1<!DOCTYPE html> 2<html lang="en" dir="ltr" prefix="content: http://purl.org/rss/1.0/modules/content/ dc: http://purl.org/dc/terms/ foaf: http://xmlns.com/foaf/0.1/ og: http://ogp.me/ns# rdfs: http://www.w3.org/2000/01/rdf-schema# schema: http://schema.org/ sioc: http://rdfs.org/sioc/ns# sioct: http://rdfs.org/sioc/types# skos: http://www.w3.org/2004/02/skos/core# xsd: http://www.w3.org/2001/XMLSchema# "> 3 4<head> 5 <meta charset="utf-8"> 6<meta name="description" content="There is no reason to delay plans for potentially three years."> 7<link rel="shortlink" href="https://www.instituteforgovernment.org.uk/article/comment/andy-burnham-should-establish-national-care-service-parliament"> 8<link rel="canonical" href="https://www.instituteforgovernment.org.uk/article/comment/andy-burnham-should-establish-national-care-service-parliament"> 9<link rel="image_src" href="https://www.instituteforgovernment.org.uk/sites/default/files/styles/og_image/public/2026-09/andy-burnham-conference-2026-speech-3FMWJM5_1504x846.jpg?itok=ck_2F5O0"> 10<meta property="og:site_name" content="Institute for Government"> 11<meta property="og:url" content="https://www.instituteforgovernment.org.uk/article/comment/andy-burnham-should-establish-national-care-service-parliament"> 12<meta property="og:title" content="Andy Burnham should establish the National Care Service this parliament | Institute for Government"> 13<meta property="og:description" content="There is no reason to delay plans for potentially three years."> 14<meta property="og:image" content="https://www.instituteforgovernment.org.uk/sites/default/files/styles/og_image/public/2026-09/andy-burnham-conference-2026-speech-3FMWJM5_1504x846.jpg?itok=ck_2F5O0"> 15<meta property="og:image:width" content="1200"> 16<meta property="og:image:height" content="630"> 17<meta property="og:image:alt" content="andy-burnham-conference-2026-speech-3FMWJM5_1504x846.jpg"> 18<meta name="twitter:card" content="summary_large_image"> 19<meta name="twitter:title" content="Andy Burnham should establish the National Care Service this parliament | Institute for Government"> 20<meta name="twitter:site" content="@instituteforgov"> 21<meta name="twitter:description" content="There is no reason to delay plans for potentially three years."> 22<meta name="twitter:image:alt" content="andy-burnham-conference-2026-speech-3FMWJM5_1504x846.jpg"> 23<meta name="twitter:image" content="https://www.instituteforgovernment.org.uk/sites/default/files/styles/og_image/public/2026-09/andy-burnham-conference-2026-speech-3FMWJM5_1504x846.jpg?itok=ck_2F5O0"> 24<meta name="Generator" content="Drupal 10 (https://www.drupal.org)"> 25<meta name="MobileOptimized" content="width"> 26<meta name="HandheldFriendly" content="true"> 27<meta name="viewport" content="width=device-width, initial-scale=1.0">
28<script type="application/ld+json">{ 29 "@context": "https://schema.org", 30 "@graph": [ 31 { 32 "@type": "Article", 33 "identifier": [ 34 "Labour", 35 "Burnham government" 36 ], 37 "inLanguage": "en", 38 "headline": "Andy Burnham should establish the National Care Service this parliament", 39 "articleBody": "Burnhamâs vision is ambitious but vagueIn his speech, Burnham outlined his goal to establish a âNational Care Serviceâ (NCS). This is not new: he was recommitting, if passionately, to a promise set out in Labourâs 2024 manifesto and, even further back, Gordon Brownâs 2010 manifesto.\n 5\n\n\n\n https://manifesto.deryn.co.uk/wp-content/uploads/2021/04/TheLabourPartyManifesto-2010.pdf \n\n Details were slim in both documents, however. To flesh out that offering Wes Streeting, when health secretary, commissioned Louise Casey to run a commission on what form the NCS could take. (That was an odd decision, given that heâd commissioned the Fabians to undertake a similar exercise while in opposition.)The prime ministerâs sense of urgency was palpable, but also not new: the government has already asked Casey to report sooner than planned, and begun outlining some workforce reforms â including that pay be more closely matched to NHS staff, and better opportunities for progression, among others.The speech and subsequent press release from No.10 provided slightly more detail about what the NCS will eventually entail. The government intends to provide older adults with free personal care â support to carry out daily tasks like dressing, washing and eating â funded through âadjustmentsâ the triple lock on pensions. This sounds expansive but still leaves a lot of questions. Free personal care is specifically for older adults, but the government has said nothing about working age adults, who account for a little over 40% of people receiving publicly funded long-term care. The press release rules out free âbed and boardâ in residential care, meaning that some people may still face enormous costs for care.