National Care Service plans in pipeline for 2028, say ministers

The commission will report to the prime minister and its work will be split into two phases.

Phase one will identify critical issues and recommend medium-term improvements. This will report by mid-2026.

Phase two will look at how to organise care services and fund them for the future. This report is not due until 2028 – a year before the next election.

The King’s Fund independent health think-tank urged the government to “accelerate the timing”.

“The current timetable to report by 2028 is far too long to wait for people who need social care, and their families,” said its chief executive, Sarah Woolnough.

Councils, which are under huge financial pressure, pay for care services for most people.

Melanie Williams, president of the Association of Directors of Adult Social Services, agreed that the “timescales are too long”.

She believes much of the evidence and options on how to reform adult social care are already known and worries that “continuing to tread water until a commission concludes will be at the detriment of people’s health and well-being”.

About 835,000 people received publicly funded care in 2022, according to the King’s Fund. The charity Age UK estimates there are about two million people in England who have unmet care needs – and according to workforce organisation Skills for Care, while 1.59 million people work in adult social care in England, there are currently 131,000 vacancies.

Helen Walker, the head of Carers UK, which represents millions of unpaid people who provide care to family members, said families were “under intense pressure and providing more care than ever before”

When older or disabled people are unable to get the help they need in the community they are more likely to end up in hospital, or get stuck on a ward when they are ready to leave.

Amanda Pritchard, NHS England chief executive, said: “We hope this vital action plan and commitment to create a National Care Service will both help better support people and ease pressure on hospital wards.”

The government also confirmed an extra £86m would be spent before the end of the financial year in April to help thousands more elderly and disabled people to remain in their homes.

The money is on top of a similar sum announced in the Budget for the next financial year.

Overall, it should allow 7,800 disabled and elderly people to make vital improvements to their homes which should increase their independence and reduce hospitalisations, says the government.

Other changes include: