A new study published by the Nuffield Trust reveals the extent of the financial pressure for providers of social care in England caused by the employer national Insurance changes announced in the budget.
Taken together with the planned increases to National Minimum Wage rates, the Nuffield Trust says that the 18,000 independent organisations providing adult social care in England will be faced with increased costs of an estimated £2.8bn in the next financial year. This will mean that many businesses - especially smaller ones - are at risk of going bust, disrupting or ending vital care for thousands of older and disabled people.
The Trust says these combined cost pressures outstrip not only the extra funds for children’s and adult social care announced in the Budget but will also eat up the extra spending power local councils are expected to have as a result of Budget-driven increases for other services and the likely hikes they will make to council taxes. If councils are unable to pay social care providers higher fees, the vast majority of small providers who cannot absorb these extra costs will have to increase prices for people who pay for their own care, stop accepting council-funded people, or go out of business altogether.
Based on an approximation of the entire wage bill for the independent social care sector in 2025/26, to which the forthcoming changes to Employer National Insurance are applied, the analysis finds that:
- The planned 1.2 percentage point increase to Employer National Insurance Contributions (ENICs) and the reduction of the earnings threshold for employer contributions from £9,100 to £5000 in 2025/26 will add in the region of £940 million more to the employer national insurance bill for independent (non-public sector) social care organisations, compared to the current regime.
- This estimated figure is slightly above that contained in a line later retracted from the Office for Budget Responsibility’s costings of the costs to government of covering employers’ national insurance in adult social care.
- The 6.7% increase to the National Living Wage (the minimum wage for those aged 21 and over) will add an estimated £1.85bn to the total wage bill in 2024/25 compared to the current financial year, assuming as in previous years that all wages above the minimum also rise at a roughly similar rate to maintain differentials in earnings.
- Taken together, these add an estimated £2.8bn of cost pressures to social care providers, the majority of which are small or medium-sized organisations with limited ability to absorb additional costs.
- With local authorities purchasing around 70% of care delivered by independent social care providers, councils would need to find an extra £2 billion if they are to increase the fees they pay to offset these higher costs – immediately consuming both the £600m extra funding allocated to social care (for both children and adults) at the Budget and the effects of an increased local government grant and changes to council tax rates (expected to yield around £2bn in total) for all council services.
Commenting on the analysis, Natasha Curry, Deputy Director of Policy at the Nuffield Trust, said: “Faced with a series of financial black holes in almost every corner of the public sector, the government faced the unenviable task of urgently raising funds at the Budget to plug them. But by choosing not to provide support to adult social care providers in covering the costs of the raise in ENICs, the result is likely to be catastrophic."“Already fragile after a decade of cuts, runaway inflation and the effects of Covid-19, adult social care was in desperate need of relief. But this was a Budget that gave with one hand and took away with the other. The government rightly wants to reform social care, but with the real prospect of swathes of the social care market collapsing under these extra cost pressures, there may be little left of it to reform unless the government takes urgent action to cover ENICs for adult social care providers.”
You can read the Nuffield Trust analysis in full here
The National Care Forum (NCF) - the leading association for not for profit care providers has responded to the publication of a this Nuffield Trust blog revealing the scale of the combined additional cost to social care providers of the government’s proposals to increase employer National Insurance Contributions. The report suggests that the impact of the additional cost is set to be over £900 million.
When combined with the National Minimum Wage rises, Nuffield say the total additional burden on the 18,000 independent organisations providing adult social care in England will be an estimated £2.8bn. They further suggest that the result could be many businesses placed at risk of collapse, meaning the vital care and support thousands of people depend on could be disrupted or disappear completely.
Professor Vic Rayner OBE, Chief Executive Officer, said: “Nuffield Trust offer clear independent analysis of the very real costs that the decisions within the Budget will place on the social care sector. In the absence of a realistic recognition by government of the scale of the costs and little detail on how the government plans to respond to protect this essential public service, care and support providers are facing some very difficult and stark choices."
"These unfunded increases in employers' costs make it very hard to see how the government can deliver its ambitious plans for the NHS which are intrinsically interdependent on social care for people of all ages. These Budget measures demonstrate a lack of understanding of the well documented preexisting underfunding of adult social care, and rather than protecting the position of workers, they run the risk of undermining the efforts of social care employers who have been actively working to enhance and improve the pay, terms and conditions of the workforce. In the development of the government’s future reform plans, we urge them to be expansive in their thinking and understanding of adult social care’s potential, as outlined in our pillars for a National Care Service.”
About the Nuffield Trust
About the National Care Forum
The NCF is the leading association for not-for-profit social care.
NCF brings together more than 170 of the UK’s leading social care organisations, representing large numbers of care providers, offering thousands of services across the country, which are not for profit and always at the heart of community provision. Collectively, these organisations deliver more than £2.3 billion of social care and support to more than 277,000 people. The NCF membership body collectively employs more than 124,000 staff and 14,000 volunteers.
More information is available on the National Care Forum at www.nationalcareforum.org.uk. @NCFCareForum @vicrayner @NCF_Liz
BCOP is a member of NCF.
