Select committee: Housing, Communities and Local Government Committee
Recommendation 18
Second Report - Long-term funding of adult social care
Published 4 Aug 2022
Paragraph 77
Addressed to Ministry of Housing, Communities and Local Government
Housing, Communities and Local Government Committee Long-term funding of adult social care All items in this report Report on parliament.uk ↗ Inquiry on parliament.uk ↗
Recommendation (the committee's words)
The Department for Health and Social Care is drip-feeding numerous policy changes in adult social care, many of which are welcome, but many of which will have a significant impact on local authorities in terms of their spending and capacity. These include the cap and new means test, commencing Section 18(3) of the Care Act 2014 in respect of residential care, the fair cost of care, reforms in the People at the Heart of Care White Paper around housing, data, and assurance, and reforms in the Joining up Care for People, Places and Populations White Paper around health and care integration. We understand that local authorities are working closely with central government on these reforms. But we are concerned that the Government does not have a handle on what the total impact on local authorities will be. The 76 Long-term funding of adult social care Government should publish a new burdens assessment by the end of the year to determine the level of resource needed by local government in terms of staff, expertise, and funding to deliver the full package of adult social care reforms.
From: Housing, Communities and Local Government Committee, Second Report - Long-term funding of adult social care (HC 19), paragraph 77, 4 August 2022
Government response
The government responded to the whole report on 15 June 2023 (deadline 4 October 2022).
Summary written by Accountability Index from the government's response. It is not the government's own words.The government says it remains "fully committed" to the 10-year vision for adult social care and points to up to £7.5 billion of additional funding over two years, while declining some of the Committee's specific recommendations.
- On funding, it cites the Autumn Statement's "up to £7.5 billion" of additional funding over two years for adult social care and discharge, with up to £2.8 billion in 2023-24 and up to £4.7 billion in 2024-25.
- It says it "agree[s]" that market shaping should include a dedicated focus on outcomes-based commissioning, and it is investing in local authority commissioning capability.
- It declines to introduce statutory housing plan requirements ("We do not intend to introduce statutory requirements at this time") and has "no plans" for a review of carer's assessments or to lower visa salary thresholds.
- On a multi-year settlement, it says it "will aim to provide" one "wherever possible"; it will not proceed with the Review of Relative Needs and Resources during this Spending Review.