\n 6\n\n\n\n https://www.gov.uk/government/news/prime-minister-andy-burnham-sets-out-plans-for-a-new-national-care-service\n\n In his speech, Burnham said that no one will pay care charges out of their âbasic state pensionâ but does not rule out some kind of co-payment out of other income. Further permutations and options are too numerous to list.Crucially, though, Burnham said he will not establish the NCS until after the next general election. That means none of this could start until as late as 2029. That is a mistake.The government should establish the NCS in this parliament and build it further in the nextWaiting until after the next election is the wrong decision. It leaves the sector in limbo for another three years, struggling to deal with years of underfunding and decades of neglect by consecutive governments. It will break a manifesto promise (despite others being treated as sacrosanct). Most obviously it means there is no guarantee of an NCS ever being established, as it relies on Labour winning the next election, a far from certain outcome.Instead, Burnham should have the courage of his own convictions establish the NCS in this parliament â and build then on it from there. Form should follow function when it comes to new structures in public services: but once Casey provides her final report next year, Burnham should then have no excuse for not having a clear vision for the NCS.The newly established NCS need not be the finished article. But the government should give it responsibility for some initial functions that it wants to be in any final version. Those could include things such as: Workforce planning, data gathering, and some training, responsibility for which currently sits mostly with two charities (Skills for Care and the Social Care Institute for Excellence, SCIE) and s
39ome with the DHSCInvolvement in the Fair Pay Agreement negotiations, the process that the government is establishing to agree pay and conditions for care workers\n 7\n\n\n\n https://www.gov.uk/government/consultations/fair-pay-agreement-process-in-adult-social-care/outcome/fair-pay-agreement-process-in-adult-social-care-g⦠\n\nStandardising the assessment process for adult social care across the countryCommissioning of specialist services, where there is limited national demand and therefore provision in local areasSupporting improvement across the sector by identifying and spreading best practice, responsibility for which currently sits with SCIEEstablishing the NCS along these lines would not undermine the governmentâs ability to expand the organisationâs role later. The government has already said it intends to introduce the NCS âin phasesâ,\n 8\n\n\n\n https://www.gov.uk/government/news/prime-minister-andy-burnham-sets-out-plans-for-a-new-national-care-service \n\n though is waiting until after the election so that it can secure a mandate for adjusting the triple lock. But the proposals laid out above could be relatively cheap and still allow expansion after the 2029 election.It would also address real issues in the sector and support the governmentâs planned workforce reforms. For example, stewardship of the workforce is currently too fragmented and reliant on a charity (Skills for Care) for what is a vital function. There is also a potential political benefit. It would allow Labour to claim, correctly, that it has fulfilled a 2024 manifesto commitment and would give Burnham a strong story to tell at the next election, showing progress on what has become a totemic issue for him. It would also safeguard the NCS. If Labour lose the next election, it would be more harder for an incoming government to scrap it, even in nascent form, than to cancel âplansâ still little more than a glint in a former prime ministerâs eye. There is no reason for delay. Burnham has a huge majority and a mandate to establish the NCS from the 2024 manifesto. Rather than waste this parliament â and risk wasting the next one if he loses the election â he should get on and establish the NCS.  ", 40 "genre": "Comment", 41 "keywords": [ 42 "Public spending", 43 "Economy", 44 "Health", 45 "Social care", 46 "Welfare" 47 ], 48 "abstract": [ 49 "Andy Burnham made an impassioned case for adult social care reform in his conference speech", 50 "drawing on his familyâs own experience and telling care workers help was coming. But despite the rhetoric", 51 "the speech risks being another exercise in can kicking", 52 "says Stuart Hoddinott." 53 ], 54 "about": "Ministers", 55 "description": "There is no reason to delay plans for potentially three years.", 56 "image": { 57 "@type": "ImageObject", 58 "url": "https://www.instituteforgovernment.org.uk/sites/default/files/styles/og_image/public/2026-09/andy-burnham-conference-2026-speech-3FMWJM5_1504x846.jpg?itok=ck_2F5O0", 59 "width": "1200", 60 "height": "630", 61 "caption": "Andy Burnham speaking at the Labour Party Conference." 62 }, 63 "datePublished": "2026-09-30T16:57:44+0100", 64 "dateModified": "2026-09-30T17:30:30+0100", 65 "author": { 66 "@type": "Person", 67 "name": "Stuart Hoddinott", 68 "url": "https://www.instituteforgovernment.org.uk/person/stuart-hoddinott" 69 }, 70 "publisher": [ 71 { 72 "@type": "Organization", 73 "name": "Institute for Government", 74 "logo": { 75 "@type": "ImageObject", 76 "url": "https://instituteforgovernment.org.uk.ddev.site//themes/custom/ifg/assets/img/fallback-default.png", 77 "width": "1024", 78 "height": "576" 79 } 80 } 81 ], 82 "mainEntityOfPage": "https://www.instituteforgovernment.org.uk/article/comment/andy-burnham-should-establish-national-care-service-parliament" 83 } 84 ] 85}</script>
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225<script src="/libraries/klaro/dist/klaro-no-translations-no-css.js?tm7u3q" defer id="klaro-js"></script>
225 226 227 </head> 228 229<body class="path-node page-node-type-article"> 230 231<!-- Google Tag Manager (noscript) --> 232<noscript> 233 <iframe height="0" width="0" style="display:none;visibility:hidden" data-src="https://www.googletagmanager.com/ns.html?id=GTM-5P73JC" data-name="gtm_consent_mode"></iframe> 234</noscript> 235<!-- End Google Tag Manager (noscript) --> 236 237<a href="#main-content" class="visually-hidden focusable skip-link"> 238 Skip to main content 239</a> 240 241<noscript><iframe height="0" width="0" style="display:none;visibility:hidden" data-src="https://www.googletagmanager.com/ns.html?id=GTM-5P73JC" data-name="gtm_consent_mode"></iframe></noscript> 242 243 <div class="dialog-off-canvas-main-canvas" data-off-canvas-main-canvas> 244 245 <div class="region region-pre-header"> 246 <div data-drupal-messages-fallback class="hidden"></div> 247 248 </div> 249 250 251<header class="c-header js-header" id="js-header"> 252 <div class="c-header__container o-container"> 253 <div class="c-header__grid-container"> 254 <div class="c-header__logo-container"> 255 <a class="c-header__logo" href="/" title="Return to the homepage"> 256 257 258<svg class="o-svg o-svg--ifg-logo c-header__ifg-logo"> 259 260 <use class="o-svg__use" xlink:href="/themes/custom/ifg/assets/img/symbol/svg/sprite.symbol.svg?v=12.3#ifg-logo"></use> 261</svg> 262 </a> 263 </div> 264 265 <div class="c-header__strapline-wrapper"> 266 <div class="c-header__newsletter-link-wrapper"> 267 <a class="c-header__newsletter-link" href="/newsletter"> 268 Sign up to newsletter 269 </a> 270 </div> 271 272 <p class="c-header__strapline js-strapline">Working to make government more effective</p> 273 </div> 274 275 <div class="c-header__mobile-menu-wrapper"> 276 <div class="c-header__mobile-search-button-wrapper"> 277 <button class="c-header__mobile-search-button js-mobile-search-button" aria-expanded="false"> 278 279 280<svg class="o-svg o-svg--ai-search c-filter__ai-search"> 281 282 <use class="o-svg__use" xlink:href="/themes/custom/ifg/assets/img/symbol/svg/sprite.symbol.svg?v=12.3#ai-search"></use> 283</svg> 284 285 <span class="u-accessible-hide">Open search</span> 286 </button> 287 288 <button class="c-header__mobile-close-search-button js-mobile-close-search-button"> 289 290 291<svg class="o-svg o-svg--cross c-filter__close-ai-search"> 292 293 <use class="o-svg__use" xlink:href="/themes/custom/ifg/assets/img/symbol/svg/sprite.symbol.svg?v=12.3#cross"></use> 294</svg> 295 296 <span class="u-accessible-hide">Close search</span> 297 </button> 298 </div> 299 300 <div class="c-header__mobile-menu-button-wrapper js-mobile-menu-button-wrapper"> 301 <button class="c-header__mobile-menu-button js-mobile-menu-button" aria-label="Toggle mobile menu" aria-haspopup="menu" aria-controls="block-mobile-menu"> 302 <span class="c-hamburger js-hamburger"> 303 <span class="c-hamburger__line c-hamburger__line--top"></span> 304 <span class="c-hamburger__line c-hamburger__line--middle"></span> 305 <span class="c-hamburger__line c-hamburger__line--bottom"></span> 306 </span> 307 </button> 308 </div> 309 </div> 310 311 <div class="c-header__main-menu-wrapper js-main-navigation" id="block-mobile-menu"> 312 <div class="c-header__main-menu-content js-menu-content"> 313 <nav role="navigation" aria-labelledby="block-ifg-main-menu-menu" id="block-ifg-main-menu" class="block block-menu navigation menu--main"> 314 315 <h2 class="visually-hidden" id="block-ifg-main-menu-menu">Main navigation</h2> 316 317 318 319 320 321 322 <ul class="c-main-menu c-main-menu--level-0"> 323 324 <li class="c-main-menu__item c-main-menu__item--expanded"> 325 <a href="/about-us" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/28">About us</a> 326 327 328 329 <button class="c-main-menu__expand-sub-nav js-sub-menu-button-next is-level-0" aria-label="Open sub navigation" aria-haspopup="menu" aria-controls="mega-nav-about-us"> 330 331 332<svg class="o-svg o-svg--chevron c-main-menu__chevron"> 333 334 <use class="o-svg__use" xlink:href="/themes/custom/ifg/assets/img/symbol/svg/sprite.symbol.svg?v=12.3#chevron"></use> 335</svg> 336 </button> 337 338 <div class="c-main-menu__mega-nav js-mega-nav" id="mega-nav-about-us"> 339 <div class="c-mega-nav"> 340 <div class="c-mega-nav__container o-container"> 341 342 <button class="c-mega-nav__previous-button
342js-sub-menu-button-prev" aria-label="Return to previous menu" aria-controls="mega-nav-about-us"> 343 344 345<svg class="o-svg o-svg--chevron c-main-menu__chevron c-main-menu__chevron--previous"> 346 347 <use class="o-svg__use" xlink:href="/themes/custom/ifg/assets/img/symbol/svg/sprite.symbol.svg?v=12.3#chevron"></use> 348</svg> 349 350 <span class="c-mega-nav__previous-button-text">Back</span> 351 </button> 352 353 354 <div class="c-main-menu__sub-menu-wrapper c-main-menu__sub-menu-wrapper--level-1 js-sub-menu-wrapper-level-1" id="mega-nav-about-us"> 355 <h3 class="c-main-menu__sub-menu-item-heading"> 356 <a href="/about-us" data-drupal-link-system-path="node/28">About us</a> 357 </h3> 358 359 360 361 <ul class="c-main-menu c-main-menu--level-1"> 362 363 <li class="c-main-menu__item c-main-menu__item--expanded"> 364 <a href="/about-us/mission" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/36">Mission</a> 365 366 367 368 <button class="c-main-menu__expand-sub-nav js-sub-menu-button-next is-level-1" aria-label="Open sub navigation" aria-haspopup="menu" aria-controls="mega-nav-mission"> 369 370 371<svg class="o-svg o-svg--chevron c-main-menu__chevron"> 372 373 <use class="o-svg__use" xlink:href="/themes/custom/ifg/assets/img/symbol/svg/sprite.symbol.svg?v=12.3#chevron"></use> 374</svg> 375 </button> 376 377 378 379 <div class="c-main-menu__sub-menu-wrapper c-main-menu__sub-menu-wrapper--level-2 js-sub-menu-wrapper-level-2" id="mega-nav-mission"> 380 <h3 class="c-main-menu__sub-menu-item-heading"> 381 <a href="/about-us/mission" data-drupal-link-system-path="node/36">Mission</a> 382 </h3> 383 384 385 386 <ul class="c-main-menu c-main-menu--level-2"> 387 388 <li class="c-main-menu__item"> 389 <a href="/about-us/mission/vision-and-values" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/8287">Vision and values</a> 390 391 392 393 394 </li> 395 396 <li class="c-main-menu__item"> 397 <a href="/about-us/mission/our-work-programme-2026" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/9658">Our