Unit 16: Understanding Public Funding fr Individual Adult Care Needs Unit reference number: K/616/7403 Level: 4 Unit type: Optinal Credit value: 4 Guided learning hurs: 30 Unit summary The cst f adult care has risen dramatically and cntinues t d s. Paying fr care is an increasingly difficult prblem that sciety has t tackle if we are t maintain the quality f service we wuld like ur family t receive. Recent changes t welfare benefits and funding fr care will have an impact n all f us, s it is imprtant t knw hw the system wrks fr thse we supprt prfessinally and fr urselves. In this unit, yu will learn abut the changes t welfare benefits, the legislatin underpinning the welfare benefits system, hw an individual s needs fr care are assessed and funded differently, and hw thse individuals wh lack mental capacity can have their interests represented. Finally, yu will learn hw and when t refer individuals fr legal and financial advice t achieve the best utcmes fr their care. 978 1 446 95318 1 Pearsn BTEC Level 4 Diplma in Adult Care (England) Unit Issue 1 January 2018 Pearsn Educatin Limited 2018 1
Learning utcmes and assessment criteria T pass this unit, the learner needs t demnstrate that they can meet all the learning utcmes fr the unit. The assessment criteria utline the requirements the learner is expected t meet t achieve the unit. Learning utcmes 1 Understand the welfare benefit system in relatin t individuals with care needs 2 Understand prcesses relating t lcal authrity funding f services fr individual adult care needs 3 Understand prcesses relating t Natinal Health Service (NHS) funding f services which meet individual care needs 4 Understand ways thers manage financial affairs f an individual 5 Understand hw t signpst and refer t prfessinal advice services Assessment criteria 1.1 Explain current legislatin relating t the welfare benefits system 1.2 Explain eligibility criteria f current: means-tested benefits nn-means tested benefits 1.3 Explain hw changes f circumstances may affect benefit entitlement 2.1 Explain current legislatin relating t lcal authrity funding 2.2 Evaluate current eligibility criteria 2.3 Explain lcal authrity financial assessment prcesses 3.1 Evaluate NHS funding eligibility criteria 3.2 Explain the prcess fr challenging NHS funding decisins 4.1 Explain aspects f the Mental Capacity Act (MCA) 2005 that relates t managing the financial affairs f an individual 4.2 Explain applicatins f: enduring pwer f attrney (EPA) lasting pwer f attrney (LPA) Curt f Prtectin Deputy Department f Wrk and Pensins Appintee 5.1 Explain when t refer t: financial advice legal advice 5.2 Explain hw t refer t specialist: financial advice legal advice 2 978 1 446 95318 1 Pearsn BTEC Level 4 Diplma in Adult Care (England) Unit Issue 1 January 2018 Pearsn Educatin Limited 2018
Cntent What needs t be learned Learning utcme 1: Understand the welfare benefit system in relatin t individuals with care needs Current legislatin Welfare Refrm Act 2012. Care Act 2014 t include changes frm April 2015, including deferred payments; and changes frm April 2016, including care accunts. Types f benefit Universal Credit. Other benefits fr families. Death benefits. Heating and husing benefits. Tax credits. Benefits system eligibility criteria Means-tested benefits. Nn-means-tested benefits. Changes in circumstances Changes t include: admissin t hspital discharge frm hspital admissin t care hme. Changes in status Changes t include: husing marital medical physical immigratin death incme/capital/savings emplyment imprisnment. 978 1 446 95318 1 Pearsn BTEC Level 4 Diplma in Adult Care (England) Unit Issue 1 January 2018 Pearsn Educatin Limited 2018 3
What needs t be learned Learning utcme 2: Understand prcesses relating t lcal authrity funding f services fr individual care needs Sectin f Care Act 2014 t include the fllwing Rle f lcal authrities t ensure that peple wh live in their areas: receive services that prevent their care needs frm becming mre serius, r delay the impact f their needs get cmprehensive infrmatin and advice abut care and supprt services in their area have a range f prvisin f high-quality, apprpriate services t chse frm have an assessment f their needs fcused n the individual s desired utcmes are able t access self-assessment have a care and supprt plan (r a supprt plan in the case f a carer) receive prvisin at natinal standards receive their legal entitlement t persnal budgets and direct payments receive independent advcacy services if required receive a cpy f their assessment and eligibility determinatin are aware f lcal authrity duty t review care plans are given infrmatin in a range f frmats that meet their needs. Funding f services eligibility criteria Ways eligibility criteria are identified thrugh assessment: care and supprt needs resulting frm physical and/r mental cnditin because f thse needs, individuals cannt achieve tw r mre f the utcmes specified as a result, there is a significant impact n their wellbeing. Entitlement t funding services that meet individual care needs depending n whether the persn: has eligible needs has residency status meets ne f five cnditins, including the care and supprt they need is free, they cannt affrd the full cst f care and supprt, they ask the lcal authrity t meet their need, the persn des nt have mental capacity, they have n ne else t arrange care fr them, r their ttal care and supprt csts exceed the cap. Changes t ways that lcal authrities assess the funding f individual care needs Individual cntributins befre April 2016. Cap n csts frm April 2016 excluding daily living csts. Extensin t means-tested payments. 4 978 1 446 95318 1 Pearsn BTEC Level 4 Diplma in Adult Care (England) Unit Issue 1 January 2018 Pearsn Educatin Limited 2018
