The huge agenda for care services

This week’s national children and adult services conference in Manchester has been a sell-out, with a message on its website saying no more bookings could be taken – a rare achievement indeed at a time when most public sector association conferences have been struggling with declining delegate numbers.
But, it is not hard to see why such an event should be so popular. Turmoil, upheaval and plain fear stalk the corridors of upper-tier councils when it comes to children and adult care. Most county councils are little more than organisations helping children and vulnerable adults, and to them, as well as unitaries and Mets, both these services represent the budgets most out of control and causing their managements the greatest concern. Ever since the Baby Peter case, the number of children taken back into care has risen, along with the costs. Adult care costs are on an upward curve.
The prospect of more academies and free schools has rattled education authorities, which fear for their very existence as their schools opt out altogether. Against that, the recent and unexpected health White Paper promises huge new opportunities in public health and adult care for councils. And the £2bn for care announced in the CSR was one of the rare items of extra spending, a recognition at least by the coalition that this problem has to be addressed now.
As if this was not enough to fill a conference agenda for a month, mounting concerns over the impact of the housing benefit capping adds another dimension to the care agenda. There is, of course, major politicking going on about this decision, with Tory-controlled central London councils rowing with Labour outer London boroughs about who should pick up the bill for displaced families.
Aside from the politics, the decision poses another headache for councils such as Haringey, already grappling with escalating children’s service budgets and facing an influx of families from more expensive boroughs. One wonders why the Treasury felt that changes to child benefit could wait until 2013 while housing benefit capping, with potentially greater impact, albeit on a smaller number of families, kicks in next April. And as for council tax benefit… but that will have to wait for another conference.