Social care for older people: home truths

This report looks at the current state of social care services for older people in England, through a combination of national data and interviews.

Report

Published: 15/09/2016

ISBN: 978 1 909029 66 8

Download the report [PDF 1.4MB]

Where is the public pressure for social care reform?

15/09/2016Ruth Thorlby

Comment

Our new report with The King's Fund finds older people are paying the price for cuts to social care. Yet, Ruth Thorlby writes, the public outrage and demand for change that could mobilise political action has so far been non-existent.

The picture that emerges is of social care providers under pressure, struggling to retain staff, maintain quality and stay in business; local authorities making unenviable choices about where to make reductions; a complex set of causes of delays in discharging older people from hospital; and the voluntary sector keeping services going even when funding was curtailed. 

Key findings

  • Social care for older people is under massive pressure; increasing numbers of people are not receiving the help they need, which in turn puts a strain on carers.
  • Access to care depends increasingly on what people can afford – and where they live – rather than on what they need. 
  • Under-investment in primary and community NHS services is undermining the policy objective of keeping people independent and out of residential care The Care Act 2014 has created new demands and expectations but funding has not kept pace. Local authorities have little room to make further savings, and most will soon be unable to meet basic statutory duties. 

Policy implications

Based on the evidence in the report, the authors recommend that policy-makers need to address three major challenges in shaping the development of social care over the next five years, focusing on how to:

  • achieve more with fewer resources –  for example, through better commissioning and integrated care – recognising that these initiatives will not be enough to close the funding gap
  • establish a more explicit policy framework, which makes it clear that primary responsibility for funding care sits with individuals and families
  • reform the long-term funding of social care because reliance on additional private funding is unlikely to be sufficient or equitable.

Partners

The King's Fund
Suggested citation

Humphries R, Thorlby R, Holder H, Hall P, and Charles A (2016) Social care for older people: home truths. Research report. The King's Fund and Nuffield Trust.