Written evidence submitted by Verity Gibson [ASC 030]
Select Committee Inquiry into Funding of Adult Social Care
- How has covid-19 changed the landscape for long-term funding reform of the adult social care sector?
- How should additional funds for the adult social care sector be raised?
- How can the adult social care market be stabilised?
- How can the adult social care market be incentivised to compete on quality and/or innovation?
- The complexity of service providers has highlighted the difficulties of providing a consistent, fairly distributed and adequate standard of care. For example initially there was a lack and patchy distribution of protective equipment to a sector that is predominantly private. Governments can advise and give guidance but without statutory control it is a post code and market lottery.
There should be a return to greater involvement of Local government and the public sector.
- Covid-19 has also highlighted the artificial division between a nationally funded Health Care System and Social Care. The one affects the other and vice-versa and should be fully integrated on equal terms. Funding should come from general taxation and distributed locally with democratic oversight.
- The concept of a ‘market’ is unacceptable for Adult Social Care services and for all those to vulnerable people. Making profits out of personal ill-health is inconsistent with a modern, wealthy and equal society. Public sector, charitable and not-for profit services should be the norm.
- Services of higher quality will be provided when services are regularly
monitored so that those of poor quality that do not meet a recognised legal
standard are rapidly exposed and closed with criminal penalties. Where
services are commissioned there should be regular monitoring. Large
companies and the private sector do have a role to play in funding innovative
research but only with low tax incentives.