Adult social care is broken. After years of marketisation and outsourcing we are left with a service where large market players dominate, particularly in areas such as nursing and residential care. Taxpayers’ money, and the savings of older people, are being extracted out of the system for shareholder gain. Today we release the new publication Reshaping ownership within adult social care. Here the report’s author, Tom Lloyd Goodwin, reflects on how ownership models must be shifted.
There is now widespread political support to challenge ownership models within social care and to bring care homes, for example, back under state control. However, reshaping ownership within the sector will require a major new funding settlement, as well as a substantive and wide-ranging vision for reform