CCN Analysis - Adult Social Care Charging Reform

This analysis provides a comprehensive look at whether local councils will be able to effectively implement the government's adult social care charging reforms under current funding and timescales.

18 July 2024
CCN Analysis - Adult Social Care Charging Reform
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Our analysis examines the preparedness of county and unitary authorities for the October 2025 adult social care charging reforms, including the care cap, extended means test, fair cost of care, and Section 18(3) duties.  It provides a comprehensive analysis of the challenges faced by councils across the country in delivering these reforms.

The report finds that while councils support the principles behind reform, the financial and operational environment has significantly worsened since the 2022 delay to implementation.

The reforms are currently unfunded, costs have risen substantially, and most councils do not have the workforce, systems or financial capacity to safely deliver the reforms within the current timetable.

Key findings include:

  • Charging reforms are currently unfunded, following the repurposing of £3.2bn previously earmarked for implementation. Updated modelling shows the minimum cumulative cost of the means test and cap has risen 34% to £18.6bn, with total reform costs now £30bn (an 18% increase from 2022 estimates).  
  • Councils face significant workforce pressure, with 4,443 new social workers and 708 financial assessors required nationally to operationalise the reforms.  
  • 80% of councils say they would not have enough time to implement reforms by October 2025.
  • 97% of councils are very concerned about funding shortfalls.

Recommendations to the new government include:

  • Delay charging reforms by at least one year, to allow a revised impact assessment and realistic implementation planning.  
  • Fully fund the reforms through a dedicated settlement and revised distribution formula.  
  • Re‑establish trailblazer pilots to test demand and operational models.  
  • Provide project, digital, and workforce capacity funding to councils.  
  • Prioritise stabilising existing adult social care services, workforce reform, investment in community‑based care, fair cost of care market sustainability, and integration across health and social care.
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Adult Social Care
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