Learning Disability Emerging Plan - Turning Point

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Turning Point Learning Disability Emerging Plan 2013 - 2016challenge faced by the sector which must be addressed as 20-25% of young people currently in transition fromchildren to adult services are from BME communities iv . Access for this group was flagged as a priority in ValuingPeople Now which stated that 75% of people within this group are struggling without support. It is often saidthat this group face ‘double discrimination’ as they experience ‘insufficient and inappropriate services causedby policy and services are not always culturally sensitive.’ Wrong assumptions about what certain ethnic group’svalue are made and language barriers are not overcome. This means that they face discrimination in terms ofboth ethnicity and disability v .Many people from BME groups are unsure of what services are available for them and services are ill-equipped toaddress this barrier.Overall, trends indicate that vi :• n The estimated average annual increase in the need for social care services for adults with learningdisabilities over the period 2011 – 2030 is 3.2% (varying from 1.2% to 5.1% depending on theFairs Access to Care (FACs) criteria applied.) This equates to between an additional ‘49,000 to116,000 adults with learning disabilities over the next ten years’• n Approximately 25% of new entrants to adult social care with learning disabilities will belong tominority ethnic communities• n Approximately one in three of new entrants will come from a home in which the child is eligible forFree School Meals• n By 2030 the number of adults aged 70+ using social care services for people with a learningdisability will more than double indicating a rise from 1,900 in 2011 to 5,000 in 2030For all estimates the annual percentage growth rate slows from 2011-2018/19 at which point it stabilises – apattern reflecting changes in birth rates over the last twenty years.TURNING POINT’S PERSPECTIVE:We should ensure that we are flexible enough to reach out and offer supportto people from all backgrounds. Especially as we have staff who understandpotential cultural and religious needs. We will focus on offering a wide range ofsupport to people from BME communities.6
Turning Point Learning Disability Emerging Plan 2013 - 2016The External EnvironmentPeople with a learning disability are living longer. Alongside an ageing population this changing demographymeans there will be increased pressures on the social care system it is neither designed, nor funded to cater for.Government PolicyBelow are the principal drivers influencing our future planning and delivery of learning disability services, as wellas the priorities of our commissioners.1. Financial PressuresVast reforms are happening at a time of reducing budgets and unprecedented financial pressure being placedon providers. Many are struggling already to meet the demands of commissioners in terms of frontline cuts andthere is concern that this will drive quality down.A Learning Disability Observatory report vii highlights that changes in demand are likely to outstrip changes inneed due to a variety of factors ‘combining to reduce the capacity of informal support networks to providecare.’ Factors include increases in the percentage of older people with learning disabilities (whose parents arelikely to have died or be very frail) and changing expectations among families regarding the person’s right to anindependent life.The way the current system is funded has long been seen as unsustainable. There has recently been a consensusreached that care costs will be capped at £75,000 per person. This provides some indication to local authoritiesof how much they will be expected to provide, versus individual contributions.This conclusion, however, offers little reprieve as we know from the Comprehensive Spending Review thatLocal Authorities have been tasked with 7.1% annual cuts totalling an average of 28% by 2014-15. Weknow austerity measures will now continue to 2017 at least. We also know that many authorities have madesignificantly higher savings than 7.1% per year and are under increasing pressure to go beyond the 28%total. Many of these cuts are being passed directly to front line services so organisations like Turning Point willincreasingly be expected to do more for a lot less without compromising on quality, whilst ensuring delivery isservice user and family led.Current spendPublic spending on social care was projected to be £15.3billion in 2010/11. In 2010/11 the largest componentof local authority expenditure on residential services for people with learning disabilities was on residentialcare placements (£1.5bn) followed by supported or other accommodation (£483m) and nursing care (£75m).Supporting People expenditure in 2010/11 was £149m. Taking inflation into account local authority expenditureon supported and other accommodation increased from 2005/6 to 2010/11 by 17% per year whereas residentialcare spend has decreased by 1% per year. Current Comprehensive Spending Review cuts are increasing thisreduction in residential care viii . Research by the Learning Disability Observatory found that spend in 2010/11 onpeople with a learning disability by the NHS and local authorities jointly varied between £34,000 per person and£41,000 per person. The average was £36,680 ix :7
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Learning Disability Emerging Plan - Turning Point

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