Briefings and responses

Sustainable, long-term investment in councils’ public health services is needed if we are to reverse reductions in life expectancy and tackle health inequalities across the country.

The underfunding of adult social care and support sector is impacting on the quality of life of people who have care and support needs. It is also creating a fragile provider market, putting workforce and unpaid family carers under further strain, creating unmet and under-met need and impacting on social care’s ability to help mitigate demand pressures on the NHS.

In recent years, adult social care has been propped up by one-off, piecemeal injections of funding. This hampers councils’ ability to plan for anything beyond a short-term horizon. Social care and public health funding should therefore be given the same long-term certainty as NHS funding.

We are pleased that in the recent Spending Round, the Government has responded to our calls and provided desperately needed new money, including £1 billion for social care (children’s and adults), as well as confirming the continuation of existing grants. However, these one-off, piecemeal injections of funding hamper councils’ ability to plan for anything beyond a short-term horizon. Social care needs to be given long term funding certainty in the same way as the NHS, and we look forward to seeing the Government’s plans for long-term adult social care reform.

The NHS does not operate in isolation. The commitment for increased funding for the NHS will only be maximised if there is an equivalent scale of investment in social care, public health and prevention services that both improve people’s health, wellbeing and independence and relieve pressure on frontline NHS services.

The LGA has offered to work with the Department of Health and Social Care, the NHS and Health Education England to get the right number of training places commissioned and to deliver policies to ensure health visiting remains an attractive and valued career.

The issue of relatively low pay in the social care sector is highlighted regularly and the settlement in the Spending Round provides resources to begin to address this challenge. In the long term the low pay needs to be addressed as part of the arrangements for the future funding of both adult and children’s social care.

Adult social care is a vital service, supporting people’s independence and wellbeing. It strengthens our communities, helps sustain our NHS and adds essential economic value to our country. We estimate that, since 2010, councils have had to bridge a £6 billion funding shortfall just to keep the adult social care system going.

This joint briefing note for clinical commissioning groups (CCG), local authority learning disability commissioners and Directors of Housing has been prepared by NHS England and NHS Improvement, the Local Government Association and the Association of Directors of Adult Social Care (ADASS).

This briefing is to update you on the development of Primary care networks (PCNs) which were established on 1 July and to provide advice on the contribution of local government to this important change to the health and care landscape.