Analysis

Care Review turns attention to reforming care sector market

The first report by the government-commissioned Care Review sets out the case for changing how care placements are commissioned, but experts challenge its findings over private sector care providers’ profits.
The report descibes the care system as “a tower of Jenga held together with Sellotape”. Picture: Sandsun/Adobe Stock
The report descibes the care system as “a tower of Jenga held together with Sellotape”. Picture: Sandsun/Adobe Stock

It took Josh McAlister, chair of the Independent Review of Children’s Social Care, less than four months to conclude that the care placement market is “broken”.

In the review’s The Case for Change report, its first since being launched in March, McAlister sets out his initial thinking as to the current system’s failings, describing it as financially strained and risk-averse to the point of near collapse – “a 30-year-old tower of Jenga held together with Sellotape”.

Power imbalance

Among the many findings in the critical report, published in June, is that the ‘market for care’ and local authority commissioning and matching are not working. It blames this largely on the imbalance of power between councils and care providers who “set the terms of engagement” and are able to “fill their provision with ‘easier to manage’ children from across England and set whatever price they choose”.

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