Centre for Mental Health | September 2019 | Social care funding and mental health
The latest policy briefing from the Centre for Mental Health looks at what a fair and sustainable funding settlement for social care needs to look like in order to deliver parity of esteem for mental health and sufficient funding to support people of working age as well as those in later life.
In their latest briefing, the Centre for Mental Health look at what a fair and sustainable funding settlement for social care needs to look like in order to deliver equity of esteem for mental health and sufficient funding to support people of working age as well as those in later life.
Social care funding and mental health reviews the current funding and provision of mental health social work for people of working age in England. It finds that mental health social work has a vital role in helping people to live independently and to secure their rights and dignity. Local authorities also support carers and commission advocacy services, including for people subject to the Mental Health Act
The briefing concludes that the new settlement for social care must therefore:
• Provide parity of esteem for mental health with other social service functions
• Secure fair funding for people of working age
• Resolve the confusion between health, housing and social care funding for people
with ongoing care needs
• Enable local councils to invest for the future in their workforce and their community(Source: Centre for Mental Health).
This ‘long read’ sets out five messages for government about priorities and options for social care reform in England, based on an assessment of the evidence and analysis of the costs of reform. It focuses primarily on changes to the funding system rather than other policy questions such as the relationship between the NHS and social care | The Health Foundation
This analysis from the Health Foundation sets out five priorities for the new government for social care:
To stabilise the current social care system, which is at risk of collapse. The Health Foundation estimates this would cost £4.4bn by 2023/24. In 2020/21, this would cost £1bn.
To protect individuals against unfair and catastrophic care costs. A range of approaches could be used here. The Health Foundation recommends a Dilnot-style model where the government can set the maximum amount individuals would be required to pay over their life time. An approach whereby the maximum cost was capped at £46,000 would cost government an additional £3.1bn per annum by 2023/24.
To increase eligibility and access to social care. To reinstate levels of access to 2010 levels would cost an additional £8.1bn, according to Health Foundation analysis.
To see the capped cost model as a flexible approach to reform. The principle of a cap on care costs was included in the 2014 Care Act and could be put in place without new legislation.
To explore a range of options for raising revenue. After a decade of austerity in public finances, cutting other services to pay for social care is not feasible or desirable. Increases in tax revenue is likely to be needed, although borrowing could also play a part.
This briefing provides an analysis of UK health care spending relative to comparable countries, such as the G7 group of large developed economies or member nations of the Organisation for Economic Co-operation and Development (OECD) | Office for National Statistics
It finds that the UK spent an average of £2,989 per person on health care in 2017 which is the median for OECD countries. However, of the G7 group of large, developed economies, UK healthcare spending per person was the second-lowest, with the highest spenders being France (£3,737), Germany (£4,432) and the United States (£7,736).
Other key findings:
As a percentage of GDP, UK healthcare spending fell from 9.8% in 2013 to 9.6% in 2017, while healthcare spending as a percentage of GDP rose for four of the remaining six G7 countries.
The UK’s publicly funded NHS-based health system contributes to the UK having one of the highest shares of publicly funded healthcare (79%) in the OECD.
In 2017, the UK spent the equivalent of £560 per person on health-related long-term care, which was less than most other northern or western European countries, but a similar amount to France (£569) and Canada (£556).
NHS Confederation | August 2019 | A chink of light? Tackling the under-funding of social care
A new briefing released by Health for Care a coalition, led by the NHS Confederation, a coalition of 15 national health organisations, calls on the government to deliver a sustainable social care system in England, backed up by a long-term financial settlement. NHS Confederation looks to identify the factors that have been placing a strain on adult social care in recent years and what the future pressures could be. This briefing analyses the anticipated adult social care funding gap in 2019/20, concluding that to maintain the status quo, the cash injection required is between £1.1 billion and £2.5 billion (Source: NHS Confederation).
The Department of Health and Social Care et al |August 2019| PM announces extra £1.8 billion for NHS frontline services
Prime Minister Boris Johnson has confirmed a new £1.8 billion NHS cash injection to help improve patient care. The PM announced the 20 hospitals set to share £850 million of new funding to upgrade outdated facilities and equipment – helping improve patient care and ultimately save more lives.
The £1.8 billion funding is in addition to the extra £33.9 billion, in cash terms, the NHS is set to receive every year by 2023/24 through the Long Term Plan agreed last year. Over £1 billion of this will be spent this year, meaning an annual increase in the NHS’s capital budget of 30% .
Among the beneficiaries are:
South Yorkshire and Bassetlaw Integrated Care System – which will receive a £57.5 million for primary Care investment across South Yorkshire and Bassetlaw.
Leeds Teaching Hospitals NHS Trust – £12 million to provide a single Laboratory Information Management System across West Yorkshire and Harrogate, covering all pathology disciplines (Source: The Department of Health and Social Care)
Cancer Research UK raised £540m in fundraising income in the last financial year, an increase of 2 per cent over the previous year, in one of its most successful fundraising years so far.
This increase was in part thanks to more money raised from legacy donations, Race for Life and Stand Up To Cancer, which all raised more than the previous year. And an additional £2m was raised via Facebook charitable giving, an innovative new fundraising platform that launched towards the end of the year.
Total income for the year was £672m, an increase of 6% on the previous year, which includes fundraising income as well as £125m income from charitable activities – the largest amount ever received, which will be reinvested in research.
Key achievements outlined in Cancer Research UK’s annual report and accounts, include:
Securing a strong commitment to early cancer diagnosis in the NHS Long Term Plan.
Three new international Grand Challenge teams awarded £20m each over the next five years, to solve long-standing mysteries in cancer research
Launching the Cancer Research UK City of London Centre, a £14m investment to create a world-leading cancer therapeutics research hub.
Launching a new Brain Tumour Award funding scheme, to accelerate progress in research on brain tumours.
Social Care Funding: Time To End A National Scandal | Economic Affairs Committee
This report finds that publicly funded social care support is shrinking, as diminishing budgets have forced local authorities to limit the numbers of people who receive public funding. Funding is £700 million lower than 2010/11 in real terms, despite continuing increases in the numbers of people who need care.
The report recommends that the Government immediately spends £8 billion to restore social care to acceptable standards and then introduces free personal care over a period of five years.
Key conclusions and recommendations
The Government must increase funding by £8 billion to restore levels of quality and access to those observed in 2009/10. This should be its top priority.
The Government should introduce a basic entitlement to publicly funded personal care for individuals with substantial and critical levels of need. Accommodation costs and the costs of other help and support should still be incurred by the individual. The Health Foundation and the King’s Fund estimate this would cost £7 billion if introduced in 2020/21.
To avoid catastrophic accommodation costs, the Government should also explore a cap on accommodation costs.
The Government should adopt a staged approach to providing the additional funding recommended by this report. It should immediately invest £8 billion in adult social care, then introduce free personal care over the next five years. Free personal care should be available universally by 2025/26.
Additional funding should be provided as a government grant, distributed directly to local authorities according to an appropriate national funding formula which takes into account differences between local authorities in demand for care and ability to raise funds from local taxation.
Funding social care should be approached in the same way as any other funding pressure. We recommend that social care is funded largely from general taxation.