The Yorkshire and Humber Care Association Alliance (YHCAA) welcome the publication of the Care Quality Commission’s State of Care 2024/25 report and shares its deep concern about the growing pressures on health and social care services, particularly for older people.
The report paints a picture of a system under severe strain, with increasing demand, fragmented service delivery, and persistent inequalities. Older people are disproportionately affected by delays in care, poor coordination between services, and gaps in follow-up support after hospital discharge. These issues are compounded by workforce shortages, financial pressures, and inconsistent access to care across regions.
YHCAA is particularly alarmed by:
• Workforce pressures, with vacancy rates in adult social care remaining three times higher than the wider job market.
• Rising demand and increased acuity across adult health and social care is placing pressure on access and quality.
• The burden placed on unpaid carers, many of whom are stepping in due to service gaps, often without adequate support or recognition.
• The reduction in international recruitment and the impact of visa changes, which are exacerbating staffing challenges in adult social care.
While the report highlights examples of innovation and good practice, including neighbourhood care models and the use of data to identify frail individuals at risk, these remain small pockets of progress.
The current challenges facing the workforce and the sustainability of care providers are expected to intensify following the introduction of the new Employment Rights Bill. The additional costs associated with staff sickness pay will place further financial pressure on the sector, particularly in light of the recent unfunded increase in National Insurance contributions.
YHCAA is committed to working with Integrated Care Systems (ICSs), local authorities, and provider organisations to build a more fairly funded, resilient and equitable care system.
Download the full report here The state of health care and adult social care in England 2024/25 – Care Quality Commission
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