A progressive approach to adult social care

Three decades of outsourcing, commercialisation and, more recently, unprecedented austerity have had an inevitable impact on public services. Within parts of the social care market, local authorities are strongly reliant upon large providers who extract wealth from the care system, wealth that could otherwise be used to provide additional benefits for citizens and the state.

This report, commissioned by the North West Association of Directors of Adult Social Services (NW ADASS), provides the tools for commissioners to understand and reshape local care markets to deliver greater social and economic justice, whilst continuing to provide choice and control for service users.