Reforming adult social care in England

Public Accounts Committee

This report looks at adult social care in England and finds understaffing, rising waiting lists and patchwork funding that places sustained financial pressure on local authorities. It calls for stronger leadership, long-term financial support, and a clear workforce strategy to address key shortfalls in the sector.

Reforming adult social care in England

Reducing restrictive practice: Essentials for commissioners of social care support for people with a learning disability and autistic people

LGA – March 2024

The aim of this document is to provide a briefing for commissioners of social care services for people with a learning disability and autistic people, on the recognition of restrictive practices and the requirements for social care providers to work towards reducing their use of restrictive practices. It also explains the Care Quality Commission (CQC) requirements that when arranging training on the use of, and reduction in, restrictive practices, social care providers must use accredited trainers, and explains what this involves. It is relevant for services for all ages, where they are registered and inspected by CQC.

Read the report – Reducing restrictive practice: Essentials for commissioners of social care support for people with a learning disability and autistic people

Finding a way home: how health and social care can optimise hospital flow and discharge this winter

County Councils Network 

In this survey, almost two-thirds (63%) of social care leaders say that community-based care and support is not widely available in their local area. Just under half (49%) of adult social care directors indicated that in their area there is only limited availability of preventive services focused on reducing the number of avoidable admissions to hospital and residential care. It concludes that improving care at home, more sheltered, extra care and dementia-focused housing, investment in crisis resolution intermediate care, and better information and advice for older and disabled people would prevent many from needing hospital or residential care, reducing pressures across health and social care every winter.

Finding a way home: how health and social care can optimise hospital flow and discharge this winter

Social care, housing, health and winter: autumn survey report 2023

Association of Directors of Adult Social Services (ADASS) – November 2023

In this survey, almost two-thirds (63%) of social care leaders say that community-based care and support is not widely available in their local area. Just under half (49%) of adult social care directors indicated that in their area there is only limited availability of preventive services focused on reducing the number of avoidable admissions to hospital and residential care. It concludes that improving care at home, more sheltered, extra care and dementia-focused housing, investment in crisis resolution intermediate care, and better information and advice for older and disabled people would prevent many from needing hospital or residential care, reducing pressures across health and social care every winter.

Social care, housing, health and winter: autumn survey report 2023

Reforming adult social care in England – NAO

NAO – 10 Nov 2023

This report looks at how DHSC is responding to the challenges facing adult social care in England, and its progress with delivering the reforms set out in the 2021 white paper. This report examines:

  • key pressures and challenges in adult social care in England
  • DHSC’s response to increasing pressures in adult social care during 2022
  • how DHSC is delivering reform and progress against its commitments

Report – Reforming adult social care in England 

Carenomics: unlocking the economic power of care

Future Social Care Coalition (FSSC) – September 2023

This report from a cross-party coalition including former health and care ministers, employers and unions, makes the economic case for investing in social care, setting out the benefits this investment would have to the wider economy. Drawing on a wide range of evidence, this report emphasises the substantial return on investment that social care could deliver. Potential benefits include improving employment chances for disabled people, reducing pressure on the NHS, reducing costs for employers, levelling up for poorer areas, and building a more purposeful economy

Read the Report – Carenomics: unlocking the economic power of care

Care for our future: the roadmap to a sustainable future for adult social care

Care England – September 2023

This document from Care England (a registered charity and a representative body for small, medium and large providers of adult social care in England) sets out the sector’s priorities across three key themes – workforce, funding and integration. The roadmap issues a series of policy recommendations for the next government to implement within 100 days, two years and five years of entering office. The plan is backed by major representative groups from across the sector.

Read the document – Care for our future: the roadmap to a sustainable future for adult social care