Select Committee on Health Memoranda


Table 4.15.6

GRANTS AVAILABLE FOR PERSONAL SOCIAL SERVICES 1997-98 TO 2002-03
£million 1997-981998-99 1999-002000-01 2001-022002-03
Mental Health67.373.3 116.5129.5148.4 154.4
Children's Services5.0 75.0120.0291.8 561.5
AIDS Support Grant13.7 13.715.516.0 16.516.5
Training Support Programme35.5 35.539.042.5 47.557.5
Promoting Independence: Partnership 253.0216.0
Promoting Independence: Prevention 20.030.0
Promoting Independence 296.0 155.0
Carers 20.050.070.0 85.0
Care Direct 0.52.0 10.0
Building Care Capacity 100.0 200.0
Deferred Payments 15.0 30.0
Improving Information Management 3.0 25.0
Young People's Substance Misuse Planning 4.54.5
Preserved Rights 624.2
Residential Allowance 93.0
Performance Fund 50.0
Teenage Pregnancy Local Implementation 16.0
Secure Accommodation13.2 8.26.26.2 6.26.2
Drugs & Alcohol2.5 2.54.76.8 8.9
Invest to Save 4.31.3
Asylum-Seekers' Grants89.6 208.252.4
Community Care Special Transitional Grant 325.0350.0
Guardians Ad Litem & Reporting Officer services 6.3
TOTAL553.1696.4 602.3621.81,011.1 2,088.8


  Note—figures may not sum due to rounding.

MENTAL HEALTH

  2.   Volume: A total grant of £154.4 million is available in 2002-03. Of this £1.5 million is funding the non-London homeless mentally ill initiative and £1 million is to support a telephone help line association. The grant for Child and Adolescent Mental Health Services has been increased by £5 million to £20 million, an extra 33 per cent. The balance of £132 million is available to local councils for adult mental health services.

  3.   Purpose: To support implementation of the Mental Health National Service Framework standards in line with local milestones set out in local implementation plans but in addition, to deliver the Department's NHS Plan commitments. Councils have been asked to give emphasis to services for looked after children, children with learning disabilities or other high need groups in using the additional £5 million funding for Child and Adolescent Mental Health Services.

  4.  There are no changes to monitoring arrangements and the measures of effectiveness.

CHILDREN'S SERVICES

  5.   Volume: The total grant for 2002-03 increased to £460.5 million (excluding grants made to reimburse councils for the costs of Regional Development Workers).

  6.   Purpose: In 2001-02 there were three elements to the grant—the main programme plus ring-fenced elements for implementing the Children (Leaving Care) Act 2000 and for services for disabled children. These three elements remain in 2002-03. In addition, there is a new capital element for increasing access to information and communication technology for looked after children and care leavers. The grant breaks down as follows:

£million2001-02 2002-03
Main programme147.3 138.0
Disabled children15.0 15.0
Children (Leaving Care) Act128.0 298.0
ICT for looked after children & care leavers 10.0


  The Children (Leaving Care) Act came into force on 1 October 2001. Therefore in 2001-02 the element for implementing the Act covered only the second half of the financial year. Preparation for the implementation prior to 1 October 2001 was supported from the main programme.

  7.   Monitoring: Monitoring arrangements for 2002-03 remain the same, that is, through the Quality Protects Management Action Plans (MAPs). However, the MAPs which councils submitted in January 2002 will be the last, as future monitoring will take place through the annual SSI Position Statements.

  8.  There are no changes to the measures of effectiveness.

Training Support Programme

  9.   Volume: In 2002-03 the grant increased by 21 per cent from £47.5 million to £57.5 million.

  10.   Purpose: This remains the same. The £10 million increase in funding has been added to the £3 million that was ring-fenced in 2001-02 for supporting those social care workers who undertake study for the Diploma in Social Work.

  11.   Monitoring: The only change to the monitoring arrangements is that a mid-year review is not being undertaken in 2002-03.

  12.   Effectiveness: The number of ring-fenced elements within the grant have again been reduced for 2002-03. The funding for sub-programmes for training residential child care staff in Level 3 Caring for Children and Young People NVQ, Foster Carers training and Sensory Impairment Training have been returned to the Main Programme.

Promoting Independence

  13.   Volume: The grant available to councils in 2002-03 is £155 million.

  14.   Purpose: The purpose of the grant continues to be to foster partnership between health and social services in promoting independence. One of the grant conditions is that it should be spent on "additional", new or improved services. This year that condition excludes 2.7 per cent of the grant (£4.2 million).