What needs t be learned Lcal authrity financial assessment prcesses t include assessment f the fllwing Incme. Assets t include prperty, savings, investments. Deferred payment schemes. Extending chice f accmmdatin. Tp-up payments. Carried ut by a scial wrker r ther apprpriately trained persn. Learning utcme 3: Understand prcesses relating t Natinal Health Service (NHS) funding f services which meet individual care needs NHS funding Natinal framewrk fr determining eligibility fr NHS cntinuing healthcare and fr NHS-funded nursing care. Eligibility based n: needing care frm a registered nurse living in a care hme registered t prvide nursing care. Assessment fr NHS cntinuing healthcare. Rle f Clinical Cmmissining Grup (CCG) and multidisciplinary team in assessment. Initial screening using Checklist Tl. Full assessment using Decisin Supprt Tl. Types f need. Pst-assessment prcedures t include: prvisin f care and supprt packages persnal health budgets review f care needs. Alternatives t NHS-funded care t include: jint care package self-funded care lcal authrity-funded services. Challenging NHS funding decisins Rle f Clinical Cmmissining Grup. Independent review. Rle f Natinal Health Service Cmmissining Bard. Rle f Independent Cmplaints Advcacy Service (ICAS). 978 1 446 95318 1 Pearsn BTEC Level 4 Diplma in Adult Care (England) Unit Issue 1 January 2018 Pearsn Educatin Limited 2018 5
What needs t be learned Learning utcme 4: Understand ways thers manage financial affairs f an individual Mental Capacity Act 2005 Capacity assessment. Prtectin. Safeguarding. Duty f care. Persn-centred empwerment. Duty f adult care wrkers Legal duty t cmply with the law. Prfessinal duty. Duty f care. Enable persn-centred care. Ensure safe practice. Rles and respnsibilities Independent Mental Capacity Advcate (IMCA). Enduring pwer f attrney (EPA). Lasting pwer f attrney (LPA). Curt f Prtectin Deputy. Department f Wrk and Pensins Appintee. Learning utcme 5: Understand hw t signpst and refer t prfessinal advice services Reasns t refer individuals t specialist financial and/r legal advice Funding. Eligibility. Issues f mental capacity. Referral prcesses Cnducted by an apprpriately qualified specialist such as a scial wrker, nt an adult care wrker. Frmal referral using agreed ways f wrking. Infrmal referral. 6 978 1 446 95318 1 Pearsn BTEC Level 4 Diplma in Adult Care (England) Unit Issue 1 January 2018 Pearsn Educatin Limited 2018
Infrmatin fr tutrs Suggested resurces Bks Lishman J et al Scial Wrk: An Intrductin (Sage, 2014) ISBN 9781446208892 Payne M Mdern Scial Wrk Thery (Palgrave MacMillan, 2014) ISBN 9781137406026 Websites www.ageuk.rg.uk www.citizensadvice.rg.uk Age UK guide t the Care Act 2014. Citizens Advice changes t welfare benefits and initial advice n legal and funding issues. www.cqc.rg.uk Care Quality Cmmissin independent regulatr f health and scial care in England. www.gv.uk Gvernment services and infrmatin Overview f welfare benefits an Care Act 2014 factsheets. www.jrf.rg.uk Jseph Rwntree Fundatin reprts n funding in adult care. www.nhs.c.uk The Natinal Health Service Cntinuing Healthcare and NHSfunded Nursing Care public infrmatin leaflet. www.scie.rg.uk Scial Care Institute f Excellence 978 1 446 95318 1 Pearsn BTEC Level 4 Diplma in Adult Care (England) Unit Issue 1 January 2018 Pearsn Educatin Limited 2018 7
Assessment This guidance shuld be read in cnjunctin with the assciated qualificatin specificatin fr this unit. This unit is internally assessed. T pass this unit, the evidence that the learner presents fr assessment must demnstrate that they have met the required standard specified in the learning utcmes and assessment criteria, and the requirements f the assessment strategy. T ensure that the assessment tasks and activities enable learners t prduce valid, sufficient, authentic and apprpriate evidence that meets the assessment criteria, centres shuld fllw the guidance given in Sectin 8 Assessment f the assciated qualificatin specificatin and meet the requirements frm the assessment strategy given belw. Wherever pssible, centres shuld adpt an hlistic apprach t assessing the units in the qualificatin. This gives the assessment prcess greater rigur and minimises repetitin, time and the burden f assessment n all parties invlved in the prcess. Unit assessment requirements This unit must be assessed in accrdance with the assessment strategy (principles) in Annexe A f the assciated qualificatin specificatin. Assessment f all learning utcmes (knwledge) may take place in r utside f a real wrk envirnment. 8 978 1 446 95318 1 Pearsn BTEC Level 4 Diplma in Adult Care (England) Unit Issue 1 January 2018 Pearsn Educatin Limited 2018