Select committee: Health and Social Care Committee

Government response to the Committee's Second Report

Published 9 July 2025

At a glance

The government's response

This document responds to 2nd Report - Adult Social Care Reform: the cost of inaction.

This is the government's response, published 9 July 2025.

Summary written by Accountability Index from the government's response. It is not the government's own words.

The government shares the committee's view that adult social care is under significant pressure and needs reform, responds to each recommendation, and says it does not accept some, including a new cross-government impact assessment, while referring others to the independent commission led by Baroness Casey.

  • On unmet need, the government says it would be "challenging to publish an annual assessment of the level of unmet care needs", citing limitations in existing data and the complexity of defining care needs.
  • It says it "does not, therefore, accept" the recommendation for a new cross-government impact assessment on workforce policy changes, preferring existing impact assessment procedures. It also does not intend to commission a dedicated study of the cost of inaction, and does not think a separate growth strategy for the sector is "proportionate or necessary".
  • On the Fair Pay Agreement, it will "begin the Fair Pay Agreement consultation this year", with secondary legislation and the negotiating body to follow in 2026. It is committed to establishing the first agreement within this Parliament.
  • It agrees that publishing delayed discharge cost estimates would "in principle" improve transparency, and will "explore how best to publish cost data" with caveats. It will set out the Better Care Fund approach for 2026 and beyond "in due course".

Read the government's response ↗ Report an error

Sources