King's Fund wants one national care assessment for England

In this edition

This week

Top stories

  1. Fees and funding

    1. £30-a-month care premium would meet a fifth of National Care Service cost

    Pensions consultancy LCP proposes enrolling people in England aged 40 and over in an opt-out care premium, but even on its own sums the scheme would meet only about a fifth of what a full National Care Service would cost.

  2. Regulation and quality

    2. Four in ten older people's care homes in England show a rating over five years old

    An analysis by the comparison website What Care Costs, reported by The Carer, found 4,438 older people's care homes in England display a CQC rating more than five years old, including 391 last rated Requires Improvement or Inadequate.

Chart of the week

Workforce · Pay

The National Living Wage has gone up by more than half since 2019

National Living Wage, hourly rate (for workers aged 25 and over until March 2021, 23 and over until March 2024, 21 and over since) · April 2019 to April 2026

Note: The age the National Living Wage applies from fell over this period: 25 and over until March 2021, 23 and over until March 2024, then 21 and over.

Source: GOV.UK, National Minimum Wage and National Living Wage rates (opens in a new tab) Published 27 September 2026

In brief

  • New dementia cases worldwide to double

    University of New South Wales researchers, writing in JAMA Neurology, expect yearly new dementia diagnoses worldwide to double to nearly 25 million by 2050, falling hardest on women and poorer countries.

    Editorial desk (opens in a new tab) 13 October 2026 UK-wide

  • CQC to regulate autism, ADHD diagnosis

    The Department of Health and Social Care has asked CQC to regulate services that diagnose autism or ADHD without also treating them, which the regulator says closes a gap in oversight.

    CQC news (opens in a new tab) England

  • CQC cuts Woodland House to inadequate

    CQC has cut Woodland House, a Bedfordshire home run by Really Flexible Care for people with a learning disability and autistic people, from outstanding to inadequate and put it in special measures.

    CQC news (opens in a new tab) England

  • Digital care guidance mostly rehoused

    Care England says the health department's GOV.UK collection on digitising adult social care, published 29 September, mostly rehouses existing guidance rather than setting new requirements, though some wording has changed.

    Care England (opens in a new tab) 12 October 2026 England

  • Six England ASCOF measures to be revised

    DHSC says it will revise six England outcome measures in its 2024 to 2025 ASCOF release after some councils sent in flawed figures, though national results barely shift.

    DHSC adult social care provider statistics (opens in a new tab) 12 October 2026 England

  • Burnham plan omits working-age adults

    Community Care says Prime Minister Andy Burnham's national care service, giving older people in England free personal care after the next election, leaves out working-age adults and care home board costs.

    Community Care (opens in a new tab) England

On the radar

  • SNP annual national conference Policy and reform Scotland
  • Adult social care finance report, England: 2025 to 2026 Fees and funding England
  • Autumn Budget Fees and funding UK-wide
See 12 months ahead

Sources

Each item links its source at the point it relies on it; the articles carry their full sources.

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