Source: Independent Commission on Adult Social Care published on this website Tuesday 10 March 2026 by Jill Powell
In a speech on the 5 March at the Nuffield Trust Summit, Baroness Casey said social care has never had its own “creation moment” and called for a national reckoning equivalent to Beveridge’s reforms in 1948.
In her speech, Baroness Casey set out how there is currently a reliance on cobbled together underfunded services relying on low-paid care workers, a lack of ownership and accountability, and a deep divide between health and social care which leaves families to navigate alone.
In her remarks at the Nuffield Trust Summit, Baroness Casey of Blackstock said:
“Unlike the NHS or indeed the benefits system, social care has never had its own creation moment. No moment when the nation decided what it was for, what people should expect or who should pay, and how.
“Instead, we inherited a system shaped for a very different age, held together with add-ons and work arounds, sticking plasters and glue. Without ever having the moment of reckoning we now need.”
She stated that a national conversation would be needed to seek backing from the public who pay for health and social care through their taxes, but might not even know what social care is.
Baroness Casey also confirmed she has written to the Secretary of State for Health and Social Care asking the Government to take six immediate actions on dementia, motor neurone disease and adult safeguarding due to the urgency of the reform needed in these areas.
This includes asking the Government to scale up dementia trials, appoint a new Dementia Tsar, set up a new National Safeguarding Board to protect vulnerable adults, and to introduce a new fast-track, social care passport for people diagnosed with motor neurone disease.
For more detail:
- The full speech was streamed by the Nuffield Trust here: Nuffield Trust Summit 2026
- The speech is available to watch on the Nuffield Trust’s YouTube account: Click here to view.
- The prepared text of the speech has been published on The Independent Commissions website: Click here to view.
- Baroness Casey’s letter to the Secretary of State for Health and Social Care with her immediate asks of the Government can be found here: Click here to view.