Spending on adult social care in England has fallen by 3% since 2009/10. The number of adults receiving publicly funded care packages has fallen, even though demand is increasing.
We know that local authorities, which are responsible for adult social care, initially drove down the price of care they commission from private and voluntary sector providers. This has put pressure on the market.
However, difficulties measuring exactly what care is being purchased and provided with public money mean that it is not possible to say whether adult social care is more efficient now than in 2009/10. What is clear, is that any efficiencies made have not been sufficient to meet demand, and unpaid care has partially filled the gap.