Here to help with questions relating to learning disability and its impact on family carers
This report should be read with. Taken together these reports describe the funding pressures on adult social care and their very serious consequences, and make the case for immediate extra funding. In addition, this report explores progress on integration of health and social care services and innovation in the provision of social care. We also set out what needs to happen to ensure that social care is funded sustainably in the medium and long terms.
The impact of funding pressures on adult social care
We believe that inadequate funding very seriously affects the quantity and quality of care that is being provided to people, the National Health Service, care providers, the care market, the way that care is commissioned and the workforce and unpaid carers. We examine the evidence in paragraphs 8 to 119, and conclude that constraints on funding have led to:
This is why, in our Pre-Budget Report, we recommended that extra funding (in the form of the £1.5 billion 2019–20 tranche of the improved Better Care Fund) should be made immediately available to meet the shortfall in 2017–18 and that the Government should commit to closing the adult social care funding shortfall for the years to 2019–20, in line with the amount that the National Audit Office estimates is needed. While we welcome the Government’s commitment to provide an additional £2 billion for social care over the next three years, this falls short of the amount we believe is required to close the funding gap.
We recognise that increased funding alone is not the solution, and make a range of other recommendations (which are set out in full at the end of this report) for action. Our key recommendations concern care commissioning, monitoring of care services, and the workforce
Excellent article by Rachel Carter just published in Community Care Online with headline Councils stripping back social care to bare minimum, MPs warn .
Well worth a read. Includes this quotes…
From Committee Chair Clive Betts MP: “A long-term fix, working on a cross-party basis and involving the public and social care sector is urgently necessary to meet the ever-increasing demographic pressures on the system. This review must be ambitious and consider a wide range of potential funding sources, looking again at age-related expenditure, options such as a hypothecated tax for social care, a compulsory insurance scheme, and differences in how individuals contribute. It must also take a wide look at what we will spend this money on in the future – on support, preventative care and intervention, the care workforce – and ensure that care users are at the centre of how care is organised and that they get the assistance they deserve.”
from David Pearson, honorary treasurer of the Association of Directors of Adult Social Services (ADASS): “The report highlights the worrying consequences of pressures on the sector. Social care needs to be treated as a national priority to ensure thousands of elderly and disabled people and their families get the personal and dignified care they deserve. Not only are people living longer and with increasingly complex needs, care workforce challenges, including the welcome national living wage and retention of staff, are creating further pressures – the need to future-proof the social care system cannot be ignored.”
from a spokesperson for the Department of Communities and Local Government: “We recognise the challenges councils face in delivering social care and the need for a long-term sustainable solution. That’s why we’re giving councils an extra £2 billion to help deliver these services, taking the total to £9.25 billion over the remainder of this Parliament. It’s also why we’re committed to having a fair and more sustainable way of funding adult social care for the future, especially given people are living longer. We’ll be setting out our proposals in a forthcoming green paper.”
(So that’s another Green Paper to look forward to!)