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Panel starts Review into the Long-Term Care Scheme

20 March 2017

The Health and Social Security Scrutiny Panel has begun a review into the Long-Term Care Scheme.

The Long-Term Care Scheme was introduced in 2014 in order to assist Islanders with the high costs associated with both home and residential care. There has been recent media coverage with regards to the waiting and assessment times for the scheme, as well as recent comment in the States Assembly regarding the funding of the scheme.

The Panel's Terms of Reference for the review are as follows:

To assess the current assistance for those registered on the Long-Term Care Scheme and (where applicable) their carers

To determine whether the Long-Term Care Scheme meets the needs of those with long-term conditions including the assessment of need, the delivery of care and standards of care

To consider how the aging population impacts on the Long-Term Care Scheme in terms of future demand

To examine eligibility for the Long-Term Care Scheme with particular consideration of the 10 year residency requirements

To examine existing resource and manpower provisions particularly in relation to:

The assessment process

Current waiting lists

The transitional period of registering onto the Scheme 

To examine the financial health and sustainability of the ring-fenced Long-Term Care fund including income received and expenditure incurred since the Scheme was introduced and projections of future income and expenditure

To examine the methodology used for determining standard care costs, co-payments and the care costs cap, including the financial assessment process for receipt of long-term care support and property loans

To consider the application of the Long-Term Care Scheme to particular groups with long term conditions, including:

Young people upon reaching the age of 18

Working age adults receiving care in their own homes

Working age adults resident in a nursing or residential home

Elderly persons receiving care in their own homes

Elderly persons resident in a nursing or residential home

To consider measures that might be taken to improve public understanding and confidence in the Long-Term Care Scheme

Deputy Richard Renouf, Chairman of the Panel, said: "During its review the Panel will investigate how the Long Term Care Scheme is administered, who is eligible for support and how assessments of care needs are conducted. We will also look at the financial sustainability of the Long Term Care Fund in the light of a growing need to care for an ageing population. We would like to encourage anyone who has applied for the Long Term Care Benefit or been involved with the Scheme in any way to contribute to our review and share their views. I hope that our review will contribute to developing the way we care for vulnerable people in our Island."