  15.   Monitoring: By 31 May 2003 councils must provide a report that shows how they have used the 97.3 per cent of their grant allocation which is to be spent on the provision of additional services.

  16.  There are no changes to the measures of effectiveness.

Carers

  17.   Volume: The grant available to councils has been increased in 2002-03 by £15 million to £85 million, an increase of 21 per cent.

  18.  There are no changes to the purpose, monitoring arrangements and the measures of effectiveness.

Care Direct

  19.   Volume: In 2002-03 the grant increased to £10 million. To date grant payments amounting to £2.5million have been made to 20 councils to meet (a) set up costs (b) part year revenue costs where appropriate. Further grants are planned to be paid to the same councils to meet revenue costs for the second half of the financial year.

  20.  There are no changes to the purpose, monitoring arrangements and the measures of effectiveness.

Building Care Capacity (Preventing Delayed Hospital Discharges)

  21.   Volume: The grant available to councils in 2002-03 is £190 million, an increase of £100 million on the previous year. The remaining £10 million is held centrally to fund the setting up and operation of a Change Agents team.

  22.   Purpose: The funding is to be used for reducing delayed discharges from hospital and stabilising the care home market. The primary aim is to reduce delayed discharges, with a milestone of a reduction of 1000 in the number of delayed discharges nationally by March 2003, compared to March 2002.

  23.  There are no changes to monitoring arrangements and the measures of effectiveness.

Deferred Payments

  24.   Volume: In 2002-03 the grant doubled to £30 million.

  25.  There are no changes to the purpose, monitoring arrangements and the measures of effectiveness.

Improving Information Management

  26.   Volume: In 2002-03 the grant available to councils is £25 million, a considerable increase of £22 million on the 2001-02 grant.

  27.   Purpose: This remains the same, though there is no longer a requirement for councils to produce a Local Information Plan. The grant is available to help councils implement the strategies set out in their plans submitted in October 2001. The 2002-2003 grant has two component parts. £24 million is available to all councils, the balance of £1 million will be paid to 12 councils that have been selected to run a second series of demonstrator projects.

  28.   Monitoring: Councils' use of the grant will be monitored through position statements. Monitoring arrangements for the demonstrator projects are unchanged.

  29.  There are no changes to the measures of effectiveness.

Young People's Substance Misuse Planning

  30.   Purpose: This remains much the same as in 2001-02 but in addition, grant funding can be used for the costs associated with the implementation and monitoring of service provision.

  31.  There are no changes to the volume, monitoring arrangements and the measures of effectiveness.

Preserved Rights

  32.   Legislation: Section 93 of the Local Government Act 2000.

  33.   Volume: The grant available to councils in 2002-03 is £624.2 million.

  34.   Purpose: The Health and Social Care Act 2001 gave councils responsibility from 8 April 2002 for the care assessment, management and (subject to means) funding of care home residents who had previously funded their own care from a special higher rate of income support, known as the "preserved rights" rate. This special rate of income support has been abolished, although many residents who were subject to preserved rights continue to receive income support—but at a lower rate—under the new arrangements. This policy change was subject to prior consultation and was announced in the NHS Plan.

  35.  Councils take benefit income fully into account when deciding how much residents for whom they are responsible can afford to pay towards the cost of their own care. The purpose of the new Preserved Rights Grant is to help councils to meet the cost of their new responsibilities towards the residents concerned. It has been calculated to reflect, primarily, the difference between the present and previous benefit incomes of the residents affected. The grant has to be spent on community care services and on people for whom the local authority became responsible on 8 April.

  36.   Monitoring and Effectiveness: Statutory guidance was issued to councils in March 2002 about how to carry out their responsibilities in respect of residents with preserved rights. The way in which they do so will be subject to review through the routine monitoring of their performance by the Social Services Inspectorate. In addition, by 31 December 2003, councils must provide a statement to the Department, certified by their Chief Finance Officer and by an auditor appointed by the Audit Commission, that the money they have received has been spent in full and in accordance with the conditions of the Grant. Any unspent money will have to be repaid to the Department.

Residential Allowance

  37.   Legislation: Section 93 of the Local Government Act 2000.

  38.   Volume: The grant available to councils in 2002-03 is £93 million.

  39.   Purpose: The Residential Allowance is a component of the income support payable to people who live in independent sector care homes. Councils take the allowance fully into account when deciding how much residents for whom they are responsible can afford to pay towards the cost of their own care. This means that individual residents needing local authority support do not themselves benefit from the allowance. It subsidises the council's cost in providing residential care and can therefore provide an incentive for them to commission this form of care provision. The Government therefore announced in the NHS Plan that it would abolish payment of the allowance from 8 April 2002 for people not already receiving it at that time and transfer the money to councils in order to give them more flexibility to use the resources in promoting independence. The new Residential Allowance Grant represents this money.

