13 Acknowledged

We heard how frequently social care had taken second place to the NHS’s needs, particularly...

Conclusion
We heard how frequently social care had taken second place to the NHS’s needs, particularly in accessing test kits and results, and securing reliable PPE supply for care homes, which had been neither timely nor coordinated.33 When questioned, the Department denied that social care had been forgotten, citing the work it had done in the sector and that it had “taken a more national and more interventionist role in social care than ever before” when issuing guidance and additional funding, for example. It said that testing capacity had been limited but as it increased was opened up to all care staff.34 On the subject of PPE supply, the Department asserted, “at no point has there been an instruction for the NHS to be prioritised over the care sector”.35 When we pressed the Department on why it did not publish its action plan for adult social care until 15 April, over four weeks after the initial NHS letter on plans to respond to the outbreak, it told us the plan brought together and enhanced previous guidance given.36 Government Policy prior to the action plan was that the social care sector procure their own PPE. This was against a background of the NHS’s huge purchasing power and tightening domestic and worldwide demands for PPE. It did acknowledge, however, that the thousands of independent providers and the funding model for social care made for a very challenging and tough context in which to respond to COVID-19. This was apparent in the imperfect data it had to work with. The Department told us that data was much better and more timely in the NHS than for social care, due to the structural differences between the two.37
Government Response Summary
The government agrees with the committee's implied recommendation, stating its current priority is to place equal focus on the NHS and care sectors, and that it is actively considering a range of proposals for long-term social care reform, with updates to follow a future spending review.
Government Response
Acknowledged
HM Government Acknowledged
3.1 The government agrees with the Committee’s recommendation. Target Implementation date: Outstanding (date to be confirmed in due course) 3.2 The department provided an update to the Committee on 7 October 2020. The government’s current priority for adult social care (and the focus point of the department) is that all recipients of care receive the support they need throughout the COVID-19 pandemic and the winter period ahead, placing equal focus on the NHS and care sectors. 3.3 The Adult Social Care Winter Plan sets out the actions the government will be taking at a national level; and actions that every local area and care provider must be taking to keep COVID-19 at bay. 3.4 The department is acutely aware of the long-term challenges to the social care system in England. Putting social care on a sustainable footing, where everyone is treated with dignity and respect, is one of the biggest challenges’ society faces. There are complex questions to address, to which the department wants to give full consideration in light of current circumstances. 3.5 The department recognises the pressures on the care system are ever-increasing, hence the manifesto commitment to £1 billion extra of funding every year for more social care staff and better infrastructure, technology and facilities, to stabilise the system. The manifesto promised that no one will be forced to sell their home to pay for care and this remains a pressing issue, firmly at the heart of public debate on social care. In reforming the wider social care system, the department has an opportunity to resolve this long-standing unfairness. 3.6 The department is actively considering a range of proposals to bring forward a plan that addresses these challenges for the future and will update on progress following the forthcoming spending review.
Addressee Bodies
HM Treasury
Timeline
Recommendation age 6.0 yrs
Report published 29 Jul 2020