Back
39
Letter from the Deputy Minister for Social Services to the Chair
of the Proposed Domiciliary Care LCO Committee, 13 February
2008 Back
40
Welsh Local Government Association; Qs 45, 58 Back
41
Ivan Lewis MP, Parliamentary Under-Secretary of State for Care
Services, foreword to the Smith Institute's publication, Advancing
opportunity: older people and social care, February 2008 Back
42
Deputy Minister for Social Services, oral evidence to the Proposed
Domiciliary Care LCO Committee, 7 February 2008 Back
43
Q 45 Back
44
Beverlea Frowen, WLGA, oral evidence to the Proposed Domiciliary
Care LCO Committee, 31 January 2008 Back
45
Oral evidence to the Proposed Domiciliary Care LCO Committee,
7 February 2008 Back
46
ibid Back
47
ibid Back
48
Q 32 Back
49
Legislative Statement by the Deputy Minister for Social Services
to the National Assembly for Wales, 27 November 2007 Back
50
Q 15 Back
51
ibid Back
52
Q 16 Back
53
Qs 21 - 26 Back
54
Letter from the Deputy Minister for Social Services to the Chair
of the Assembly Committee, 25 January 2008 (Ev 24) Back
55
Oral evidence to the Proposed Domiciliary Care LCO Committee,
31 January 2008 Back
56
ibid Back
57
Legislative Statement by the Deputy Minister for Social Services
to the National Assembly for Wales, 27 November 2007 Back
58
ibid Back
59
Q 52 Back
60
ibid Back
61
Legislative Statement by the Deputy Minister for Social Services
to the National Assembly for Wales, 27 November 2007 Back
62
Q 14 Back
63
Q 39 Back
64
Q 12 Back
65
Q 51 Back
66
Bruce McLernon, Director of Social Care and Housing, Association
of Directors of Social Servies Cymru, and Beverlea Frowen, Director
of Social Services and Health Improvement, WLGA, oral evidence
to the Proposed Domiciliary Care LCO Committee, 31 January 2008. Back
67
Bruce McLernon, Director of Social Care and Housing, Association
of Directors of Social Servies Cymru, oral evidence to the Proposed
Domiciliary Care LCO Committee, 31 January 2008. Back
68
Oral evidence to the Proposed Domiciliary Care LCO Committee,
31 January 2008 Back
69
Oral evidence to the Proposed Domiciliary Care LCO Committee,
7 February 2008 Back
70
ibid Back
71
Oral evidence to the Proposed Domiciliary Care LCO Committee,
7 February 2008 Back
72
ibid Back
73
Ev 25 Back
74
Oral evidence to the Proposed Domiciliary Care LCO Committee,
7 February 2008 Back
75
ibid Back
76
Q 37 Back
77
Q 17 Back
78
Q 53 Back
79
Q 6 Back
80
Q 31 Back
81
Memorandum submitted to the Proposed Domiciliary Care LCO Committee
by Denbighshire County Council Back
82
Q 32 Back
83
Memorandum submitted to the Proposed Domiciliary Care LCO Committee
by the Welsh Local Government Association Back
84
Oral evidence to the Proposed Domiciliary Care LCO Committee,
31 January 2008 Back
85
ibid Back
86
ibid Back
87
Q 31; Mr Steve Milson, oral evidence to the Assembly Committee,
7 February 2008 Back
88
Oral evidence to the Assembly Committee, 7 February 2008 Back
89
Q 40 Back
90
Legislative Statement by the Deputy Minister for Social Services
to the National Assembly for Wales, 27 November 2007 Back
91
Ev 22 Back
92
Q 44 Back
93
ibid Back
94
ibid Back
95
Q 69 Back
96
Memorandum submitted to the Proposed Domiciliary Care LCO Committee
by Denbighshire County Council Back
97
Memorandum submitted to the Proposed Domiciliary Care LCO Committee
by the Welsh Local Government Association Back
98
Q 71 Back
99
ibid Back
100
Ev 24 Back
101
ibid Back
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