Nine: Adult social care

This chapter analyses spending, outputs and outcomes in relation to social care for disabled and older people in England, focusing in particular on the period from 2007/8 to 2014/15. It shows how significant cuts to local authority budgets during a period of rising demographic demand have produced substantial reductions in the number of people receiving support - down by 30% to 40% for many client groups – reversing the gains made in the first half of the 2000s. It notes emerging evidence of increased pressure on unpaid carers, and ongoing concerns about the quality of some residential and community care provision. The chapter concludes that substantial re-investment in social care will be required to safeguard the well-being of older and disabled people in the future

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