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.

Dept: Department of Health and Social CareMinistry of Housing, Communities and Local Government Topics: Commercial and financial managementCommissioning servicesCorporate financeHealth and social careLocal governmentLocal service deliveryLocal services and housingSocial care nao.org.uk →

Recommendations

7 items
5 accepted 1 partially accepted 1 rejected 5 implemented 1 in progress
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