Select committee: Housing, Communities and Local Government Committee
Recommendation 33
Second Report - Long-term funding of adult social care
Published 4 Aug 2022
Paragraph 142
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)
We welcome the Joining up Care for People, Places and Populations White Paper and commend the Government for making the integration of health and social care a policy priority. We particularly welcome the Government’s ambitions around shared outcomes, workforce integration, and ensuring every citizen has a shared care record by 2024. However, we are concerned that inconsistent geographical boundaries could result in gaps which could also hinder the successful pooling of budgets. In Spring 2023 the Government should review how many places have established governance and accountability models and their geographical footprints, and should work with local partners to modify boundaries if necessary to ensure all citizens can benefit from effective arrangements. The Government should also publish without delay its review of the arrangements that govern pooled budgets under Section 75 of the NHS Act 2006. The Government should seek to enable localised place-based arrangements between the NHS and individual councils, and pool budgets on that basis.
From: Housing, Communities and Local Government Committee, Second Report - Long-term funding of adult social care (HC 19), paragraph 142, 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.