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No-one in charge on adult social care, review leader to warn

The review says England’s social care system lacks clear oversight, with more than 1.5 million staff working across about 19,000 employers.

  • On Wednesday, Baroness Louise Casey criticized England's social care system in a speech to leaders in Liverpool, labeling governance as "confused and complex" and calling the lack of oversight a "national shame."
  • A report by the Nuffield Trust and the Institute for Government described a "complex system where responsibilities are spread" across numerous bodies, with private providers dominating in a pattern that emerged "in a largely uncontrolled and unintended way."
  • Research revealed that more than 1.5 million staff work for around 19,000 employers, yet England remains the only UK nation without a mandatory care worker register; people paying privately are charged 40% more for identical services.
  • Prime Minister Andy Burnham has prioritized social care reform, though the report warned that the "prominence and level of priority" must be maintained to achieve the "political will and bravery" necessary for a new national service.
  • The Covid-19 Inquiry recently rubbished claims of a "protective ring" around care homes as "unfounded," while Baroness Casey, due to deliver recommendations next summer, told the inquiry she was "deeply horrified, but unfortunately not surprised.
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No-one in charge on adult social care, review leader to warn

Baroness Louise Casey is leading a commission into reform of the sector.

·London, United Kingdom
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Yorkshire Post broke the news in Leeds, United Kingdom on Tuesday, November 10, 2026.
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