References

Association of Directors of Adult Social Services. ADASS survey: People waiting for assessments, care or reviews. 2022. https://tinyurl.com/5n76nyzc (accessed 1 February 2023)

Care Quality Commission. Access to care. 2022. https://tinyurl.com/mrx7by7c (accessed 1 February 2023)

Department of Health and Social Care. Our plan for patients. 2022. https://tinyurl.com/mvvbpup8 (accessed 1 February 2023)

The state of the adult social care sector and workforce in England 2022. 2022. https://tinyurl.com/2p8my3bf (accessed 1 February 2023)

Royal College of Emergency Medicine. RCEM: How far does emergency department performance need to fall for political leaders to take meaningful action?. 2023. https://tinyurl.com/y5dh74j6 (accessed 1 February 2023)

Investing in adult social care

09 February 2023
Volume 32 · Issue 3

Some patients are unable to be discharged from hospital because councils do not have the funds or wherewithal to facilitate their care afterwards. The media reports that hospital corridors in emergency departments are filled with people nursed on trolleys or being cared for in ambulances, a result of not being able to transfer patients onwards. These scenarios, acted out across the country, are the result of a number of factors, not least the result of decades-old systemic problems that have never been addressed, putting people's lives in jeopardy.

The dire state of our NHS is reflected in the correspondingly dire state of our adult social care. A central issue that prevails is an increasingly ageing society and how little, if anything, has been done to prepare for it. There are massive holes in care provision, leading to patients who should be discharged from hospital left stranded there and patients who should be in hospital left stranded in ambulances or at home.

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