There was very little time given for preparation of submissions but a small group of members led by Prof Alisoun Milne RSW put together this short submission with the offer to expand and provide evidence on the points made. They were concentrating (as is this particular Select Committee Inquiry) on current state of services rather than on the long term record of adult social care. Labour Social Work Group members have also contributed to fuller submissions made by research, professional and advocacy groups. Readers are recommended to search on line to see other detailed submissions. LSWG will be submitting evidence on the role of social work within adult social services to the Commission on Adult Social Care set up under the Chairmanship of Baroness Louise Casey. Contributions to this work, especially from practising social workers and researchers will be very welcome
Written evidence submitted by Labour Social Work Group (ASC0012)
HEALTH AND CARE SELECT COMMITTEE INQUIRY INTO COSTS OF INACTION OF REFORM OF SOCIA CARE
The Labour Social Work Group a member-led group that seeks to contribute to improved wellbeing
and life chances of some of the most vulnerable members of society. Our members provide
community and personal social work services, research and training across age and needs groups,
and work collaboratively with people who use services, their carers and advocacy groups.
We wish to address the following two questions posed by the Committee:
‘What is the cost of inaction to individuals and how might people’s lives change with action
on adult social care reform?
Where in the system is the cost of inaction on adult social care reform being borne the
most? ‘
We believe that the way councils deploy their resources to both meet and prevent people’s needs
for care and support requires fundamental reform. The current system gives priority to complex
cases with high levels of need to the detriment of meeting many people’s needs, and the needs of
their family carers, in a preventive way.
The NHS uses a different model to deploy resources that gives more weight to prevention. We think
that this and other models should be explored for adult social care. Inaction on reform is being
borne by the NHS (e.g. unnecessary admissions to hospital, earlier than needed admission to a care
home), family carers (who are at much greater risk of breaking down, being harmed by caring) and
by adults with care needs who find themselves ‘ineligible’ for access to publicly funded services,
including social work.
It has long been known that best use of public money happens when resources are allocated to meet
the unique needs of individuals as they aspire to make their lives the best they can be – support that
is personalised. Social work skills are required to support people to identify the best use of resources
to make this a reality.
The Care Act remains the right legislation. Properly applied, it can have a significant transformative
impact on the productivity and effectiveness of the sector and the lives and wellbeing of adults with
care and support needs and their families.
We can provide both the evidence to support the above statements and the ways in which the
Statutory Guidance needs to change if the Committee would like to pursue this as a way forward.
December 2024
