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Adult social care staff are carrying out tasks previously undertaken by the NHS in most areas, without compensatory funding, council heads have reported. Seventy per cent of directors said this was the case, in response to an Association of Directors of Adult SocialServices (ADASS) survey carried out in September and October of this year.
Funding shortfall However, this does not cover the extra costs facing authorities from the impact of the employer NICs rise on the providers that they commission, notably in adults’ services. Were all authorities to do so, this would yield about 970m, some of which would be available for adult social care.
However, this falls far short of the estimated £1.8bn in extra costs facing councils , chiefly driven by rises in employers’ national insurance contributions (NICs) and the national living wage(NLW), the Association of Directors of Adult SocialServices has warned.
Government plans for the NHS to discharge people from hospitals into care homes may result in “poor or potentially illegal” practice, through people being moving into residential care without their informed consent. Our concern is that with the focus on discharge above everything else,” she added.
The NHS will be given the majority of a £500m fund for adult social care, designed to speed up hospitaldischarge and bolster the care workforce. 13,000 people stuck in hospitals. Channelling the funding through the NHS reflects a growing shift towards resourcing adult social care through the health service.
In an effort to clear beds, the government has provided £700m from December 2022 until March 2023, mostly for the NHS, though chiefly to fund social care services, with the latest £200m tranche of this – announced last week – reserved for care home provision. Risks of ‘poor or potentially illegal practice.
The government’s £500m injection of cash into adult social care this winter is a mere “sticking plaster” for the sector’s underlying problems, leaders have warned. However, they said it was insufficient to tackle staff shortages, unmet needs for care and the impact of the cost of living crisis on the sector.
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