Dr Clenton Farquharson CBE: person who draws on care and support

A decade since the Care Act 2014 received Royal Assent we find ourselves at a significant turning point, reflecting on our progress toward a compassionate, equitable society in adult social care. This era demands more than just financial enhancements; it calls for a profound transformation towards universal wellbeing and goes beyond traditional service delivery.

Care Act 10 years on banner

The ‘Time to Act: Roadmap’ by ADASS is pivotal in this regard, advocating for a comprehensive revision of our approach. It underscores the necessity of integrating the diverse voices of those who draw on care and support, including carers and unpaid carers, to effectively address the spectrum of unmet, under-met, and wrongly met needs in social care.

The Achievements: Pioneering Holistic Care

The Care Act heralded a significant shift towards a more integrated, person-centred system in social care. Revolutionising social care, however, entails more than just policy amendments; it's about deeply ingraining a culture of universal wellbeing within the system.

Key Achievements: The Act's emphasis on personalised care and support planning, tailored to individual needs, marked a crucial step forward. To fully realise this vision, we must actively listen to and involve those who draw on care and support, ensuring their needs are precisely and effectively met through related policies.

Unfulfilled expectations: Confronting the challenges

Since its inception, the Care Act has encountered formidable obstacles. Striving for personalisation and dignity, the system often struggles with issues of underfunding and workforce shortages, leading to a range of unmet, under-met, and wrongly met needs. The ADASS ‘Roadmap’ brings these challenges to light, calling for significant reforms that consider the real-life experiences and perspectives of people who draw on care and support, carers, and unpaid carers.

Central challenges

Addressing disparities in care and support quality, funding difficulties, and the challenge of meeting diverse needs necessitates innovative, inclusive approaches and genuine co-production with those who draw on care and support.

Strategic navigation: A comprehensive approach

The ADASS ‘Roadmap’ suggests a multi-layered strategy:

  • Short-Term Focus: Elevate funding and improve workforce conditions, prioritising the immediate resolution of unmet and under-met needs.
  • Medium-Term Goals: Standardise practices and enhance service integration, centralising the diverse needs and voices of those drawing on care and support. This includes embedding co-production at the heart of policy development and service delivery.
  • Long-Term Vision: Aim for sustainable funding and deeper integration of services, guided by a commitment to universal well-being and informed by the direct experiences of those who draw on care and support, including carers and unpaid carers.


Living the principles of the Care Act: A reality check

Notable improvements have been achieved, yet the Act's principles often remain aspirational for many. Applying these principles consistently calls for a cultural shift towards co-production, rooted in a deep understanding of the varied needs and experiences of those drawing on care and support, their carers, and unpaid carers.

Beyond legislation: Shaping a future with diverse voices

An effective, inclusive future in social care can only be forged by embracing the diverse voices of those who draw on care. This entails not just addressing unmet, under-met, and wrongly met needs, but also harnessing technology and innovative strategies to enhance service delivery, all informed by the lived experiences of those within the care and support system.

Self-Directed Support: Uplifting through co-production

The ADASS ‘Roadmap’ emphasises self-directed support as a transformative approach, shifting control over care and support to the individuals. This method must be shaped by the diverse experiences and insights of those drawing on care and support, ensuring it genuinely meets their needs and preferences.

Conclusion

As we mark a decade since the Care Act received Royal Assent, we recognise the urgent need to reimagine social care. This reconceptualisation transcends financial considerations; it requires embedding a culture of universal wellbeing, informed by the diverse and rich voices of those drawing on care and support including carers and unpaid carers by these services. The ADASS "Time to Act: Roadmap" is a clarion call, compelling us to rethink and reshape our care and support system.

This new era calls for a collaborative ethos, where all invested parties, particularly those who draw on care and support and carers and unpaid carers play an active role in shaping services.

Moving forward, let’s build a care and support system that not only addresses the spectrum of needs but also champions the right of every individual to lead a fulfilling life."

Our collective dedication to this inclusive, co-produced vision will determine the lasting legacy of the Care Act and sculpt the future landscape of social care. Together, let's realise this vision, ensuring that every voice is heard and every need is met with utmost compassion and dignity. In doing so, we not only honour the past decade's achievements but also pave the way for a future where comprehensive care and support are not just ideals, but realities for all.

So my call is: This Act, embodying a commitment to comprehensive and fair care and support , requires not just implementation but a revival in public awareness and support. To truly leverage its potential, we must employ sophisticated messaging, harnessing the power of media and public figures to shape perceptions. 

It’s a story of progress, community responsibility, and enlightened self-interest. By reframing the discourse, emphasising personal stories, and aligning with prevailing values, we change public sentiment. This isn't merely policy implementation; it's a societal shift towards better enhancing community wellbeing. Let’s reinvigorate this vital conversation, ensuring the Care Act's principles are not only upheld but championed.