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Baroness Casey criticizes governments for neglecting adult social care in England

Baroness Casey says social care services are uneven and undervalued, calling for urgent reforms.

Nov 11, 2026, 10:38 AM By the Genius Eye newsroom (Health Reporter) · Fact-checkedHow we report
Photo: this version: Sonarpulse. origenal:Huji / Public domain, via Wikimedia Commons

Baroness Louise Casey, head of an independent commission on adult social care in England, criticized successive governments for neglecting the sector, describing them as 'asleep at the wheel,' BBC Health reported.

She highlighted that social care services for older people and adults with disabilities have developed in an uncontrolled and unintended manner, unlike the deliberately designed NHS established in 1948.

Baroness Casey pointed out a postcode lottery in care availability, with varying service levels depending on location, and noted that self-funders pay significantly higher fees than those entitled to state support.

She emphasized that essential care services, including home adaptations and personal care like assistance with washing and mobility, are undervalued compared to medical care provided by the NHS.

Referring to the recent Covid inquiry report, she said social care was treated as an afterthought during the pandemic, contributing to widespread virus transmission, which she called 'a national shame.'

Baroness Casey is set to present her final recommendations for improving services for older adults at a social care leaders' conference.

Sources
  1. BBC Health: Successive governments 'asleep at the wheel' over social care, says head of review
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