Long-term funding of adult social care

Housing, Communities and Local Government Committee Closed Inquiry
Opened: 4 Mar 2021 Closed: 5 Mar 2024 Parliament page
This inquiry will focus on how adult social care should be funded in the long-term. The Committee aims to understand the extent to which the Covid-19 pandemic has changed the landscape for long-term funding reform since we published recommendations on the subject together with the Health and Social Care Committee … Read more
22 Recommendations
14 Conclusions
1 Report
5 Oral sessions
13 Letters
5 Events
Activity timeline 25 events
12 Sep
2023
Correspondence
15 Jun
2023
Report published
15 Jun
2023
Correspondence
8 Mar
2023
Correspondence
7 Mar
2023
Correspondence
21 Feb
2023
Correspondence
4 Aug
2022
Report published
12 Jul
2022
Correspondence
28 Jun
2022
Correspondence
14 Jun
2022
Correspondence
24 May
2022
Correspondence
23 May
2022
Oral evidence
Oral evidence sessions 5 sessions
23 May 2022
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Oral Evidence
Alex Skinner · Department for Levelling Up, Housing and Communities Gillian Keegan · Department of Health and Social Care Kemi Badenoch · Department for Levelling Up, Housing and Communities Michelle Dyson · Department for Education
25 Apr 2022
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Oral Evidence
Adrian Jenkins · Pixel Financial Management Ltd Gavin Edwards · UNISON Sarah Pickup · Local Government Association
13 Dec 2021
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Oral Evidence
Charles Tallack · Health Foundation Chris Smith · Thirteen Group Dr Eleanor Roy · Chartered Institute of Public Finance and Accountancy (CIPFA) Natasha Curry · Nuffield Trust Paul Teverson · McCarthy Stone Professor Philip Booth · Institute of Economic Affairs Sally Warren · Department of Health and Social Care (DHSC) Sue Ramsden · National Housing Federation
29 Nov 2021
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Oral Evidence
Brian Dow · Rethink Mental Illness Emily Holzhausen · Care and Support Alliance Fazilet Hadi · Disability Rights UK Jackie O'Sullivan · Care and Support Alliance James White · Alzheimer’s Society Ruthe Isden · Age UK
25 Oct 2021
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Oral Evidence
Cllr Tim Oliver · County Councils Network Dr Jane Townson · Homecare Association Jane Ashcroft CBE · Anchor Hanover Stephen Chandler · Association of Directors of Adult Social Services Steve Scown · Dimensions UK
Title HC No. Published Items Response
Second Report - Long-term funding of adult social care HC 19 4 Aug 2022 36 Responded
Recommendations & Conclusions
15 results
Clear
1 Conclusion Accepted
Second Report - Long-term funding …
The covid-19 pandemic has had a severe impact on adult social care.
The covid-19 pandemic has had a severe impact on adult social care. People have received less care and often care workers have been compelled to deliver only the basics. More people are going without care and many people’s needs are … Read more
Government Response
The government states that throughout the pandemic they made available over £2.9 billion in specific COVID-19 funding to support the adult social care sector.
Ministry of Housing, Communities and Local Government
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2 Recommendation Accepted
Second Report - Long-term funding …
The Government provided vital additional funding to the adult social care sector during the pandemic,...
The Government provided vital additional funding to the adult social care sector during the pandemic, and we appreciate that the additional covid-19 funding cannot continue indefinitely. However, the Government’s own guidance that care workers should self-isolate if they test positive … Read more
Government Response
The government states that at the Autumn Statement 2022 it made up to £7.5 billion of additional funding available over two years to support adult social care and discharge.
Ministry of Housing, Communities and Local Government
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3 Recommendation Accepted
Second Report - Long-term funding …
The Government is focused on long-term reform of adult social care, but in order to...
The Government is focused on long-term reform of adult social care, but in order to get to the future it needs to save the sector from the brink of collapse. Covid-19 has highlighted the underlying structural challenges of rising demand, … Read more
Government Response
The government is making available more funding for adult social care through general taxation and increased Council Tax flexibilities, with up to £7.5 billion of additional funding over two years to support adult social care and discharge.
Ministry of Housing, Communities and Local Government
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5 Conclusion Accepted
Second Report - Long-term funding …
The covid-19 pandemic had the effect of raising public awareness of adult social care.
