Adult Social Care Newsletter | Volume 47

Plus: The 4 critical roadblocks to responsible AI adoption🧠

Adult Social Care

Welcome to Adult Social Care, your weekly newsletter offering the latest insights, strategies, and innovations empowering leaders to navigate challenges and drive excellence in the UK’s adult care sector. We're committed to keeping you informed and inspired with fresh ideas to tackle the year ahead.

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AI IN LOCAL COUNCILS

The LGA and LOTI’s new guide on Responsible Buying of AI is a must-read for anyone working in local government digital transformation.​

Agilisys, with 25 years of experience supporting councils across the UK, has published a thoughtful response. It highlights practical ways to implement AI responsibly — from framing the right procurement questions to involving frontline teams and treating DPIAs as design tools, not paperwork.​

🗣 Ethan, Pippa and Ross from the Agilisys team share what responsible AI really looks like in practice.​

SOCIAL CARE FUNDING

Chronic underfunding and mounting responsibilities have left local councils in an untenable position, particularly regarding adult social care and children’s services. While central government retains control over the core Welfare framework—such as Universal Credit and the NHS—councils are left shouldering obligations for services that are both essential and financially burdensome. This growing strain means that, under current trends, councils risk diverting all resources simply to maintain social care, to the detriment of every other local service.

Attempts to frame adult social care as separate from broader welfare issues mask the underlying crisis in local government funding. The wide democratic deficit in local politics reflects how disconnected policy rhetoric is from practical realities faced by communities. Without immediate and fundamental reform, councils may soon find themselves unable to sustain anything beyond the bare minimum of statutory care. Immediate political will and comprehensive restructuring are necessary to avert potentially catastrophic failures in Britain’s local service provision.

HEALTHCARE TECHNOLOGY

AI adoption in healthcare is often slowed by four common challenges:

  1. Limited AI Literacy – Many healthcare professionals lack a clear understanding of AI’s capabilities. Investing in education and training across teams helps build confidence and usage.

  2. Data Readiness Gaps – Siloed systems and inconsistent data quality can undermine AI performance. Clean, standardized, and interoperable data is essential for success.

  3. Change Management Hurdles – Resistance to new technology, unclear ROI, and workflow disruption can stall adoption. Involving end users early and aligning AI tools with current workflows helps ease the transition.

  4. Ethical and Regulatory Risks – Concerns around privacy, bias, and compliance are valid. Establishing strong governance and ethical AI frameworks ensures trust and transparency.

To move forward, healthcare organizations must combine the right tools with readiness across people, process, and data.

EDITOR’S INSIGHT💭

Personalised Health MOTs: Beyond the Buzzword for UK Adult Social Care

Personalised health MOTs are being hailed as a breakthrough for the UK’s ageing population, but the real value lies in how they can reshape the very foundations of adult social care. While traditional NHS health checks have served as a baseline, they often miss the nuances that make prevention truly effective. The integration of AI-driven assessments and genetic screening is not just about early detection—it’s about creating a dynamic, responsive system that adapts to the individual, not the average.

What’s often overlooked is the potential for these MOTs to fundamentally shift the relationship between health and social care. In Japan, the fusion of technology and routine assessments has led to measurable reductions in long-term care needs, not just healthcare costs. The UK’s pilot programmes are beginning to echo these results, with older adults showing higher engagement and satisfaction when their care feels personal and relevant.

For leaders in social care, the opportunity is to move beyond pilots and embed this approach at scale. This means investing not only in technology, but in workforce skills and robust data systems that can track outcomes across both health and social care. The real innovation is in the integration—using personalised insights to inform commissioning, resource allocation, and partnership with the NHS. The future of adult social care will belong to those who see personalised health MOTs not as a product, but as a catalyst for system-wide transformation.

PUBLIC SECTOR FINANCE

Heavy reliance on agency staff within St Helens Council’s social care sector has emerged as a significant financial threat, primarily due to the elevated costs of these temporary workers compared to permanent employees. This dependency not only leads to consistent budgetary overspends but also undermines the council’s ability to plan long-term, especially as recruitment and retention of qualified staff remain persistent nationwide challenges. Ongoing turnover of agency personnel also drives up recruitment and induction expenses, compounding the strain on council resources.

SOCIAL CARE FUNDING

Stoke-on-Trent City Council proposes an additional £7 million for adult social care, responding to providers’ concerns over increased National Insurance and wage costs. Care homes and service suppliers had previously contested the council’s minimal fee rises in the High Court, prompting a reassessment of funding and a shift from the originally suggested 2-4% increases to a more substantial 5-7% uplift for the coming year.

SOCIAL CARE LEADERSHIP

Pendine Park, celebrating 40 years, is cited by the Welsh Government as a benchmark for social care excellence, demonstrating the urgent need to address sector pay and recognition.

SOCIAL CARE FUNDING

Care homes in the West face insolvency due to increased National Insurance and wage costs, threatening resident care and financial stability. Providers may be forced to raise fees sharply, leaving vulnerable residents and councils financially exposed. Immediate government intervention is needed to prevent sector collapse.