Adult social care in London

Adult social care services provide vital help and support to enable people to live their lives as fully, independently and safely as possible, despite illness or accidents, frailty, old age, disability or vulnerability.

  • By London Councils

Most of us will need such help as we get older or come towards the end of our lives. But adult social care is also a lifeline for many people who live with longstanding challenges and helps them unlock their ability to live full and satisfying lives at home, work and in the community.

By 2019/20, London boroughs will face a funding gap of £900 million in their adult social care budgets as they deal with inflation, new burdens and the growing number of people qualifying for state-funded care. How they will meet these demands is currently unclear.

Cllr Ray Puddifoot, London Councils’ Executive member for adult social care, said:

“Boroughs are taking responsibility for arranging care for people who need support and are working to prevent health issues from becoming more serious. But funding constraints could see councils focusing more on essential statutory duties and meeting urgent needs at the expense of other important services, storing up trouble for the future.

“With additional Government support, we can reduce the projected £2.4 billion funding gap for statutory adult social care in London between now and 2020 and align health and social care more closely to improve the efficiency and quality of services. This will help boroughs and the NHS to transform for the better and manage demand in years to come.”

This publication provides a picture of adult social care in London – it considers who the users of adult social care in London are; how the adult social care market works; who the key players in the adult social care market are; and the key characteristics of the workforce. The publication also addresses issues regarding the funding of adult social care.

It provides information on some of the key challenges currently characterising adult social care in London in the context of the government’s 2015 Spending Review, which will set out the funding arrangements and key policy directions for these critical services over the next five years. Read the publication.


  • Correction
    This publication was amended on 26 November 2015. The graph scale used in figure 9, P14 was incorrect and has been updated.