Adult Social Care Across England

Performance Tracker Local

Institute for Government (IFG); 2025.

Examining the care gap in England. The provision of adult social care by local authorities in England should, in theory, be based on an individual’s need and ability to fund their own care. But this is not what is happening in practice.

Read the report (PDF)

A wheelchair user being lifted into a van
There is substantial variation in the levels of care England’s local authorites provide to older adults.

There exists a damaging geographical and demographic ‘care gap’ in England that means access to care for older adults is increasingly based not on need but on other factors – some perhaps less surprising, like local levels of deprivation and disability, but some more so, like the number of older people who live in an area.

That this nationwide variation is not new should not excuse the government from action. That it has grown and may well continue to grow as the over-65 population of England outpaces that of all other age groups makes that action more urgent. 

But to act well government needs to better understand the problem and how and where this care gap is forming and is at its most extreme. This is what this report, the latest in our Performance Tracker Local series supported by the Nuffield Foundation, seeks to help it do.

Shaping services around your child: A parent carer’s guide to integrated commissioning

Council for Disabled Children, July 2019

Integrated commissioning is where commissioners (those who plan, develop and purchase services) pool budgets across traditional boundaries, such as ‘health’ and ‘social care.’ The intention of this is to reduce duplication in service provision, where, typically, different bits of local government or the NHS fund or commission (purchase) similar things. This guide aims to explain it to parents and carers.

Click here to view the full report.

Voluntary Reporting On Disability, Mental Health And Wellbeing: A Framework To Support Employers To Report Voluntarily On Disability, Mental Health And Wellbeing In The Workplace

Department for Work and Pensions, November 2018
The government believes that transparency and reporting can support the cultural change required to build a more inclusive society. The voluntary reporting framework has been developed by the government in partnership with leading businesses and third sector organisations to support employers to voluntarily report information on disability, mental health and wellbeing in the workplace.
Click here to view the full report.