The research, based on Care Quality Commission (CQC) data, argues that adult social care must move beyond being a “safety net” to become a proactive platform for wellbeing, inclusion, and independence. With an ageing population and rising demand, the report warns that prolonged budget cuts have left families and unpaid carers shouldering increasing responsibility.
Care staff under strain
The RSPH found that care workers play a crucial but undervalued role in supporting health, often spotting early signs of illness. However, without proper training or recognition, they are unable to intervene effectively or make timely referrals. High turnover, poor pay, and inconsistent training have left the workforce overstretched and under pressure, with many staff struggling with stress and emotional fatigue.
Key recommendations for reform
The RSPH is calling for government action to:
- Provide comprehensive health training for care staff, enabling them to support prevention and early intervention.
- Roll out delegated healthcare activities, as recommended by Skills for Care.
- Simplify the process of accessing care to reduce stress for individuals and families.
- End the use of 15-minute care visits, replacing them with personalised packages based on individual needs.
- Improve pay and working conditions to retain skilled staff and ensure consistent care delivery.
Building a system for the future
Professor Lord Patel of Bradford OBE, President of RSPH, said that social care transformation must be central to government reform efforts.
“With the right political will and investment, we can move beyond short-term fixes and build a system that genuinely enables people to live with dignity, independence, and better health,” he said.
According to the report, reforming adult social care would also reduce pressure on the NHS, improve local economies by strengthening the care workforce, and address persistent health inequalities.
“The solutions exist. We now need to act,” Lord Patel added.