The covid-19 pandemic had the effect of raising public awareness of adult social care. It also achieved general support for a tax increase specifically to plug the long- standing funding gap. However, the Government has missed this opportunity. It has … Read more
Government Response
The government states that the savings from delaying the implementation of charging reform are being retained in local authority budgets to help them meet the current pressures in social care, with additional funding being provided.
Ministry of Housing, Communities and Local Government
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10 Conclusion Accepted
Second Report - Long-term funding …
While the changed timetable for rolling out Section 18(3) will help to stagger the additional...
While the changed timetable for rolling out Section 18(3) will help to stagger the additional assessments local authorities will need to conduct, we are nevertheless concerned about local authorities’ capacity to conduct tens of thousands of additional assessments, particularly given … Read more
Government Response
The government states it is committed to addressing the pressures facing social care and continues to provide significant additional grant funding to councils.
Ministry of Housing, Communities and Local Government
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15 Recommendation Accepted
Second Report - Long-term funding …
We recognise the benefits of raising a proportion of funding for adult social care locally.
We recognise the benefits of raising a proportion of funding for adult social care locally. As we have argued in previous reports, we support greater fiscal devolution. In finding the right balance of funding sources for adult social care, however, … Read more
Government Response
The government states that overall funding for health and social care will be maintained at the same level as if the Levy was in place, and that savings from delaying implementation of charging reform will be distributed via the existing Social Care Grant that supports local authorities to meet the current pressures in social care.
Ministry of Housing, Communities and Local Government
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16 Recommendation Accepted
Second Report - Long-term funding …
One-year funding settlements and short-term grants are hampering local authorities’ ability to plan and to...
One-year funding settlements and short-term grants are hampering local authorities’ ability to plan and to deliver value for money, which in turn affects local care markets as it makes it more difficult for local authorities to enter longer term contracts … Read more
Government Response
The government states that in developing the People at the Heart of Care white paper, it engaged extensively with other government departments, and has worked closely with colleagues across government since the white paper publication to produce the recently published Next Steps to Put People at the Heart of Care plan.
Ministry of Housing, Communities and Local Government
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18 Recommendation Accepted
Second Report - Long-term funding …
The Department for Health and Social Care is drip-feeding numerous policy changes in adult social...
The Department for Health and Social Care is drip-feeding numerous policy changes in adult social care, many of which are welcome, but many of which will have a significant impact on local authorities in terms of their spending and capacity. … Read more
Government Response
The government states that National Planning Policy already makes clear that local authorities must plan for a range of housing needs, including the needs of older and disabled people, and that they do not intend to introduce statutory requirements at this time.
Ministry of Housing, Communities and Local Government
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26 Recommendation Accepted
Second Report - Long-term funding …
The Minister for Care and Mental Health asserted that the chapter on the workforce in...
The Minister for Care and Mental Health asserted that the chapter on the workforce in the People at the Heart of Care White Paper is the Government’s social care workforce strategy, but the number of further calls for a social … Read more
Government Response
The government agrees that ensuring there is holistic care that fits around people’s needs includes ensuring that people receive the right care and support, and can maintain healthy independent living, beginning with where they live, and the people they live with.
Ministry of Housing, Communities and Local Government
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27 Conclusion Accepted
Second Report - Long-term funding …
We heard repeatedly that an absolutely critical lever for stabilising the adult social care market...
We heard repeatedly that an absolutely critical lever for stabilising the adult social care market was tackling staff shortages and low retention. This would widen access to care and help to give unpaid carers a much-needed break. There is also … Read more
Government Response
The government welcomes the committee’s interest in shared care records and notes its Digital Health and Care Plan sets out that health and care professionals will have access to a comprehensive view of a person’s health record by April 2025.
Ministry of Housing, Communities and Local Government
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28 Recommendation Accepted
Second Report - Long-term funding …
We welcome the addition of care workers, care assistants and domiciliary care workers to the...
We welcome the addition of care workers, care assistants and domiciliary care workers to the Shortage Occupation List, acknowledging that these roles are in short supply within the UK resident labour market. The Government should monitor the impact of adding … Read more
Government Response
The government outlines existing funding allocated to support timely and safe discharge from hospitals through social care and reablement services, and integrated care boards commissioning step-down bed-based capacity.
Ministry of Housing, Communities and Local Government
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30 Recommendation Accepted
Second Report - Long-term funding …
The Government claims “the money is there” to support carers’ breaks, but the evidence we...
