The future of care and support

The care and support sector needs to change if it is to meet the needs of the future.

The SCIE Future of care series aims to stimulate discussion amongst policy-makers and planners about the future of care and support, based on analysis of developing evidence and projections for the future.

The series is accompanied by blogs and articles by policy makers, commissioners and practitioners, highlighting developing evidence and practice.

SCIE works with local areas and organisations to support transformation.

For further information:


Asset-based places: a model for development

Future of care – No 4, July 2017

Every area has the potential to achieve more through the effective use of all the skills, knowledge and assets available within communities and individuals – as well as the public, private and voluntary sectors. This is known as an asset-based approach, where the emphasis is on people’s and communities’ assets, alongside their needs.

Asset-based places: a model for development


Changing together: brokering constructive conversations

Future of care – No 3, May 2017

Wicked issues – complex problems that cannot be solved in a traditional fashion – are endemic in the NHS. They are nothing new. But the current challenges facing the NHS, social care and others are arguably the most ‘wicked’ yet.

This report summarises the findings from a research study which sought to explore how we can better broker constructive conversations with citizens to tackle wicked issues when implementing new models of care. The research was undertaken by the Social Care Institute for Excellence, working in partnership with PPL and the Institute for Government and funded by the Health Foundation’s Policy Challenge Fund.

Changing together: brokering constructive conversations


Care workers: building the future social care workforce

Future of care No 2 – November 2016

More care workers are needed to meet the care and support needs of the future. The adult care sector therefore needs to recruit, train and retain more social care workers. The extent of the challenge – and the effectiveness of our responses – will depend in part on political, economic, social and technological changes.

This paper looks at three hypothetical future scenarios, and how the sector might respond to the challenges and opportunities those scenarios offer. It highlights the common responses and actions that may help to attract more people to a career working in care.

Care workers: building the future social care workforce


Total transformation of care and support

Creating the five year forward view for social care
Future of care – No 1, November 2016

The NHS benefits from having the Five Year Forward View which sets out a case for up-front investment in the NHS – but no such case has been made for social care. Yet social care has a track record of transforming services, such as delivering personal budgets and co-production, and needs to be backed to make further transformation possible.

This paper explores the potential for scaling up the most promising examples of care and support services using data from Birmingham City Council, to see what their impact would be on outcomes and costs.

Total transformation of care and support