ADASS urges Government to include findings of the Commission on the Funding of Care and Support in its review of NHS legislationAssociation of Directors of Adult Social Services
Date: Wednesday 11th May 2011
Embargo: 9.00 am HRS, THURSDAY MAY 12
There is a crucial need for a sustainable solution to issues concerning the funding of social care for individuals in the greatest need, according to directors of adult social services. Their warning follows a new survey of English local authority adult care budgets, conducted by ADASS, showing that councils intend to reduce spending on adult social care by £1 billion in the coming year.
According to ADASS president Peter Hay: “Andrew Dilnot has been commissioned by the Government to address these funding issues and his recommendations will need to be carefully considered in the light of the growing demographic pressures facing communities across the country. ADASS strongly feels that the current `pause’ in considering the future of the Health and Social Care Bill should last long enough to enable Dilnot’s findings to be carefully considered.
“Good integration of care is a major part of the Bill, yet this will be badly compromised if there is a failure to find a national solution to funding long term care.”
The ADASS survey was completed by 98% of councils in England and has produced new information on how councils have set their budgets for the year 2011-12. Adult social care is a major part of the overall budget for local authorities and represent on average one third of Councils’ budgets.
The key findings from the ADASS survey are:
Mr Hay added: “Adult social care departments throughout England have for some time now been concentrating their efforts on different ways of working. There are major change programmes underway to shift spending into preventative services and to help people to regain their independence as quickly as possible after an illness or hospital admission.
“Councils are also sharing with each other the innovative ideas they are each developing, to meet people’s needs with reducing resources and in cost effective ways. Savings on this scale simply cannot be achieved through doing the same things more efficiently or by trimming management costs – wholesale change is required and this is what councils are doing.
"Councils will do everything they can to reduce the need to spend on long term care through advice, information, prevention and reablement and by ensuring that value for money is achieved. However, this year’s savings targets in councils are just the beginning of a 3-4 year programme of reductions: demographic pressures will not abate and councils’ ability to find alternatives to service reductions will inevitably reduce over time.
“ADASS will contribute to the work of the Dilnot Commission and continue to support its efforts to find the sustainable solution that is so desperately needed. As the social care system has been under increasing pressure for some years, the recommendations from the Commission will offer the best possible opportunity to meet the needs of the most vulnerable for the foreseeable future.”
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Notes for Editors: The Association of Directors of Adult Social Services (ADASS) represents directors of adult social services in local authorities in England. DASSs have statutory responsibilities for the social care of older people and adults with disabilities, while over 50 per cent also run social housing departments. ADASS members might also share a number of responsibilities for the provision and/or commissioning of housing, leisure, library, culture and arts services within their councils.
ADASS Budget Survey 2011
Social Care is such a large part of local government spend that reductions are inevitable, although Councils are working hard to offset cost reductions, meet demographic pressures and integrate funding with the NHS. The reduction in spend by £1bn adds to the known gaps in social care funding and makes it imperative that this Government delivers on its promise to see through the reform of how we pay for long term care.
10/11 Net Budget
Council Budget and Planned Savings Levels (excluding School Grant)
Adult Social Care Savings
Savings from Supporting People Budgets
Reablement (£70m one-off)
NHS Transfer (£648M full year).
Winter Pressures (£162M one off)
Fees (independent sector)
Fair Access to Care criteria