The competitive, for-profit model of social care provision has had 30 years to deliver on its promises of efficient, high-quality services. In that time, the crisis in adult social care has only deepened. Instead of driving innovation, increased competition between providers has undermined care quality. It is time to stop pursuing the same strategy and expecting a different outcome.
The care sector needs an overhaul. Not only do we need adequate long-term funding from central government, we also need to address some searching questions about the role of profit in the sector, and ask: who is benefiting from this dysfunctional model? And who, ultimately, is paying the price?
So, those remaining council run or state run homes provide a better service than the private ones, do they?
Hmm, what’s that, you don’t want to test a beautiful theory against ugly facts?