This report highlights a fundamental unfairness in how we pay for social care. As fewer people qualify for state-funded support, more are having to meet the costs themselves, turn to family and friends, or go without the care they need.
Those funding their own care can face significantly higher fees than people whose care is arranged by local authorities. This is often for the same package of care. We must recognise that self-funders are not a single, financially secure group. For many people with modest savings, meeting these costs means making difficult decisions about their care and watching their financial security diminish.
Equity in social care is complex, and fairness cannot be measured by financial eligibility alone. Our recent research found that while those able to pay for their own care can sometimes secure greater flexibility and more personalised support, this advantage can come at a considerable and potentially unsustainable cost. Equally, those with the fewest resources often face the greatest barriers to securing the support they need.
A future National Care Service must recognise both realities. A fairer system must protect those facing the greatest disadvantage without overlooking the unfair financial burdens placed on others. Ultimately, everyone should be able to access care that meets their needs, with dignity, choice and control, regardless of their financial circumstances.
Deborah Rozansky
Director of Policy, Research and Partnerships at the Social Care Institute for Excellence
SCIE evidence cited
• ‘How care inequities shape social care experiences’ (published July 2026)
If you have any questions in relation to this release, please contact Molly Pennington, Press and Media Relations Officer, molly.pennington@scie.org.uk