Lots of interest today in @TheKingsFund@NuffieldTrust findings about public satisfaction with the NHS. But the findings about #socialcare are no less remarkable. Only 15% say they are satisfied - the lowest of all services asked about. 50% are dissatisfied. A short thread…
This year, the survey asked WHY people are satisfied (or not). The main reasons are staff pay, unmet need, unaffordability of #socialcare and lack of support for unpaid carers. Lack of integration between health and care also gets a look in. These are familiar problems…
…and all grounded in fact: the number of people able to access long-term care has been falling since 2015/16, workforce pay has failed to keep pace with other sectors and 1 in 7 people are now estimated to face lifetime care costs of over £100,000. kingsfund.org.uk/publications/s…
Worryingly, people who know #socialcare the best rate it even worse. 14% people have had recent contact with #socialcare and two thirds of people them are dissatisfied, compared with 49% of people without recent contact. Again, that’s the lowest of all services asked about.
It’s damning stuff, isn’t it? The government might say ‘that’s why we’re reforming #socialcare’. But the main reforms do little about staff pay, unmet need or unpaid carers. And even the cap - which does tackle lifetime costs - has been watered down. kingsfund.org.uk/blog/2022/03/c…
Perhaps that’s why another recent poll said - remarkably- that only 7% of people think the government has the right policies for #socialcare. health.org.uk/publications/l…
The response? The govt needs to double down on reform, reinstate the full cap and fund local authorities properly for the #socialcare services the public wants. Otherwise you doubt next year’s results will be much better.
Full survey details are here nuffieldtrust.org.uk/research/publi…
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This is an important analysis on the implications of @DHSCgovuk 'fair cost of care' reform, which has received less attention than the 'cap' but involves an unprecedented, potentially risky intervention by govt in the #socialcare market. Quick thread: countycouncilsnetwork.org.uk/new-analysis-w…
'Fair cost of care' basically involved the government funding local authorities to pay more for the care home places/homecare they commission. Why is government bothered about that? Two, related reasons...
1. Most councils, because they're short of cash, 'underpay' for publicly-funded care home places/homecare. To compensate, providers 'overcharge' people who self-fund their own care. This 'self-funder subsidy' is obviously unfair. However, it's not why govt is acting now...
Though it has some good measures, the govt’s white paper is lightweight and underfunded to deliver real reform of adult #socialcare. A rapidly written thread on how the WP sits alongside the Health and Care Bill, Build Back Better and the spending review. gov.uk/government/pub…
First, a reminder of key stuff already announced:
- @CareQualityComm to oversee council delivery of #socialcare
- more generous means test
- £86k cap
- £500m for workforce wellbeing
- a promise of a ‘fair price of care’ to ensure selffunders pay same as publicly funded clients
The white paper tries to provide a vision that wraps these reforms together and it’s not bad: choice, control and independent lives; outstanding quality; fairness and accessibility. The problem comes when it tries to back this up with action and money.
This has profound implications for #socialcare. EU workers currently make up 1 in 11 careworkers and, from January 1st, they will not be replaced when they leave. So social care will have to find more British nationality workers. 1/6 bbc.co.uk/news/uk-politi…
1 in 13 jobs (122,000) in the sector is already vacant, far higher than the average in other industries (and rising). Unemployment is low so, without EU workers, #socialcare employers will have to entice these staff from sectors like retail. 2/6