Audit Commission

Skip to content Go to accessibility page

Social care

Social care is a critical service to those who use it and to their family, friends and carers. It is an area of much national debate and rapid modernisation in recent years. Councils with responsibility for adult social care face a significant challenge to meet increasing demand with fewer resources while maintaining or improving outcomes for the people that use the services.

The Commission published a series of groundbreaking reports in the late 1990s and early 2000s – The coming of age (1997), The way to go home (2000) and Forget me not (2000). These reports focused on improving services for older people. The Commission also carried out a series of joint reviews of social care services in partnership with the Social Services Inspectorate. The Commission no longer undertakes such studies.

In 2009 the Commission introduced the Comprehensive Area Assessment (CAA). CAA looked at how well public services like education, waste and recycling, health and social care, the police and the fire service were performing and how well they worked together to achieve better results for their communities. The Commission's work brought together social care assessments from the Care Quality Commission (CQC) with our own knowledge into a combined area assessment and organisational assessment. CAA ceased in 2010.

Our recent studies on financial management and value for money in social care have covered policy developments. Financial management of personal budgets was published in 2010 and looked at the approaches to transition from providing services to providing personal budgets, the choices for allocating money, and how councils can plan for the financial implications. Joint working between health and social care has been the focus of three recent studies, including Joining up health and social care published in 2011. Value for money in adult social care was also published in 2011.

 
 
Living well in later life
A review of progress against the National Service Framework for Older People
27 March 2006
The Audit Commission, the Healthcare Commission, and the Commission for Social Care Inspection have jointly undertaken a review to create a national snapshot of the state of services for older people.
Older people: Implementing telecare
Independence and well-being 6
10 September 2004
There is a pressing need for better co-ordination of telecare implementation at both national and local levels and for more integrated guidance to support local implementation.
Older people: Assistive technology
Independence and well-being 4
12 February 2004
Powerful forces are changing the nature of health and social care. With better access to higher education, information sources like the internet, and greater personal wealth, people want more say in ...
Older people: A changing approach
Independence and well-being 1
12 February 2004
We live in an ageing society. In the UK, the 2001 census has shown that, for the first time, there are more people aged 60 and over than children under 16.
Older people: Building a strategic approach
Independence and well-being 2
12 February 2004
Older people are an enormously diverse group, ranging from people who are in mid-life to those who have reached their centenary and beyond.
Older people: Support for carers of older people
Independence and well-being 5
12 February 2004
Many frail older people rely on care provided by relatives or friends. This report looks at the nature and extent of help that is currently available to carers and makes suggestions about how it can ...
Older people: Supporting frail older people
Independence and well-being 3
12 February 2004
Independence and well-being come under particular threat when older people become frail or ill.
Older people: Independence and well-being
The challenge for public services
12 February 2004
Designed to help public bodies in developing a framework for local approaches to older people.
Tracking the changes in social services in England
Joint review team sixth annual report 2001/02
16 October 2002
As well as presenting evidence from the reviews carried out in England during 2001/2, this report also 'tracks the changes' achieved by some of those councils reviewed in the past, and discusses the ...
Fully equipped 2002
Assisting independence
27 June 2002
This report summarises the findings of local reports from external auditors, or best value reviews about the performance of equipment services from the user's perspective.
Social care reports
  • Losing time, 20 June 2002
    Developing mental health services for older people in Wales
  • Forget me not 2002, 21 February 2002
    Developing mental health services for older people in England
  • A healthy outlook, 1 November 2001
    Local authority overview and scrutiny of health
  • Delivering results, 1 October 2001
    Joint review team fifth annual report 2000/01
  • The way to go home, 21 June 2000
    Rehabilitation and remedial services for older people
  • Fully equipped, 29 March 2000
    The provision of equipment to older or disabled people by the NHS and social services in England and Wales
  • United they stand, 1 February 2000
    Co-ordinating care for elderly patients with hip fracture
  • Forget me not, 19 January 2000
    Developing mental health services for older people in England
  • Take your choice, 3 December 1997
    A commissioning framework for community care
  • The coming of age, 31 October 1997
    Improving care services for older people