work programme in 2026</a> 398 399 400 401 402 </li> 403 </ul> 404 405 406 407 408 </div> 409 410 </li> 411 412 <li class="c-main-menu__item c-main-menu__item--expanded"> 413 <a href="/our-people" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/33">Our people</a> 414 415 416 417 <button class="c-main-menu__expand-sub-nav js-sub-menu-button-next is-level-1" aria-label="Open sub navigation" aria-haspopup="menu" aria-controls="mega-nav-our-people"> 418 419 420<svg class="o-svg o-svg--chevron c-main-menu__chevron"> 421 422 <use class="o-svg__use" xlink:href="/themes/custom/ifg/assets/img/symbol/svg/sprite.symbol.svg?v=12.3#chevron"></use> 423</svg> 424 </button> 425 426 427
428 <div class="c-main-menu__sub-menu-wrapper c-main-menu__sub-menu-wrapper--level-2 js-sub-menu-wrapper-level-2" id="mega-nav-our-people"> 429 <h3 class="c-main-menu__sub-menu-item-heading"> 430 <a href="/our-people" data-drupal-link-system-path="node/33">Our people</a> 431 </h3> 432 433 434 435 <ul class="c-main-menu c-main-menu--level-2"> 436 437 <li class="c-main-menu__item"> 438 <a href="/about-us/our-people/directory" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/91">Directory</a> 439 440 441 442 443 </li> 444 </ul> 445 446 447 448 449 </div> 450 451 </li> 452 453 <li class="c-main-menu__item c-main-menu__item--expanded"> 454 <a href="/about-us/partnerships" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/37">Partnerships</a> 455 456 457 458 <button class="c-main-menu__expand-sub-nav js-sub-menu-button-next is-level-1" aria-label="Open sub navigation" aria-haspopup="menu" aria-controls="mega-nav-partnerships"> 459 460 461<svg class="o-svg o-svg--chevron c-main-menu__chevron"> 462 463 <use class="o-svg__use" xlink:href="/themes/custom/ifg/assets/img/symbol/svg/sprite.symbol.svg?v=12.3#chevron"></use> 464</svg> 465 </button> 466 467 468 469 <div class="c-main-menu__sub-menu-wrapper c-main-menu__sub-menu-wrapper--level-2 js-sub-menu-wrapper-level-2" id="mega-nav-partnerships"> 470 <h3 class="c-main-menu__sub-menu-item-heading"> 471 <a href="/about-us/partnerships" data-drupal-link-system-path="node/37">Partnerships</a> 472 </h3> 473 474 475 476 <ul class="c-main-menu c-main-menu--level-2"> 477 478 <li class="c-main-menu__item"> 479 <a href="/about-us/partnerships/research-and-engagement" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/77">Research and engagement</a> 480 481 482 483 484 </li> 485 486 <li class="c-main-menu__item"> 487 <a href="/about-us/partnerships/learning-and-development" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/81">Learning and development</a> 488 489 490 491 492 </li> 493 494 <li class="c-main-menu__item"> 495 <a href="/about-us/partnerships/party-conferences" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/360">Party conferences</a> 496 497 498 499 500 </li> 501 </ul> 502 503 504 505 506 </div> 507 508 </li> 509 510 <li class="c-main-menu__item c-main-menu__item--expanded"> 511 <a href="/about-us/governance-funding" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/38">Governance and funding</a> 512 513 514 515 <button class="c-main-menu__expand-sub-nav js-sub-menu-button-next is-level-1" aria-label="Open sub navigation" aria-haspopup="menu" aria-controls="mega-nav-governance-and-funding"> 516 517 518<svg class="o-svg o-svg--chevron c-main-menu__chevron"> 519 520 <use class="o-svg__use" xlink:href="/themes/custom/ifg/assets/img/symbol/svg/sprite.symbol.svg?v=12.3#chevron"></use> 521</svg> 522 </button> 523 524 525
526 <div class="c-main-menu__sub-menu-wrapper c-main-menu__sub-menu-wrapper--level-2 js-sub-menu-wrapper-level-2" id="mega-nav-governance-and-funding"> 527 <h3 class="c-main-menu__sub-menu-item-heading"> 528 <a href="/about-us/governance-funding" data-drupal-link-system-path="node/38">Governance and funding</a> 529 </h3> 530 531 532 533 <ul class="c-main-menu c-main-menu--level-2"> 534 535 <li class="c-main-menu__item"> 536 <a href="/about-us/governance-funding/board-members" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/42">Board members</a> 537 538 539 540 541 </li> 542 543 <li class="c-main-menu__item"> 544 <a href="/about-us/governance-funding/funding" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/43">Funding</a> 