  40.   Monitoring and Effectiveness: The money has to be spent by councils on community care services. No formal monitoring of expenditure will take place. Councils already have a statutory responsibility to ensure that they assess the care needs of the residents concerned and provide (and, subject to means, fund) a package of care to meet those needs. However, there is still an audit requirement. By 31 December 2003, councils must provide a statement to the Department, certified by their Chief Finance Officer and by an auditor appointed by the Audit Commission, that the money they have received has been spent in accordance with the conditions of the grant. Any unspent money will have to be repaid to the Department.

Performance Fund

  41.   Legislation: Special Grant Report No. 101 was laid under the powers contained in Section 88B(5) of the Local Government Finance Act 1988, as substituted by paragraph 18 of Schedule 10 to the Local Government Finance Act 1992.

  42.   Volume: The grant in 2002-03 is £50 million, the first year of the grant.

  43.   Purpose: The Personal Social Services Performance Fund provides resources to fund locally developed and designed incentive schemes tailored to the particular needs of each area and aimed at supporting implementation of the NHS Plan, initially focussing on improving intermediate care performance. It works in tandem with a similar Performance Fund for the NHS. A small amount (£2 million) has been retained to fund Performance Action Teams to support poorer performing councils and to spread best practice between councils.

  44.   Monitoring: The amount of monitoring depends on a council's social services star rating, announced in May 2002. Two and three star councils are able to decide locally on which schemes to support (three star councils can spend their grant on any area of social services, not just intermediate care). One star councils will have their plans examined more closely by the Social Services Inspectorate. The plans of zero star councils will be examined very closely by the Social Services Inspectorate who will require updates throughout the year to monitor progress.

  45.   Effectiveness: Two and three star councils will be encouraged to evaluate whether schemes have achieved their objectives and share good practice. This evaluation by the council will be mandatory for one and zero star councils. In addition, certified statements, confirming expenditure and usage of grant monies will be issued to councils by auditors appointed by the Audit Commission, for onward transmission to the Department. Audit arrangements are also dependent on the star rating. For one and zero star councils auditors will also test baseline performance and actual performance and check whether targets were met to earn the reward element.

Teenage Pregnancy Local Implementation

  46.   Legislation: Section 93 of the Local Government Act 2000.

  47.   Volume: Since April 2002 resources for local implementation of the teenage pregnancy strategy, previously routed through health authorities, have been allocated as a grant to councils, amounting to £16 million in 2002-03.

  48.   Purpose: The purpose of the grant is to support the implementation of agreed local teenage pregnancy strategies and ensure that robust arrangements are in place to continue the co-ordination and delivery of agreed local action plans. Local strategies are agreed locally by councils, health and other key partners. The Local Teenage Pregnancy Partnership Board makes recommendations on the use of the grant and oversees the implementation of the local action plan. The Partnership Board includes representation from the council, Primary Care Trusts and other key local partners. The aim is to accelerate and support new developments, add value to existing services, pump-prime promising approaches and facilitate effective local co-ordination.

  49.   Monitoring: By the end of April 2003, councils must submit a report on implementation progress during 2002-03 to the cross-Government Teenage Pregnancy Unit. These will be assessed by regional panels chaired by the regional teenage pregnancy co-ordinator and include a representative from the Teenage Pregnancy Unit as well as regional colleagues from other key programmes such as Quality Protects, Healthy Schools, Sure Start, Connexions and housing. Formal written feedback will be provided to Partnership Boards by the end of June 2003.

  50.   Effectiveness: A national indicator set which includes 20 indicators monitoring progress against all major aspects of the national strategy, has been agreed. Information from it can be used to assess local effectiveness, such as data on the under 18 conception rate by local authority area. In addition, certified statements, confirming expenditure and usage of grant monies will be issued to councils by auditors appointed by the Audit Commission, for onward transmission to the Department.

Drugs and Alcohol Grant

  51.  The grant ended in March 2002.

Invest to Save Grants

  52.   Volume: 2002-03 is the last year of this particular Invest to Save Grant. Up to £2.1 million is being made available to up to six councils. Of this, up to £0.06 million is for capital and up to £1.5 million is for revenue expenditure.

  53.  There are no changes to the purpose, monitoring arrangements and the measures of effectiveness.


 
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Prepared 17 February 2003