09/08/2026
Steering Social Care Into Safer Waters
Safer waters for social care?
We are sensing a tiny spark of optimism that the new Prime Minister’s determination to sort out adult social care will achieve the change that has been grasped for unsuccessfully so many times in the past 15 years.
CASCAIDr’s Belinda Schwehr, perfectly placed to witness the catastrophic failures of the current system, was inspired by Andy Burnham’s powerful speech launching the Big Conversation on social care, to write a statement on what any reform must actually deliver, with 10 clear points to focus on.
CASCAIDr CIC’s 10 Practical Suggestions for before, during and after the Casey Commission’s Big Conversation
1. Impose Timelines on Care Act Decision-Making
2. Stop Assuming Families Will Cope
3. Pay for Care at Realistic Rates
4. Fix the Boundaries
5. One National Pair of Forms
6. Show Commissioners (and the Public) the Money over the Longer-Term
7. Any New Care Funding Settlement Must Work for Everyone, Not Just Those with Property Wealth
8. Stop Announcing Ambition and Deferring the Decision
9. Fund Independent Advocacy Properly
10. Acknowledge That the Law Must Bind Whoever Runs the System
You can read the full article here (external link will open in a new browser tab or window)
The Big Conversation on Care
The speech that prompted Belinda Schwehr to put pen to paper was Andy Burnham’s, delivered less than a fortnight into his premiership, at an event hosted by Jewish Care. Alongside it, Baroness Louise Casey launched what her Commission calls “the most ambitious public conversation in a generation” – an invitation to the public to help shape the future of adult social care in England.
The Big Conversation on Care runs from 29 July 2026 to April 2027, and the Commission says it wants to hear from a million people: those who draw on care, their families, care workers, providers, and anyone with a view on what the system should look like. It opens with a deliberately plain question – “when we are old or disabled, or have a serious illness, who should support us and how?” – and people can take part online at caseycommission.co.uk/bigconversation, or through a Public Panel running alongside it.
The other headline from launch day was pace. Baroness Casey’s Commission had been due to leave its hardest funding decisions until 2028, conveniently close to the next general election. Mr Burnham has now asked her to report a year earlier, in summer 2027, backed by a new cross-government Ministerial Group intended to stop the usual departmental turf wars between health, housing and social care from slowing things down.
What the sector is saying
The reaction from across social care has been warmer than reform announcements usually get – with a note of “we’ve heard this before” running underneath.
Vic Rayner OBE, chief executive of the National Care Forum, called it “a momentous day for social care,” praising Mr Burnham for speaking “with passion and candour” and welcoming the accelerated timetable. She was equally struck by Baroness Casey’s own words on the Today programme that morning: “I don’t like the idea of profiteering out of human misery and human life. I object to that.” Rayner’s message to government was blunt about what a National Care Service needs to have at its heart: not-for-profit provision, a properly invested workforce, and a system that “embeds rights, fairness and choice for people.”
Local government, which will have to deliver whatever the Commission recommends, struck a more measured note. Cllr Dr Wendy Taylor MBE, chair of the LGA’s Health and Wellbeing Board, said the current mess “follows decades of national political indecision and delay,” not council failure, and that success “will require a new partnership between national government, local government and citizens” – one that will ultimately be judged by something simpler than any White Paper: whether people stay connected to what matters most in their lives.
That undertone of caution is exactly what CASCAIDr’s ten points are trying to head off. Their article traces the same funding pledge being made and broken by three different governing parties since 2014 – delayed by the Conservatives in 2015, re-legislated and delayed again in 2021-2023, then abandoned altogether by Labour in 2024. As they put it, a speech about direction is “not the same thing as a decision about how it will actually be funded,” and the Big Conversation risks becoming “a public engagement gloss placed over a timetable” unless government commits to when the real funding decisions get made – not just the ambition.
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