Today the government announced a new independent commission on social care, led by Baroness Louise Casey of Blackstock.
Baroness Casey is a highly respected cross-bench peer with extensive experience in social welfare and government policy. If anyone can build cross-party consensus and public support for change, she can, and we stand ready to support her.
We’re worried, though, about two things.
First, is that social care and support provision could collapse before Baroness Casey has even started.
This is because of a 10% increase in costs of care delivery as a result of the Autumn Budget, which is not covered by council and NHS fee rates.
And the second is that the government may use the Casey review as a delaying tactic.
When we get to the Comprehensive Spending Review in May or June, they could say “we can’t decide on social care spending until Baroness Casey has reported”.
By the time Baroness Casey has reported in 2028, it will be nearly the end of this parliament.
This means Labour will duck the issue.
We are facing an existential threat to care and support services now.
Over 85% of care providers are small, local organisations. Most operate on wafer-thin margins and cannot afford the increases to employers national insurance and the minimum wage.
Councils, who pay for most care and support services, say they can only increase fee rates by 0-5%.
Rather than improving social care, the Labour government risks destroying it.
The Prime Minister’s pledge to reduce NHS waiting lists will fail if social care and support provision fails.
We need an immediate increase in funding to hold the sector up.
The Nuffield Trust has calculated we need an extra £2.8 billion.
The government has given an extra £22 billion to the NHS and needs to move some of this to social care.
Especially as ministers now want care workers to perform more healthcare tasks and use more digital tools.
Currently, there is inadequate funding for wages and training, ineffective regulation, and a lack of meaningful collaboration between the NHS and social care on the ground.
Providers cannot therefore implement these proposals safely or sustainably at scale.
While well-intentioned, ministers are expecting more for less, which risks harm to people and providers.
For years, the Homecare Association has pushed for better links between health and social care. Most people receiving care have substantial healthcare needs. It makes sense for care workers to develop their skills to offer more support for health and social needs.
But the government's proposals continue to ignore the sector's challenges.
There is widespread media coverage today.
https://lnkd.in/eajYbbMV
If you’re a provider please speak up - the media wants stories of the impact on the people you support and on you.
#homecare #socialcare #reform #CaseyReview