Louise Casey may have the power of words behind her (The blistering speech that tells me Britain’s social care deadlock can finally be broken, 10 March), but what she’s uncovered is a truth that local authorities have been voicing for years: the national care service will fail unless ministers stabilise the local systems that underpin it.
Key Cities (a cross-party network of UK local authorities) has long been calling for an urgent funding reset for the social care system. And while the Casey commission’s reforms are welcome, what’s still missing is the transition plan to enable councils to make this happen. A key part of the government’s NHS 10‑year plan must be a significant expansion of joint commissioning, across regional and national scales. This collaboration will finally end the costly push‑pull between those who fund and those who deliver care and, vitally, lay the foundations for effective transformation from local to national provision.
