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LONDON: British Prime Minister Andy Burnham has announced the first steps toward overhauling England’s adult social care system, pledging to tackle decades of underinvestment and urging cross-party cooperation to deliver lasting reforms.
In a keynote speech, Burnham described the country’s social care system as one of the most pressing domestic challenges, warning that continued inaction would place an unsustainable burden on families, carers and the National Health Service (NHS).
The prime minister said many families face overwhelming financial pressures, with private residential care costing as much as £1,400 per week, while a significant number of older people incur care expenses exceeding £100,000. He argued that successive governments had failed to implement comprehensive reforms because of the political sensitivity surrounding the issue.
As part of the initiative, Burnham pledged to curb excessive profits by private equity-backed care providers and announced plans to engage opposition parties in developing a long-term solution. He invited leaders of the Conservative and Liberal Democrat parties to participate in discussions aimed at building a broad political consensus on reform.
Despite public spending on adult social care reaching £34.5 billion in the 2024–25 financial year, access to publicly funded care has continued to decline as eligibility criteria have become more restrictive, leaving many elderly and disabled people without adequate support.
Burnham also endorsed the creation of a National Care Service, designed to provide more integrated and sustainable care while strengthening links with the NHS. He stressed that improving efficiency, ensuring accountability, and protecting vulnerable people would remain central to the government’s reform agenda.
The government will work alongside an independent review led by Baroness Louise Casey, whose recommendations are expected to shape the long-term structure of England’s social care system. Burnham said he was prepared to invest significant political capital to achieve reforms that previous administrations had been unable to deliver.
The announcement marks one of the new government’s flagship domestic policy initiatives and signals its intention to address one of Britain’s most persistent public policy challenges through structural reform and cross-party collaboration.