545 546 547 548 549 </li> 550 551 <li class="c-main-menu__item"> 552 <a href="/about-us/governance-funding/annual-reports" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/41">Annual reports</a> 553 554 555 556 557 </li> 558 </ul> 559 560 561 562 563 </div> 564 565 </li> 566 567 <li class="c-main-menu__item c-main-menu__item--expanded"> 568 <a href="/about-us/careers" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/39">Careers</a> 569 570 571 572 <button class="c-main-menu__expand-sub-nav js-sub-menu-button-next is-level-1" aria-label="Open sub navigation" aria-haspopup="menu" aria-controls="mega-nav-careers"> 573 574 575<svg class="o-svg o-svg--chevron c-main-menu__chevron"> 576 577 <use class="o-svg__use" xlink:href="/themes/custom/ifg/assets/img/symbol/svg/sprite.symbol.svg?v=12.3#chevron"></use> 578</svg> 579 </button> 580 581 582 583 <div class="c-main-menu__sub-menu-wrapper c-main-menu__sub-menu-wrapper--level-2 js-sub-menu-wrapper-level-2" id="mega-nav-careers"> 584 <h3 class="c-main-menu__sub-menu-item-heading"> 585 <a href="/about-us/careers" data-drupal-link-system-path="node/39">Careers</a> 586 </h3> 587 588 589 590 <ul class="c-main-menu c-main-menu--level-2"> 591 592 <li class="c-main-menu__item"> 593 <a href="/about-us/careers/working-ifg" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/145">Working at IfG</a> 594 595 596 597 598 </li> 599 600 <li class="c-main-menu__item"> 601 <a href="/about-us/careers/internship-programme" title="IfG internship programme" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/292">IfG internship programme</a> 602 603 604 605 606 </li> 607 608 <li class="c-main-menu__item"> 609 <a href="/about-us/careers/current-vacancies" title="Current vacancies" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/293">Current vacancies</a> 610 611 612 613 614 </li> 615 </ul> 616 617 618 619 620 </div> 621 622 </li> 623 624 <li class="c-main-menu__item c-main-menu__item--expanded"> 625 <a href="/about-us/media-centre" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/79">Media centre</a> 626 627 628 629 <button class="c-main-menu__expand-sub-nav js-sub-menu-button-next is-level-1" aria-label="Open sub navigation" aria-haspopup="menu" aria-controls="mega-nav-media-centre"> 630 631 632<svg class="o-svg o-svg--chevron c-main-menu__chevron"> 633 634 <use class="o-svg__use" xlink:href="/themes/custom/ifg/assets/img/symbol/svg/sprite.symbol.svg?v=12.3#chevron"></use> 635</svg> 636 </button> 637 638 639
640 <div class="c-main-menu__sub-menu-wrapper c-main-menu__sub-menu-wrapper--level-2 js-sub-menu-wrapper-level-2" id="mega-nav-media-centre"> 641 <h3 class="c-main-menu__sub-menu-item-heading"> 642 <a href="/about-us/media-centre" data-drupal-link-system-path="node/79">Media centre</a> 643 </h3> 644 645 646 647 <ul class="c-main-menu c-main-menu--level-2"> 648 649 <li class="c-main-menu__item"> 650 <a href="/about-us/media-centre" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/79">IfG in the news</a> 651 652 653 654 655 </li> 656 657 <li class="c-main-menu__item"> 658 <a href="/about-us/media-centre" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/79">Press releases</a> 659 660 661 662 663 </li> 664 </ul> 665 666 667 668 669 </div> 670 671 </li> 672 </ul> 673 674 675 676 677 </div> 678 679 </div> 680 </div> 681 </div> 682 </li> 683 684 <li class="c-main-menu__item c-main-menu__item--active-trail c-main-menu__item--expanded"> 685 <a href="/our-work" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/30">Our work</a> 686 687 688 689 <button class="c-main-menu__expand-sub-nav js-sub-menu-button-next is-level-0" aria-label="Open sub navigation" aria-haspopup="menu" aria-controls="mega-nav-our-work"> 690 691 692<svg class="o-svg o-svg--chevron c-main-menu__chevron"> 693 694 <use class="o-svg__use" xlink:href="/themes/custom/ifg/assets/img/symbol/svg/sprite.symbol.svg?v=12.3#chevron"></use> 695</svg> 696 </button> 697 698 <div class="c-main-menu__mega-nav js-mega-nav" id="mega-nav-our-work"> 699 <div class="c-mega-nav"> 700 <div class="c-mega-nav__container o-container"> 701 702 <button class="c-mega-nav__previous-button js-sub-menu-button-prev" aria-label="Return to previous menu" aria-controls="mega-nav-our-work"> 703 704 705<svg