98% of councils in England say there is not enough money for social care

Almost all councils (98 per cent) in England say the funding earmarked for the reforms is insufficient and will only "exacerbate" pre-existing pressures, according to a new survey.

Of the £36 billion the health and social levy will raise over the next three years, only £5.4 billion is ringfenced for social care reforms in England. These include the introduction of a ‘fair rate of care’ councils will pay providers and tackling the issue of self-funders paying more for their care than those who access support at the council rate.

Concerns have grown among councils in recent months that the government’s adult social care charging reforms are potentially hugely underfunded, which will risk their implementation as well as exacerbate existing pressures on the system.

Cllr David Fothergill, chairman of the LGA Community Wellbeing Board said: “This survey lays bare the huge concerns of councils that the government’s charging reforms are significantly underfunded. This has the potential to tip councils over the financial edge.”

'Councils are stretched thin as it is'

The survey of senior councillors responsible for adult social care also found three quarters said they are not confident they will have the required capacity in frontline staff to deliver the reforms.

The LGA is warning underfunded reforms will exacerbate significant ongoing financial and workforce pressures, including significant vacancy rates across the sector. These have already led to over 500,000 people waiting for an assessment, care or care reviews - up from just under 400,000 in November.

“Underfunding these reforms will only exacerbate pre-existing significant pressures, which the reforms and the funding for them do nothing to address,” says Cllr Fothergill. “These include unmet and under-met need, greater strain on unpaid carers and increased waiting times for assessments and delivery of care packages.”

“A higher proportion of the health and social care levy needs to be spent on social care to tackle these issues and create stable foundations for these reforms. Councils are stretched thin as it is, and my colleagues across the county have highlighted how many of their council services could be impacted by the cost of these reforms.”

Unless action is taken and government rethinks its plans, people who draw on care may experience reductions in quality and availability of care and support services, while at the same time paying more for them through the new health and social care levy and increased council tax.

If the reforms do end up costing more, and there is no further resource from the government, councils also indicated concern in the survey that other council services may be negatively impacted in order to make up for the shortfall.

To combat any future shortfall of costs, the LGA is seeking assurances from the government that they will “underwrite any additional costs councils incur” and will work with councils to consider further mitigations that may need to be used if “funding, capacity and timescale pressures threaten implementation”.