Eight in 10 councils in England are on course to bust their budget on adult social care by March, according to a survey said to show the âongoing and intensifying pressuresâ facing the sector.
Such conditions do not provide the environment in which the new Governmentâs proposed National Care Service âcan hope to succeedâ, the Association of Directors of Adult Social Services (Adass) warned.
The bleak picture of financial pressures facing local authorities does not take account of further strain expected from the recently-announced hike in employer national insurance contributions â which is due to take effect from April, the organisation noted.
Voices within the sector warned, following Chancellor Rachel Reevesâs Budget last week, that some care homes could be forced to close.
Care England, which represents providers in adult social care, said the national insurance rise, combined with wage rises, will leave the sector with âan additional circa ÂŁ2.4 billion funding hole to plugâ.
Adass president Melanie Williams said the financial situation for councils is âat breaking pointâ and that the rises mean the adult social care sector âis at the limitâ.
She said: âCouncils have a legal duty to provide care for our disabled and older people, but the only way we can do this will be by going further and further into debt.â
The latest Adass Autumn survey of directors of adult social services saw 131 of the 153 English councils with social care responsibilities respond pre-Budget, between September 12 and October 9.
Adass said 81% of councils which responded reported being on course to overspend their adult social care budget in the current financial year, up from 72% in 2023/24.
Overspend has continued to rise in recent years, up from 63% in 2022/23.
Adassâs latest report stated: âUnless resolved, the trend indicates that within a couple of years, all council adult social care budgets will be overspent.â
The survey also found that more councils are being required to make in-year savings, with more than a third (35%) of councils being asked to do so, up from just under a fifth (19%) in 2022.
Adass said planned savings for the 2025/26 financial year are estimated to have risen to ÂŁ1.4 billion from just over ÂŁ900 million.
The report warned: âIn this context, it will be even harder for councils to make the investment needed in workforce, prevention and unpaid carers, all of which are crucial to improving health and social care in the longer-term.â
Ms Williams said while she welcomed Government commitments to multi-year funding settlements for councils, and a fair pay agreement for care workers, âwhat is clear is that in the short-term things are going to get worse before they get betterâ.
She said: âIn our Spring Survey we described the financial situation in adult social care to be âas bad as it has been in recent historyâ.
âThis report highlights the ongoing and intensifying pressures facing adult social care, which are also directly impacted by the broader challenges facing local government and the NHS.â
She said the findings of the latest survey are ânot the conditions for adult social care to thriveâ and ânot the conditions under which the new Governmentâs proposed National Care Service can hope to succeedâ.
In the Budget, the Government announced ÂŁ600 million for councils â expected to be split between both adult and childrenâs social care â but Ms Williams added her voice to that of other providers, saying âin reality, the new money announced will end up getting used to cover employersâ national insurance increases and wage increases amongst providersâ.
With the Adass survey estimating councilsâ total projected overspend in the year to March 2025 to be ÂŁ564 million, the Nuffield Trust said the ÂŁ600 million funding âlikely wonât even touch the sidesâ.
The health think tankâs deputy director of policy, Natasha Curry, said: âGovernment ears cannot stay deaf to the repeated warning bells on social care, which are clamouring after fallout from the Budget and todayâs Adass survey.
âNot only does Adass lay out the sectorâs vulnerability, the report shows how the sector is fundamental to realising the Governmentâs major shifts in health and care â but to do that it must be supported via meaningful, long-term financial support, instead of sporadic short-term handouts that simply do not go far enough.â
The Local Government Association (LGA), representing councils, echoed concerns around the ÂŁ600 million, saying the wage and national insurance rises are âlikely to absorb much of the grantâ, meaning âmany councils will have little left to address urgent care challenges, such as long assessment waits or delayed care packagesâ.
David Fothergill, chairman of the LGAâs community wellbeing board said: âAs this vital report highlights, a range of serious concerns that councils have been raising for years remain and a vast majority of councils are now struggling to balance the books.
âImmediate investment is needed in order to address unmet and under-met need and ensure timely access to social care for all who need it.â
The Government has been contacted for comment.
Comments: Our rules
We want our comments to be a lively and valuable part of our community - a place where readers can debate and engage with the most important local issues. The ability to comment on our stories is a privilege, not a right, however, and that privilege may be withdrawn if it is abused or misused.
Please report any comments that break our rules.
Read the rules here