class="o-svg o-svg--chevron c-main-menu__chevron c-main-menu__chevron--previous"> 706 707 <use class="o-svg__use" xlink:href="/themes/custom/ifg/assets/img/symbol/svg/sprite.symbol.svg?v=12.3#chevron"></use> 708</svg> 709 710 <span class="c-mega-nav__previous-button-text">Back</span> 711 </button> 712 713 714 <div class="c-main-menu__sub-menu-wrapper c-main-menu__sub-menu-wrapper--level-1 js-sub-menu-wrapper-level-1" id="mega-nav-our-work"> 715 <h3 class="c-main-menu__sub-menu-item-heading"> 716 <a href="/our-work" data-drupal-link-system-path="node/30">Our work</a> 717 </h3> 718 719 720 721 <ul class="c-main-menu c-main-menu--level-1"> 722 723 <li class="c-main-menu__item c-main-menu__item--active-trail c-main-menu__item--expanded"> 724 <a href="/our-work/topics" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/101">Topics</a> 725 726 727 728 <button class="c-main-menu__expand-sub-nav js-sub-menu-button-next is-level-1" aria-label="Open sub navigation" aria-haspopup="menu" aria-controls="mega-nav-topics"> 729 730 731<svg class="o-svg o-svg--chevron c-main-menu__chevron"> 732 733 <use class="o-svg__use" xlink:href="/themes/custom/ifg/assets/img/symbol/svg/sprite.symbol.svg?v=12.3#chevron"></use> 734</svg> 735 </button> 736 737 738
739 <div class="c-main-menu__sub-menu-wrapper c-main-menu__sub-menu-wrapper--level-2 js-sub-menu-wrapper-level-2" id="mega-nav-topics"> 740 <h3 class="c-main-menu__sub-menu-item-heading"> 741 <a href="/our-work/topics" data-drupal-link-system-path="node/101">Topics</a> 742 </h3> 743 744 745 746 <ul class="c-main-menu c-main-menu--level-2"> 747 748 <li class="c-main-menu__item"> 749 <a href="/our-work/topics/civil-service" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/8190">Civil service</a> 750 751 752 753 754 </li> 755 756 <li class="c-main-menu__item"> 757 <a href="/our-work/topics/ministers" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/8218">Ministers</a> 758 759 760 761 762 </li> 763 764 <li class="c-main-menu__item"> 765 <a href="/our-work/topics/public-bodies" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/136">Public bodies</a> 766 767 768 769 770 </li> 771 772 <li class="c-main-menu__item"> 773 <a href="/our-work/topics/public-finances" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/366">Public finances</a> 774 775 776 777 778 </li> 779 780 <li class="c-main-menu__item"> 781 <a href="/our-work/topics/regulation" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/368">Regulation</a> 782 783 784 785 786 </li> 787 788 <li class="c-main-menu__item"> 789 <a href="/our-work/topics/policy-making" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/134">Policy making</a> 790 791 792 793 794 </li> 795 796 <li class="c-main-menu__item"> 797 <a href="/our-work/topics/international-relations" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/9839">International relations</a> 798 799 800 801 802 </li> 803 804 <li class="c-main-menu__item"> 805 <a href="/our-work/topics/net-zero" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/8217">Net zero</a> 806 807 808 809 810 </li> 811 812 <li class="c-main-menu__item"> 813 <a href="/our-work/topics/devolution" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/301">Devolution</a> 814 815 816 817 818 </li> 819 820 <li class="c-main-menu__item"> 821 <a href="/our-work/topics/public-services" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/116">Public services</a> 822 823 824 825 826 </li> 827 828 <li class="c-main-menu__item"> 829 <a href="/our-work/topics/procurement"
829class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/369">Procurement</a> 830 831 832 833 834 </li> 835 836 <li class="c-main-menu__item"> 837 <a href="/our-work/topics/parliament-and-constitution" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/131">Parliament and the constitution</a> 838 839 840 841 842 </li> 843 </ul> 844 845 846 <div class="c-main-menu__link"> 847 <a href="/our-work/topics">See all</a> 848 849 </div> 850 851 852 </div> 853 854 </li> 855 856 <li class="c-main-menu__item c-main-menu__item--expanded"> 857 <a href="/our-work/research-and-analysis" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/100">Research and analysis</a> 858 859 860 861 <button class="c-main-menu__expand-sub-nav