Author: Simon Bottery & Saorise Mallorie

Resource Type: Report

Categories: Personalised care and support planning, Adult Social Care

Publishing body: The Kings Fund

The key trends in adult social care in England outlined in this report are:

  • Requests: More people, particularly working-age adults, are requesting support
  • Receipt of care: The number of people receiving long-term care has fallen again
  • Eligibility: Financial eligibility is tighter and reform has been put back
  • Spending: Total expenditure has increased due to the Covid-19 pandemic and is now higher than in 2010/11
  • Costs: Local authorities are paying more for care home places and home care.
  • Capacity: The total number of care home places has declined slightly
  • Vacancies: The staff vacancy rate is the highest since records began
  • Pay: Care-worker pay continues to rise but struggles to compete with other sectors
  • Carers: Fewer unpaid carers now receive paid support and respite care has also fallen
  • Quality: Quality is largely stable but fewer ratings were published during Covid-19
  • Personalisation: Fewer people receive direct payments
  • Satisfaction: Satisfaction of people using services is edging downward
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