How are current social care funding pressures likely to increase?

Analysis by The Health Foundation has projected the cost of meeting growing demand for adult social care in England and making some targeted improvements, up to 2032/33. 

Between 2014/15 and 2021/22, adult social care spending increased by an average of 2.6% a year in real terms and between 2021/22 and 2032/33, to keep up with rising demand, funding would need to rise by an average of 3.4% a year.

Adult social care funding pressures – The Health Foundation

The Health Foundation’s Networked Data Lab

Improving children and young people’s mental health services: local data insights from England, Scotland and Wales

This briefing presents analysis from The Health Foundation’s Networked Data Lab (NDL) about children and young people’s mental health. The analysis from local teams across England, Scotland and Wales has highlighted three key areas for urgent investigation, to help ensure children and young people get the care they need. These are: rapid increases in mental health prescribing and support provided by GPs; the prevalence of mental health problems among adolescent girls and young women; and stark socio-economic inequalities across the UK.

Public Health

Current awareness updates

Our ageing population: How ageing affects health and care need in England.
The Health Foundation; 2021.
[This report examines this dynamic by analysing changes in two measures of need:  an estimate of social care need, drawn from the English Longitudinal Study of Ageing (ELSA) ; prevalence of long-term conditions, as a proxy for health and health service demand.   It explores how health and care needs change with age, how the relationship between need and age has changed over time and how long-term conditions and social care needs interact.]

National Diabetes Audit, Report 1- Care Processes and Treatment Targets 2020-21.
NHS Digital; 2021.
[The National Diabetes Audit measures the effectiveness of diabetes healthcare against NICE Clinical Guidelines and NICE Quality Standards.]

Humidification of indoor air for preventing or reducing dryness symptoms or upper respiratory infections in educational settings and at the workplace. [Abstract]
Byber K. Cochrane Database of Systematic Reviews 2021;12:CD012219.
[OBJECTIVES: To determine the effectiveness of interventions that increase indoor air humidity in order to reduce or prevent dryness symptoms of the eyes, the skin and the upper respiratory tract (URT) or URT infections, at work and in educational settings.]

Public Health

Current awareness updates

Violence Prevention Information System (Violence Info).
World Health Organization (WHO); 2021.
[Developed in collaboration with the Public Health Institute, Liverpool John Moores University, Public Health Wales and the World Health Organisation, Violence Info is an online interactive collection of scientific information about the prevalence, consequences, risk factors and preventability of all forms of interpersonal violence. It covers homicide, child maltreatment, youth violence, intimate partner violence, elder abuse and sexual violence.]

Two new tobacco cessation medicines added to the WHO essential medicines list.
World Health Organization (WHO); 2021.
[On 1 October 2021, the WHO announced the updated the Model List where two new medicines have been added, indicating a powerful shift in the fight against the tobacco epidemic. Bupropion and varenicline are medicines which work in a different way from nicotine replacement. The new medicines reduce cravings for nicotine without supplying a nicotine substitute, thereby supporting people in quitting tobacco use and reducing nicotine dependence.]

Healthy weight coach elearning programme: for primary care networks, healthcare practices and pharmacies.
Office for Health Improvement and Disparities (OHID); 2021.
[This reference guide is for primary care networks, healthcare practices and pharmacies interested in training staff, and staff interested in undertaking training, to become a healthy weight coach.]

Blood pressure lowering and risk of new-onset type 2 diabetes: an individual participant data meta-analysis.
The Lancet; 2021.
[Blood pressure lowering is an effective strategy for the prevention of new-onset type 2 diabetes. Established pharmacological interventions, however, have qualitatively and quantitively different effects on diabetes. This evidence supports the indication for selected classes of antihypertensive drugs for the prevention of diabetes, which could further refine the selection of drug choice according to an individual’s clinical risk of diabetes.]

Caring for older patients with complex needs: How does England compare with 11 OECD countries?
The Health Foundation; 2021.
[The analysis shows that looking across the system is essential to understand the true resource use of patients with complex needs, if policymakers are to identify areas for improvement in care. The comparatively high mortality rates for people admitted for hip fracture and for people with heart failure and diabetes in England are concerning and require scrutiny by policymakers, commissioners and providers…]

Covid 19

Current awareness updates

Face coverings and COVID-19: statement from an expert panel .
UK Health Security Agency (UKHSA); 2021.
[An expert panel statement, informed by evidence and expertise, on the role of face coverings in mitigating COVID-19 transmission.]

Impact evaluation of the Coronavirus Community Support Fund: final report.
The National Lottery Community Fund; 2021.
[Ipsos MORI, in partnership with New Philanthropy Capital (NPC) and The Tavistock Institute of Human Relations (TIHR), was commissioned to undertake an evaluation of the Coronavirus Community Support Fund (CCSF). This document summarises the findings from an assessment of the impact the CCSF had on the people and communities that were supported, the organisations that were funded, and the volunteers involved.]

