Technological guidance published for charging reform

The Department of Health and Social Care has published guidance around the technical specification for individual care accounts, to allow local authorities to monitor a person’s progress towards the lifetime cap on care costs.

In September 2021, the government set out its new plan for adult social care (ASC) reform in England, which included a lifetime cap on the amount anyone in England will need to spend on their care, alongside a more generous means test for local authority financial support. Further details on ASC charging reform were published in January 2022.

The reforms require local authorities to maintain individual care accounts by October 2023, allowing local authorities to monitor a person’s progress towards the cap.

The new guidance on the technical specification for the care account functionality and associated documents is intended to support ASC IT system suppliers to develop the care account functionality before October 2023. The specification defines the functional requirements to be developed in or surfaced through, local authorities’ existing case management systems. It has been developed in consultation with local authorities and ASC IT system suppliers.

In June 2022, the government announced the first phase of implementation support funding. This funding is intended to support local authorities to begin planning and preparations for charging reform and dedicate resources to overseeing the implementation of the care account functionality.

The revised guidance published in June, ‘supporting local preparations’, set out that local authorities will want to consider new ways of working to adapt to new capacity requirements. This could include best practice use of digital tools or using supported self-assessments where appropriate. Therefore, in addition to the care account functionality, additional support will be made available to local authorities to support the use of technologies in driving efficiencies and managing capacity as they implement charging reforms.

DHSC and NHS Transformation Directorate will, working with the sector, support sharing the good practice of digital tools that could facilitate efficiency savings for assessments, including learnings from the trailblazer initiative.

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