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The Home Care Crisis

At a time of rising demand for homecare, more care workers than ever are leaving and employers are reporting a 75% reduction in applications for jobs. Poor pay, terms and conditions of employment are a key factor.


Councils report being deluged with requests for help from older and disabled people in the community, which they are unable to address, and NHS trusts are struggling to discharge people from hospital due to lack of capacity in social care and community services. This makes it difficult to reduce waiting lists as swiftly as required, regardless of how much extra funding is poured into the NHS.

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In 2020/21, local authorities spent £7.8 billion on long-term support for older people, of which £4.8 billion was on nursing or residential care, £2.9 billion on community support, including home care

Each local authority has an amount which they will pay for a given care need. This might be an hourly rate for home care or a weekly fee for residential care. Not all care providers will accept this r