COVID-19: impact on childhood vaccinations: data to August 2021.
UK Health Security Agency (UKHSA); 2021.
[Final report of the series providing an early assessment of the impact of COVID-19 on delivery of childhood vaccination programmes in England.]

Covid and beyond: confronting the unequal access to type 1 diabetes healthcare.
Juvenile Diabetes Research Foundation; 2021.
[JDRF surveyed more than 1,000 people living with type 1 diabetes, or caring for a child living with it, to reveal their experiences through the upheavals of the Covid pandemic. The findings of the report reveal the impact of the withdrawal and repurposing of many NHS diabetes services on people with type 1. The report sets out a series of recommendations, anchored in the needs of people living with type 1.]

Assessing the impact of COVID-19 on the clinically extremely vulnerable population.
The Health Foundation; 2021.
[This briefing presents analysis from the Networked Data Lab on the impact the pandemic has had on the clinically extremely vulnerable population; assesses the mental health of people identified as clinically extremely vulnerable; examines the data on access to care for clinically extremely vulnerable;
assess the limitations to the use of an algorithm-driven approach to identifying the clinically extremely vulnerable population which were exacerbated by poor availability of high-quality data.]

Public Health

Current awareness updates

Low life expectancy in Glasgow, and what to do about it.
The Health Foundation; 2021.
[In this podcast Chief Executive Dr Jennifer Dixon, Dr David Walsh is Honorary Senior Lecturer at the University of Glasgow and Sir Harry Burns is the Professor of Global Public Health explore: What is fraying health to this degree in Glasgow? What is being done to help? And what can we all learn from Glasgow’s longstanding efforts to try to mend the health fabric, as we all attempt to build back better after the pandemic?]

Flu vaccination in schools.
Public Health England (PHE); 2021.
[This guidance has been produced to assist all school staff and headteachers with any questions about annual flu vaccination programme for 2021 to 2022. 28 July 2021: Updated the reason for extending the programme in secondary schools section.]

Associations between smoke-free vehicle legislation and childhood admissions to hospital for asthma in Scotland: an interrupted time-series analysis of whole-population data.
The Lancet Public Health; 2021.
[Although legislation banning smoking in vehicles did not affect hospital admissions for severe asthma among children overall or in the older age group, this legislation was associated with a reduction in severe asthma exacerbations requiring hospital admission among preschool children, over and above the underlying trend and previous interventions designed to reduce exposure to second-hand smoke.]

Covid 19

Current awareness updates

Characterisation of in-hospital complications associated with COVID-19 using the ISARIC WHO Clinical Characterisation Protocol UK: a prospective, multicentre cohort study.
Drake TM. The Lancet 2021;:https://doi.org/10.1016/S0140-6736(21)00799-6.
[Complications and worse functional outcomes in patients admitted to hospital with COVID-19 are high, even in young, previously healthy individuals. Acute complications are associated with reduced ability to self-care at discharge, with neurological complications being associated with the worst functional outcomes. COVID-19 complications are likely to cause a substantial strain on health and social care in the coming years.]

COVID-19 and the digital divide: Supporting digital inclusion and skills during the pandemic and beyond.
Centre for Ageing Better; 2021.
[This report offers examples of good practice and recommendations for organisations that deliver services to users and help digitally excluded people with skills training. The report finds that the key to building digital inclusion isn’t only about getting more people online, but also building skills and confidence.]

Alcohol consumption and harm during the COVID-19 pandemic.
Public Health England (PHE); 2021.
[A report collating data on alcohol consumption and alcohol-related harm in England during the COVID-19 pandemic and comparing it to data from previous years. The report improves our understanding of how alcohol consumption and harm changed in England while physical and social restrictions to prevent and control coronavirus were in place. The findings help to understand whether pandemic-related changes have affected rates of alcohol hospital admissions and deaths as well as health inequalities.]

COVID-19 vaccination of children and young people aged 12 to 17 years: JCVI statement.
Department of Health and Social Care (DHSC); 2021.
[Statement from the Joint Committee on Vaccination and Immunisation (JCVI) on COVID-19 vaccination of children and young people aged 12 to 17 years.]

NHS COVID Pass Verifier app.
NHS England; 2021.
[A fast, secure and easy way of allowing people to demonstrate their COVID pass is valid, giving staff confidence in the legitimacy of what is being presented to them. It is a fast, secure way to scan the 2D barcode on an individual’s NHS COVID Pass and verify whether or not they have been fully vaccinated against COVID-19, had a negative test, or have recovered from the virus – allowing staff to check the legitimacy of what is being presented to them.]

JCVI issues advice on COVID-19 vaccination of children and young people.
Public Health England (PHE); 2021.
[The Joint Committee on Vaccination and Immunisation (JCVI) is today advising that children at increased risk of serious coronavirus (COVID-19) disease are offered a vaccine.]

