England: England’s adult social care system is under alarming financial pressure, with sector leaders urgently calling for government intervention to prevent additional destabilisation. Rising costs and flying demand are severely impacting council budgets, creating what the Association of Directors of Adult Social Services (Adass) has defined as one of the worst financial challenges in recent memory.
An Adass survey indicates that four out of five local authorities are on the path to overspending on adult social services this year, while over a third have had to scrap planned savings and make further budget cuts mid-year.
Adass President Melanie Williams stated that, “These are not the conditions for adult social care to thrive. These are not the conditions under which the new government’s suggested national care service can hope to succeed.” The cuts are predicted to reduce both the quality and availability of services, compounding the struggle for councils already dealing with 500,000 people awaiting care assessments, increasing cases of complex care needs, and ongoing staffing shortages.
The crisis also affects third-sector organisations, which provide essential support for individuals with learning disabilities and complex needs. Rising wage costs and national insurance bills are placing charities in what they describe as “existential” danger. Local councils have received a 3.2% funding boost, but the anticipated 9% increase in care provider costs next April — largely due to the national living wage rising by 6.7% — threatens to erase any financial gains.
Top-tier councils now assign as much as 70-80% of their annual revenue to adult and children’s social care, a sharp increase from 50% a decade ago. Without adequate funding for rising wages, councils may have no choice but to reduce services further, according to Adass, with David Fothergill of the Local Government Association noting that most councils “will have little left to address urgent care challenges.”
Rhidian Hughes, chief executive of the Voluntary Organisations Disability Group, added that overspending on social care is a sign of a “broken system” that risks leaving third-sector care providers dangerously underfunded.