The Government claims “the money is there” to support carers’ breaks, but the evidence we received is that not enough carers are getting a break. There are many carers who have not had a break since the start of the … Read more
Government Response
The government claims to already support carers through the Care Act 2014, the Better Care Fund, and an investment of up to £25 million for unpaid carers, stating the 2023-25 BCF framework will improve spend clarity.
Ministry of Housing, Communities and Local Government
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33 Recommendation Accepted
Second Report - Long-term funding …
We welcome the Joining up Care for People, Places and Populations White Paper and commend...
We welcome the Joining up Care for People, Places and Populations White Paper and commend the Government for making the integration of health and social care a policy priority. We particularly welcome the Government’s ambitions around shared outcomes, workforce integration, … Read more
Government Response
The government states that much of the activity to integrate care should be driven by collaboration between commissioners and providers within integrated care systems (ICS) and will continue to work with place-based partnerships as they develop collaborative arrangements, including reviewing ICS boundaries in certain areas.
Ministry of Housing, Communities and Local Government
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35 Recommendation Accepted
Second Report - Long-term funding …
Barriers to data-sharing between health and social care have been a long-standing challenge, so we...
Barriers to data-sharing between health and social care have been a long-standing challenge, so we particularly welcome the Government’s ambition to have shared care records for all citizens by 2024. It is vital that this ambition becomes a reality. 80 … Read more
Government Response
The government claims to be addressing this already through the Digital Health and Care Plan, funding for integrated care systems to acquire shared record systems, and supporting local systems to develop care planning systems, including patient and carer input.
Ministry of Housing, Communities and Local Government
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36 Conclusion Accepted
Second Report - Long-term funding …
We are not reassured by the Director General for Adult Social Care’s comments that some...
We are not reassured by the Director General for Adult Social Care’s comments that some places have found ways to continue discharge to assess funding from their own funding streams, not least by her admission that these workarounds are only … Read more
Government Response
The government acknowledges the positive impact of Discharge to Assess funding, stating they allocated £500 million in 2022-23 and provided £200 million to integrated care boards, and are providing £1.6 billion over 2023-24 and 2024-25.
Ministry of Housing, Communities and Local Government
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Government Response AI assessment · 36 of 22 classified
Accepted 15
Accepted in Part 1
Acknowledged 17
Deferred 2
Not Addressed 1
Total 22 recs + 14 conclusions
Correspondence 13 letters
12 Sep 2023 To committee Letter from the Minister of State for Social Care, Department for Health and Social Care to the Chair dated 28 July 2023 concerning the long term funding of adult social care
Parliament page
15 Jun 2023 To committee Letter from the Chair to the Minister for Social Care DHSC dated 12 June 2023 concerning the Government response to the report on the Long-term funding of Adult Social Care
Parliament page
8 Mar 2023 To committee Letter from the Minister of State for Social Care to the Chair dated 7 March 2023 concerning the Committee's report on the Long-term funding of Adult Social Care
Parliament page
7 Mar 2023 To committee Letter from the Parliamentary Under Secretary of State for Local Government and Building Safety to the Chair dated 6 March 2023 concerning the Long-term funding of Adult Social Care
Parliament page
21 Feb 2023 To committee Letter from the Chair to the Secretary of State dated 20 February 2023 concerning the Government's response to the Committee's report on the Long-Term Funding of Adult Social Care
Parliament page
12 Jul 2022 To committee Letter from the Minister for Housing to the Chair dated 5 July 2022 concerning the long-term funding of adult social care
Parliament page
28 Jun 2022 To committee Letter from the Minister of State for Equalities, Local Government, Faith and Communities dated 17 June 2022 concerning long-term funding of adult social care
Parliament page
14 Jun 2022 To committee Letter from the Minister for Care and Mental Health to the Chair dated 7 June 2022 following up her appearance before the Committee on 23 May concerning the funding of adult social care
Parliament page
24 May 2022 To committee Letter from Care England to the Chair dated 20 May 2022 concerning the long-term funding of adult social care
Parliament page
17 May 2022 To committee Letter from the Local Government Association to the Chair dated 6 May 2022 concerning long-term funding of adult social care
Parliament page
18 Jan 2022 To committee Letter from McCarthy Stone to the Chair dated 16 December 2021 concerning long-term funding of adult social care
Parliament page
18 Jan 2022 To committee Letter from the Chartered Institute of Public Finance and Accountancy to the Chair dated 16 December 2021 concerning long-term funding of adult social care
Parliament page
20 Apr 2021 To committee Letter from the Minister for Health and Social Services for Wales to the Chair dated 24 March 2021 regarding adult social services
Parliament page