Another dire warning on the state of care services – incoming Prime Minister must act

Nick Ville

Commenting in response to the Association of Directors of Adult Social Services annual budget survey, Nick Ville, director of membership and policy at the NHS Confederation, said:

“This report is another damning indictment of the failure of successive governments to deliver the basic care and support that thousands of the most vulnerable people in our society need and deserve.

“Patience is wearing thin among people needing support, their carers and families who are stretched to breaking point. As this report shows, while the government fails to act, the problems facing councils have got worse and the crisis for people needing care is escalating. Low salaries and poor morale continue to be major barriers to recruiting and retaining care workers and this must be tackled.

“Local councils cannot continue to rely on emergency funding – we need to see a sustainable social care system delivered on the back of a long-term funding settlement. This must be at the top of the in-tray for the next Prime Minister.

“The pessimism felt by directors of adult social services is mirrored in the views of health leaders – there is little hope among either that this challenge will be met any time soon. The consequences for people needing care and support will continue to be profound. And we expect this to put the brakes on the ambitions set out in the NHS Long Term Plan. Nine in 10 health leaders say they are not confident the NHS will be able to deliver the reforms set out in the plan without a long-term financial settlement for social care.”

The NHS Confederation has set up a coalition of 15 national health organisations to make the case for a more sustainable social care system. To find out more about the Health for Care campaign, please visit

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