The impact of Brexit and COVID-19 on nursing in the UK. [Comment]
Carvalho F. British Journal of Nursing 2021;30(13):822-823.
[Over the years, many experts have stated that nursing in the UK is in crisis and nurses are struggling owing to the increasing number of older and sicker patients, staff shortages and budget cuts that have affected working conditions (Beech et al, 2019). With the rise of the COVID-19 pandemic, unprecedented levels of pressure were placed on an already strained nursing workforce.]

A healthy recovery – Acting on findings from the COVID-19 impact inquiry
The Health Foundation; 2021.
[Launched in October 2020, the COVID-19 impact inquiry has been carefully exploring the pandemic’s broad impact on health and what this means for improving health and reducing health inequalities in the UK – now and in the future. The inquiry launched its final report on 6 July 2021. This webinar, held on the same day, discussed key issues raised in the report – the impact of the pandemic and what needs to be done in recovery to create a healthier, fairer society.]

Unequal pandemic, fairer recovery: The COVID-19 impact inquiry report.
The Health Foundation; 2021.
[By mid-March 2021 the pandemic had led to 119,000 excess deaths in the UK and in 2020 caused a 9.9% drop in GDP. Behind these overall figures lie the unequal burdens carried by different population groups and regions. Although the pandemic is still ongoing, this report explores these impacts and the range of different, intersecting factors influencing them. It provides an initial assessment of the effects of the pandemic using evidence available up to May 2021.]


Covid 19

Current awareness updates

Fairer foundations: How has the pandemic affected young people’s mental health? Infographic
The Health Foundation; 2021.

[This infographic highlights the unequal mental health effects of the pandemic among young people. Young people’s lives have been significantly impacted by the pandemic – disrupted schooling, lost employment and not being able to see friends. But the effects of the crisis have not been the same for everyone, including a divergence of mental health experiences.]

Coronavirus and depression in adults, Great Britain: January to March 2021.
Office for National Statistics (ONS); 2021.

[Analysis of the proportion of the British adult population experiencing some form of depression in early 2021, by age, sex and other characteristics. Includes comparisons with 2020 and pre-pandemic estimates.]

Care pathway and prioritization of rapid testing for COVID-19 in UK hospitals: a qualitative evaluation.[Abstract]
Hicks T. BMC Health Services Research 2021;21(1):532.

[This study sought to understand the care pathways in place in UK NHS hospitals during the first wave (March-July 2020) for identification of patients with COVID-19 and to learn lessons to inform optimal testing strategies within the COVID-19 National Diagnostic Research and Evaluation Platform (CONDOR). During the winter months, priority for provision of rapid testing at admission should be given to hospitals with limited access to laboratory services and single room availability.]

Adult social care and COVID-19 after the first wave: assessing the policy response in England: Our analysis of the national government policy response for social care between June 2020 and March 2021.
The Health Foundation; 2021.

[In this briefing, the Health Foundation analyse policies to support adult social care during the height of the second wave of the pandemic in January and February 2021, and in the months leading up to it. We provide a narrative summary of central government policies related to adult social care in different areas, such as policies on testing and support for the workforce. We also provide a summary of the latest publicly available data on the impacts of COVID-19 on adult social care.]


Happy to help: the welfare effects of a nationwide micro-volunteering programme.
London School of Economics and Political Science (LSE); 2021.

[This paper estimates the wellbeing benefits from volunteering for England’s NHS Volunteer Responders programme, which was set up in response to the Covid-19 pandemic. It found that active volunteers report significantly higher life satisfaction, feelings of worthwhileness, social connectedness, and belonging to their local communities. A social welfare analysis shows that the benefits of the programme were at least 140 times greater than its costs.]


Coronavirus Act report: May 2021.
Department of Health and Social Care (DHSC); 2021.

[The seventh two-monthly report on which powers in the Coronavirus Act 2020 are currently active.]


Vivaldi study: results.
Department of Health and Social Care (DHSC); 2021.

[Results for the Vivaldi study for antibody and cellular immune responses to coronavirus (COVID-19) in approximately 340 care homes.]

Deaths involving COVID-19 in the care sector, England and Wales: deaths registered between week ending 20 March 2020 and week ending 2 April 2021.
Office for National Statistics (ONS); 2021.

[Provisional figures on deaths involving the coronavirus (COVID-19), an investigation into wave 1 versus wave 2 within the care sector, in England and Wales.]

Improving the nation’s health

The future of the public health system in England

Source: King’s Fund Health Management and Policy Alert

In light of the impact of the pandemic and the government’s decision to abolish Public Health England (PHE), this briefing explores what needs to be put in place to make progress on the government’s commitments to improve the nation’s health. It looks at the role the government can play in improving the nation’s health before examining how England might transition to a new public health system and what the main priorities for any new system should be.

To find out more click here.