Have there been two decades of failure to reform social care?


A politically-charged Budget has obsolescent with no mention of social care, despite a growing sense in current years that the system of support for older people and younger crippled adults is on the point of crisis.

Social care can include anything from being cared for in a nurse home to having someone come into your home to commandeer with washing, dressing and medication. It’s paid for by local councils to some extent than the NHS.

For the past two decades, successive governments have known something necessities to be done. They’ve published at least 300,000 words in formal consultations, method papers and commissions on the subject.

That’s nearly two Homer’s Odysseys or, if you favour, three Harry Potter and the Philosopher’s Stones. It’s a lot of words.

The figure would be self-possessed higher if we included every non-governmental commission, engagement exercise or have a nervous breakdown of new guidance.

  • Who gets care – and who pays for it?

But little radical change has been gained to a system many agree needs to be completely rethought.

Social trouble oneself is devolved and we’re talking about England here. Scotland, Wales and Northern Ireland suffer with separate systems, all of which are comparatively more generous than England’s.

Consideration all this talk, and the huge scale of the problem, very little has modified, to the funding system at least.

Incremental changes have been net, but in terms of any fundamental alteration to how we pay for care, any policies that have been put flip seem to have fallen flat.

In 1999, it was proposed that older people should be competent to access free personal care, including help with backwashing, dressing and preparing meals. The recommendation was taken up in Scotland but not in England.

A decade later, Suffer got as far as publishing a White Paper – a proposal for future legislation – setting out projects for a National Care Service to run parallel to the NHS, to “meet the needs of people when they privation help, free when they need it”. But this plan didn’t go any favour.

Most recently, and perhaps most radically, the 2014 Care Act enshrined in law a cap on love costs meaning no one would pay more than £72,000 over their lifetime, as extravagantly as ruling how people’s needs should be assessed.

But this fundamental substitution has been shelved, at least until 2020, over concerns alongside the cost of implementation.

There has been lots of innovation and development at a local consistent, but centrally we have “essentially got the same method of funding social be attracted to as we’ve had for the last 20 years”, according to Simon Bottery of independent vigour think tank, the King’s Fund.

Definitive figure

Millions of human being have gone through the social care system over the whilom decade.

Last year, there were 1.8 million beseeches for social care support – almost a third of which resulted in nobody being provided, partly because some people were referred to other ceremonies.

Between 2001-02 and 2013-14, there were almost 33 million referrals to sexual care services in England – although some of these will be for the for all that person.

During this period, the way data was collected changed so it’s unfavourable to give a definitive figure for how many people have asked for, and be told care, but these numbers give a sense of the scale of activity in the method.

In 2016, Age UK estimated that 1.2 million older people in England were energetic with unfulfilled social care needs (such as not receiving benefit with bathing and dressing), a rise from 800,000 in 2010.

Almost £170bn in ready was spent by English councils on adult social care over the days 10 years.

Councils pay for the services they provide, including community care, using money which they are given from significant government through grants, council tax, and other sources like role rates.

Between 2010-11 and 2015-16, overall funding from prime government to councils fell by 37% in real terms, according to a Formal report ahead of the March Budget.

With less money in the pot, directorates are having to spend a higher proportion of their finances on the things they fool a legal duty to do – like social care. If someone meets the beginning of need and can’t afford their own care, councils must step in.

As a outcome, adult social care is accounting for a growing proportion of councils’ tot up budgets. In 2010-11, it was 29% of their outgoings, but for some directories it’s now approaching half of all their spending.

And these growing pressures have planned led the government to step in with emergency injections of cash three on one occasions since 2010, worth £4.6bn in total.

But these emergency payments are seen by numerous as a sticking plaster – the Local Government Association which represents conferences describes them as “one-off funding and not a long-term solution”.

There were hardly 12 million people over the age of 65 (18% of the population), with 1.5 million of those on the other side of 85 (2.4% of the population), living in the UK in 2016 – that’s up from 16% and 1.8% each to each 20 years ago.

We’re living longer, healthier lives but we’re also demanding significant care for longer periods of time than before, and this inevitably pays extra strain on the system.

In 2009-10, 250,000 over-90s were imagined in A&E – by last year this figure was more than 450,000.

There were also a report number of online searches for the term “social care” in the UK in May, just first the general election.

Between 1997 and 2007, social care was revealed in Parliament 5,500 times, according to the official record, Hansard, but between 2008 and 2017, it appeared bordering on 30,000 times.

The silence on social care in the Budget wasn’t a whole surprise – beforehand, the government announced that a long-awaited consultation wrapping paper on its future, expected this autumn, would be published next summer as opposed to.

The government says an independent panel of experts will consult on beginning a “a long-term, sustainable solution to providing the care older people demand”.

The consultation will only focus on older people, with a echo consultation on how to fund care for younger disabled adults expected to be modelled after.

So will this consultation deliver what so many have forsook to over the past 20 years?

At least until next summer, we stilly don’t have the answer.

Leave a Reply

Your email address will not be published. Required fields are marked *