Independent Commission on Adult Social Care: Terms of Reference

Tuesday 6th May 2025 Written Statements

[The Secretary of State for Health and Social Care (Wes Streeting)]

The Independent Commission on Adult Social Care, chaired by Baroness Louise Casey of Blackstock DBE CB, formally launched on 29 April with a meeting with people with first-hand experience of the social care system. Today, I am updating the House that we have published the terms of reference. A copy has been placed in the Libraries of both Houses and on gov.uk at https://www.gov.uk/government/publications/independent-commission-into-adult-social-care-terms-of-reference/independent-commission-into-adult-social-care-terms-of-reference A copy can also be found on the commission’s website at https://caseycommission.co.uk/about/terms-of-reference/

The commission, reporting to the Prime Minister, will work with people drawing on care and support, their families, staff, parliamentarians, local government and the public, private and third sectors to make clear recommendations to define and build the adult social care system that will meet the current and future needs of our population. The commission will consider older people’s care and support for working-age disabled adults separately, recognising that these services meet different needs.

Split over two phases, the commission will set out a vision for adult social care, with recommended measures and a road map for delivery:

The first phase, reporting in 2026, will identify the critical issues facing adult social care and set out recommendations for effective reform and improvement in the medium term. It will recommend tangible, pragmatic solutions that can be implemented in a phased way to lay the foundations for a national care service. The recommendations of this phase will be made within the Government’s spending plans which will be set out at the spending review.

The second phase, reporting by 2028, will make longer-term recommendations for the transformation of adult social care. It will build on the commission’s first phase to deliver a more preventative model of care needed to support our ageing population, and how to best create a fair and affordable adult social care system for all.

The challenges facing adult social care—from inconsistent standards of care to an undervalued and overstretched workforce, and a lack of support for unpaid carers—are complex and deeply rooted. There have been plenty of good ideas in the past 15 years, but we have been missing the broad consensus we need to find a solution around what our country wants from social care so that it stands the test of time.

That is why Baroness Casey has been tasked with starting a national conversation on what people expect from adult social care as well as building cross-party consensus. Given the independent nature of the commission, Baroness Casey and her team will take any future discussions with political parties forward.

While an independent commission is necessary to address the challenges facing the sector, the Government are taking immediate action to improve it. We are making available up to £3.7 billion of additional funding for social care authorities in 2025-26, we have increased the carer’s allowance earnings limit and introduced legislation that is paving the way for the first ever fair pay agreement in adult social care. The Government are also taking forward a range of initiatives for 2025-26 including announcing new measures to professionalise the workforce, uplifting the disabled facilities grant, promoting better use of care technologies, enabling frontline care and health staff to digitally share up-to-date information, and changes to the better care fund.

I am confident that, with Baroness Casey’s leadership and experience chairing this momentous commission, and with help and support from across the House, she will set us on the road to fundamental reform that will build an adult social care system fit for the future.

[HCWS615]