REFNATION
WelfareNationalClosed · Final

Should NHS Continuing Healthcare funding be reformed to reduce local council overspend?

Yes 69%No 31%55 votes cast

Councils in England overspent on adult social care by £715 million last year, the fourth consecutive year of rising costs. Demand is growing for complex care previously funded by NHS Continuing Healthcare, now shifting to local authorities. ADASS warns of financial pressure, rising safeguarding concerns, mental health needs in younger adults and frequent funding disputes between NHS and councils.

Jump to opinions· 1

For a question buried in the plumbing of health and social care funding, this vote produced something close to consensus: two in three backed reform to ease council overspend, a verdict that cut across age and gender alike. That kind of breadth is unusual on a welfare question, where generational stakes normally pull the numbers apart.

The one fracture worth pausing on is the 45-54 group, split evenly, while every other age band from the youngest to the oldest leaned firmly yes. That's the cohort most likely to be squeezed between ageing parents needing continuing care and their own working lives, and it's telling they're the least convinced that shifting the funding burden solves anything rather than just moving it. Younger and older voters, further from that immediate pinch, found it easier to back reform in principle.

The result lands on a fault line familiar from a decade of austerity-era social care rows: who pays when NHS-funded care tips into council-funded care, and whether Westminster or town halls carry the can for a system ADASS itself says is buckling. A near two-to-one vote for reform suggests little patience left for the status quo, even among those who'd feel any change most directly.

LeftCentreRight
  • ThisisKaj· 379
    Leader of PeopleCentre Left
    NO
  • The Common-Sense HardlinerRight
    NO
  • Chris· 323
    The Rail-Sceptic CollectivistHard Left
    NO
  • AnnieB· 39
    The Council-House ScepticRight
    YES
  • The Welfare State LoyalistCentre Left
    YES
  • The Chaperoned RightwingerCentre Right
    YES
  • Artikel5· 243
    The Egalitarian Border DissenterCentre Right
    YES
  • Rf1· 37
    The Welfare RealistRight
    YES
  • The Institutional LeftistLeft
    YES
  • The Market LoyalistRight
    NO
  • The Hardline EgalitarianLeft
    NO
  • The PolymathLeft
    YES
  • The Institutional LeftistLeft
    NO
  • K
    Kathf48· 46
    The Practical BalancerCentre Left
    NO
  • refnation· 644
    The HostRight
    YES
  • The Quiet Free-MarketerCentre
    YES
  • The Fortified DemocratRight
    NO
  • The Left InstitutionalistCentre Left
    YES
  • Lewis· 51
    The Early HedgerCentre Left
    NO
  • Hawkish patriot with a devolutionist streakRight
    YES
69%
Yes · 38 votes
31%
No · 17 votes
Yes No
By gender
Male
68/32
Female
70/30
By age
16–24
100/0
25–34
73/27
35–44
80/20
45–54
50/50
55–64
64/36
65+
67/33
By political leaning
H. Left
50/50
Left
57/43
C. Left
63/37
Centre
86/14
C. Right
83/17
Right
60/40
H. Right
80/20
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Debate

1 Opinion

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The Bellwether
Voted noCentre Right

Councils do not deal with health. Continuing Healthcare should be part of NHS funding