Source · National Audit Office
The adult social care market in England
Published: 25 Mar 2021
Recommendations: 7
Type: Value for Money
NAO confirmed: 4
Department: Department of Health and Social Care
This report examines the current care market and the Department of Health & Social Care’s role in overseeing it.
Recommendations
| Rec | Recommendation | Addressee | Acceptance | Implementation |
|---|---|---|---|---|
| 1 |
The Department should:
a) as a priority, set out a cross-government, long-term, funded vision for care. It should collaborate with the Ministry and local government in particular; factoring in sector and user perspectives, such as people with lived experience;
Ref Page 12, paragraph 28, point a
· Implemented 12/2021
|
Department of Health and Social Care | Accepted | Implemented |
| 2 |
b) develop a workforce strategy, in line with its previous commitments, to recruit, retain and develop staff, aligned with the NHS People plan where appropriate;
Ref Page 12, paragraph 28, point b
· Implemented 12/2021
|
Department of Health and Social Care | Accepted | Implemented |
| 3 |
c) in conjunction with the Ministry, Department for Work & Pensions and local government, develop a cross-government strategy for the range of accommodation and housing needed for people with care needs, and how to fund it;
Ref Page 12, paragraph 28, point c
|
Department of Health and Social Care | Rejected | — ✓ NAO |
| 4 |
d) assess the performance and cost data it needs to gain assurance over the system’s performance as a whole and the potential costs to the sector of
providing these data, bearing in mind its current proposals for enhanced accountability and oversight;
Ref Page 12, paragraph 28, point d
· Implemented Q1 2023/24
|
Department of Health and Social Care | Partially accepted | Implemented ✓ NAO |
| 5 |
e) address significant gaps in the performance and cost data it collects on care, particularly on self-funders and unmet need. In doing so, it should be mindful of, and assess, the potential burden on local authorities and care providers;
Ref Page 13, paragraph 28, point e
· Implemented Q3 2026/27
|
Department of Health and Social Care | Accepted | In progress ✓ NAO |
| 6 |
f) consult on options for enhancing support for local commissioners which promotes an integrated approach and incentivises commissioning for outcomes; and
Ref Page 13, paragraph 28, point f
· Implemented Q4 2025/26
|
Department of Health and Social Care | Accepted | Implemented ✓ NAO |
| 7 |
g) explore with CQC how best to increase visibility of and transparency over providers’ financial sustainability and costs, bearing in mind operational and legal practicalities.
Ref Page 13, paragraph 28, point g
· Implemented Q1 2022/23
|
Department of Health and Social Care | Accepted | Implemented |