05: Drivers of cost of support
Figure 1: Summary of volumes and expenditure 2022/23 lxiii
The following section explores the key drivers of cost of support for working age and lifelong disabled adults. In doing so it demonstrates that, perhaps surprisingly: 1. Support for working age and lifelong disabled adults has become the largest area of expenditure in adult social care. 2. This area of expenditure has also been growing faster than any other part of adult social care. 3. Expenditure is increasing due to the type of care which working age adults and lifelong disabled adults are receiving. 1. Support for working age and lifelong disabled adults has become the largest area of expenditure for adult social care and for local authorities As of 2022/2023, there were 516,000 people over the age of 65 who had received support from adult social care for their physical needs or for dementia support, equating to 60.4% of all people who interacted with adult social care that year lx . As demonstrated in Figure 1, whilst working age adults and those with a lifelong disabled condition make up a smaller proportion of the number of people interacting with adult social care (337,910 people in 2022/23, so 40% of the total), they represent the majority of the financial expenditure on support. Support for working age and lifelong disabled adults made up 63% of the net adult social care commissioned spend in England in the financial year 2022/23 – £10.1bn lxi . Support for working age adults and those with a lifelong disabled condition is now the largest area of adult social care spend, which itself is the largest budget area in local government. The spend on this cohort alone is equal to the total spend on all children’s social care by local authorities lxii .
Number of People (2022/23)
337,910 (39.6%) Working Age and Lifelong Disabled Adults 516,205 (60.4%) Older Adults Physical and Dementia
Total Gross Commissioned Spend England (2022/23)
£11.04bn (57%) Working Age and Lifelong Disabled Adults £8.33bn (43%) Older Adults Physical and Dementia
Total Net Commissioned Spend England (2022/23)
£10.1bn (63.2%) Working Age and Lifelong Disabled Adults £5.88bn (36.8%) Older Adults Physical and Dementia
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