Year-end Sale % OFF 
Abstract
AbstractDrawing on a 2010 analysis of the reform and costs of adult social care commissioned by Downing Street and the UK Department of Health, this paper sets out projected future costs under different reform scenarios, reviews what happened in practice from 2010-19, explores the impact of the growing gap between need and funding, and explores the relationship between future spending and economic growth. In the process, it identifies a ‘lost decade’ in which policy makers failed to act on the warnings which they received in 2010, draws attention to the disproportionate impact of cuts on older people (compared to services for people of working age) and calls for urgent action before the current system becomes unsustainable.
Highlights
Background and introductionFor many years, there has been widespread awareness that the adult social care system in England needs fundamental reform
While health care is delivered via a National Health Service available to all based on clinical need and largely free at the point of delivery, adult social care is organised locally by locally-elected Councils, is means-tested and access depends on meeting increasingly strict eligibility criteria
This paper focuses on the adult social care system in England, but most developed countries are struggling with similar pressures (Colombo et al, )
Summary
Background and introductionFor many years, there has been widespread awareness (among policy makers, practitioners, researchers, people using services, their families and the media) that the adult social care system in England needs fundamental reform. Always organised differently and funded less generously than more universal services such as health care, adult social care has faced a combination of pressures arising from demographic change and increased costs, rising need and demand, and the pursuit (since ) by successive governments of a policy of Downloaded from https://www.cambridge.org/core. This article reviews the reform and costs of adult social care, drawing on initial analyses commissioned in the late s to inform government policy in the run up to the General Election (Glasby et al, ). These informed, and were quoted, in a subsequent White Paper By , there were almost daily warnings of the potential collapse of the current system, severe and adverse impacts on people with care and support needs (and their families), a mounting workforce crisis, the bankruptcy of a series of large care providers, and well-publicised abuse scandals (National Audit Office, ; BBC, a-b; Holt, ; Local Government Association, ; House of Lords Economic Affairs Committee, )
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
