Sustaining the NHS Means Strengthening Social Care
It is widely recognised that the sustainability of social care is not just a pressing concern in its own right—it is a cornerstone of an effective healthcare system. Without robust, well-resourced social care, the NHS will continue to struggle with avoidable pressures that compromise patient care, discharge planning, and broader system performance.
What the 2025 Spending Review Says
In its 2025 Spending Review, the Government acknowledges the deep-rooted challenges facing adult social care. A notable commitment has been made:
“…the Government recognises the significant challenges facing the adult social care system and is committed to transforming the sector and supporting the care workforce…”
An independent commission, led by Baroness Louise Casey, will spearhead reform efforts, with an initial report expected in 2026. The review sets out an increase of over £4 billion in funding for adult social care by 2028–29, compared to 2025–26. Some of this uplift will be channelled through the Better Care Fund, reflecting a strategic alignment with NHS priorities while allowing for a degree of local flexibility.
Investment with Strings Attached
While the financial commitment suggests welcome progress toward a National Care Service, it’s clear that much of the increased funding will come through redirected NHS contributions. This earmarked funding is expected to support initiatives that directly aid NHS efficiency, potentially limiting wider systemic innovation.
Expected Cost Pressures in the Transition
Transforming social care won’t come cheap. The transition to a National Care Service is likely to bring several additional costs:
- Increased pay rates via Fair Pay Agreements
- Stronger regulatory oversight
- Expanded monitoring and reporting aligned with national standards
- More rigorous training requirements
- Implementation of cutting-edge IT including Assistive Technology and AI
The Anticipated Benefits
However, these changes are also expected to yield meaningful sector-wide improvements:
- Better recruitment and retention of staff
- A rise in professional standards and recognition
- Enhanced public understanding and appreciation of social care’s role
SIL’s Position
At SIL, we cautiously welcome the direction signalled by the Spending Review. We’re committed to engaging in regional and national discussions that shape the future of adult social care. As new requirements emerge, we will continue to evolve our internal systems and processes to meet them—staying aligned with best practice while advocating for sustainable, person-centred care.
