Four leading agencies representing providers and commissioners across the health and social care sector have called for `urgent’ talks with Treasury and other Whitehall Departments in the face of a mounting crisis in the care of older and disabled people.

In a letter* to George Osborne (Chancellor), Jeremy Hunt (Department of Health) and Greg Clark (Communities and Local Government) ADASS, NHS Confederation, CPA and CSA state bluntly that the recent Spending Review settlement “is not sufficient to resolve the care funding crisis.

“Ultimately the package put forward for social care will not enable us to fill the current gap in funding, cover additional costs associated with the introduction of the National Living Wage, nor fully meet future growth in demand due to our ageing population.”

Equally dangerously, they warn that some of the resources are back-loaded – with Better Care Funding not reaching levels of any significance until towards the end of this Parliament. “This has significant implications in terms of the vital support needed by older and disabled people and their carers. And It also puts the delivery of the NHS Five Year Forward View – and implementation of the Care Act – at risk.”

The immediate points which, according to the letter, must be addressed, are:

  • What happened to the £6bn originally which was earmarked for the full implementation of the Care Act?
  • What steps can be taken to ensure that the proposed 2% levy per year on council tax in the form of a social care precept delivers the money required to ensure the right levels of social care and does so equitably?
  • What steps can be taken, given the wider spending review settlement for local government, to support councils to address the shortfall?
  • And it concludes: “If we do not collectively address the highlighted issues relating to levels of and phasing of funding there is the potential for significant and adverse impacts, including:
  • An increasing number of older people, disabled people and their carers without any, or without sufficient support to meet their needs;
  • An acceleration of the failure of domiciliary, residential and nursing home providers. This is likely to accelerate fastest in those areas of the country where providers are predominantly reliant on state funded clients. These are exactly the areas of the country that additionally will raise the least areas of council tax. The impact of this will be the compounding of the number of people who do not have their needs met, or who are avoidably admitted or remain in hospital; and
  • An increasing pressure on the NHS with more people admitted to hospital and more delays to get people home safely.“As you made clear in your speech to parliament ‘a civilised and prosperous society like ours should support its most vulnerable and elderly citizens.’ This is a goal that we all share and we are keen to work with you and your colleagues to ensure that this becomes a reality.”


* The full text of the letter is available on all our websites

For further information, please contact individual partner organisations listed below.

Represents directors and senior managers of adult social services in English local authorities. Directors (DASSs) have statutory responsibilities for the care of older people, adults with disabilities mad adults with mental health issues. A list of members is available at www.adass.org.uk/who-we-are/
Contact Ray James, ADASS President, 020 8379 4160, or
Drew Clode, ADASS Policy/Press Adviser, 020 8348 5023/07976 837755

The Care and Support Alliance represents over 75 of Britain’s leading charities campaigning alongside the millions of older people, disabled people and their carers who deserve decent care. Members include Age UK, Alzheimer’s Society, Carers’ UK, International Longevity Centre, Leonard Cheshire Disability, National Voices
For more information visit www.careandsupportalliance.com
Contact Dave Gooderham, PR Officer at Papworth Trust, on 07903 872531.

The Care Provider Alliance (CPA) brings together all the main representative bodies for independent adult social care providers. They seek to ensure a coordinated response to the major issues that affect the sector. The Alliance is an informal body with a rotating chair, currently (until September 2016) Frank Ursell, CEO of the Registered Nursing Home Association. Members include Association for Real Change, Care England, Ceretas, Mental Health Providers’ Forum, National Care Association, Nation Care Forum, Registered Nursing Home Association, Shared Lives Plus, United Kingdom Homecare Association, Voluntary Organisations Disability Group.
Contact: info@careproviders.org.uk

The NHS Confederation represents 85 per cent of NHS providers and commissioners. The organisation has around 500 members across health and social care, including hospitals, community and mental health providers, ambulance trusts and independent sector organisations providing NHS care. It is the only membership body to bring together and speak on behalf of the whole NHS. A shortened version of NHS Confed’s separate submission to the SR can be found at http://bit.ly/1FgjHLD

Sarah Ghabina, Media relations manager
DDI: 020 7799 8637
Mobile: 07789 505191