Making the economic case for adult social care

Martin Knapp Completed   2019


The aims of this study are to collate and build economic evidence and make it available to decision-makers in England’s adult social care system to inform their decisions.

We will summarise extant evidence and generate new evidence where possible, examining whether there is an economic case for each of a range of adult social care interventions. We will then communicate and discuss the evidence in accessible form to as many stakeholders as possible and relevant. ‘Stakeholders’ include local commissioners, providers, central government officials, individual service users and carers, and researchers: evidence of different kinds will be relevant to different stakeholders. By ‘economic case’ we mean whether an intervention is cost-effective and affordable, paying particular attention to the spread of costs and outcomes (across budgets, sectors or systems) and over different time periods.

We will seek to identify direct (immediate or longer-term) cashable and non-cashable savings to various public budgets, cashable and non-cashable savings to other stakeholders (e.g. to employers, people using services or families) and cost-effectiveness gains where there are no savings as such but the additional costs are seen by decision-makers to be justified by the improved outcomes.