Rising demand and financial eligibility for social care

An analysis of trends in social care demand and access in England, highlighting the relationship between increasing requests for support and financial eligibility thresholds.

Key statistics

  • new requests for social care support increased from 2.0 million in 2022/23 to 2.1 million in 2023/24
  • requests from working-age adults rose by 8%, increasing from 612,000 to 658,000
  • requests from older people increased by 3%, rising from 1.39 million to 1.43 million.

Key messages

  • demand for adult social care continues to increase across England
  • requests for support have risen for both working-age adults and older people
  • financial means-test thresholds have not been updated in line with inflation
  • static eligibility thresholds may restrict access to publicly funded care
  • rising demand combined with unchanged financial criteria may increase out-of-pocket costs for individuals.

Policy implications

  • regular review of means-test thresholds may be needed to reflect inflation and changes in living costs
  • funding models may need adjustment to accommodate increasing demand for support
  • policymakers may need to consider how financial eligibility criteria influence access to services
  • monitoring trends in requests for care can help inform resource allocation and planning.

Gaps

  • limited analysis of how financial thresholds affect different population groups
  • further research is needed to understand the relationship between eligibility rules, unmet need and access to services.

Commentary
The Social Care 360 analysis provides insight into trends in requests for adult social care support across England. The data show a continued rise in demand, with both working-age adults and older people seeking support in greater numbers.

While requests for support have increased, the report notes that the financial eligibility thresholds used in the means-testing system have not been updated to reflect inflation. As living costs rise, this can affect the number of people who qualify for publicly funded care.

The findings suggest that individuals whose financial circumstances fall just above the eligibility threshold may face increasing costs if they require care. For some households, this may lead to greater reliance on privately funded care or unpaid support from family members.

From a care equity perspective, the interaction between rising demand and static means-test thresholds may widen differences in access to care. Individuals with modest assets may not qualify for state support yet may struggle to afford private care, potentially leading to unmet needs. Adjusting financial eligibility rules to reflect economic conditions could help reduce these inequities and improve access to support based on need.

Overall, the report highlights the importance of aligning financial eligibility criteria with broader economic trends. Without periodic review, means-testing arrangements may become increasingly misaligned with the financial realities faced by people seeking social care.

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