js-sub-menu-button-next is-level-1" aria-label="Open sub navigation" aria-haspopup="menu" aria-controls="mega-nav-research-and-analysis"> 862 863 864<svg class="o-svg o-svg--chevron c-main-menu__chevron"> 865 866 <use class="o-svg__use" xlink:href="/themes/custom/ifg/assets/img/symbol/svg/sprite.symbol.svg?v=12.3#chevron"></use> 867</svg> 868 </button> 869 870 871 872 <div class="c-main-menu__sub-menu-wrapper c-main-menu__sub-menu-wrapper--level-2 js-sub-menu-wrapper-level-2" id="mega-nav-research-and-analysis"> 873 <h3 class="c-main-menu__sub-menu-item-heading"> 874 <a href="/our-work/research-and-analysis" data-drupal-link-system-path="node/100">Research and analysis</a> 875 </h3> 876 877 878 879 <ul class="c-main-menu c-main-menu--level-2"> 880 881 <li class="c-main-menu__item"> 882 <a href="/our-work/research-and-analysis/explainers" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/83">Explainers</a> 883 884 885 886 887 </li> 888 889 <li class="c-main-menu__item"> 890 <a href="/our-work/research-and-analysis/comments" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/82">Comments</a> 891 892 893 894 895 </li> 896 897 <li class="c-main-menu__item"> 898 <a href="/our-work/research-and-analysis/live-blogs" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/9047">Live blogs</a> 899 900 901 902 903 </li> 904 905 <li class="c-main-menu__item"> 906 <a href="/our-events" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/92">Events</a> 907 908 909 910 911 </li> 912 913 <li class="c-main-menu__item"> 914 <a href="/our-podcasts" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/9151">Podcasts</a> 915 916 917 918 919 </li> 920 921 <li class="c-main-menu__item"> 922 <a href="/our-work/research-and-analysis/publications" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/70">Publications</a> 923 924 925 926 927 </li> 928 929 <li class="c-main-menu__item"> 930 <a href="/our-work/research-and-analysis/guest-authors" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/10469">Guest authors</a> 931 932 933 934 935 </li> 936 </ul> 937 938 939 940 941 </div> 942 943 </li> 944 945 <li class="c-main-menu__item c-main-menu__item--expanded"> 946 <a href="/our-work/trackers" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/46">Trackers</a> 947 948 949 950 <button class="c-main-menu__expand-sub-nav js-sub-menu-button-next is-level-1" aria-label="Open sub navigation" aria-haspopup="menu" aria-controls="mega-nav-trackers"> 951 952 953<svg class="o-svg o-svg--chevron c-main-menu__chevron"> 954 955 <use class="o-svg__use" xlink:href="/themes/custom/ifg/assets/img/symbol/svg/sprite.symbol.svg?v=12.3#chevron"></use> 956</svg> 957 </button> 958 959 960
961 <div class="c-main-menu__sub-menu-wrapper c-main-menu__sub-menu-wrapper--level-2 js-sub-menu-wrapper-level-2" id="mega-nav-trackers"> 962 <h3 class="c-main-menu__sub-menu-item-heading"> 963 <a href="/our-work/trackers" data-drupal-link-system-path="node/46">Trackers</a> 964 </h3> 965 966 967 968 <ul class="c-main-menu c-main-menu--level-2"> 969 970 <li class="c-main-menu__item"> 971 <a href="/our-work/trackers/public-services-performance-tracker" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/9109">Public Services Performance Tracker</a> 972 973 974 975 976 </li> 977 978 <li class="c-main-menu__item"> 979 <a href="/our-work/trackers/whitehall-monitor" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/9655">Whitehall Monitor</a> 980 981 982 983 984 </li> 985 </ul> 986 987 988 989 990 </div> 991 992 </li> 993 </ul> 994 995 996 997 998 </div> 999 1000 </div> 1001 </div> 1002 </div> 1003 </li> 1004 1005 <li class="c-main-menu__item c-main-menu__item--expanded"> 1006 <a href="/spotlight-on" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/32">Spotlight on</a> 1007 1008 1009 1010 <button class="c-main-menu__expand-sub-nav js-sub-menu-button-next is-level-0" aria-label="Open sub navigation" aria-haspopup="menu" aria-controls="mega-nav-spotlight-on"> 1011 1012 1013<svg class="o-svg o-svg--chevron c-main-menu__chevron"> 1014 1015 <use class="o-svg__use" xlink:href="/themes/custom/ifg/assets/img/symbol/svg/sprite.symbol.svg?v=12.3#chevron"></use> 1016</svg> 1017 </button> 1018 1019 <div class="c-main-menu__mega-nav js-mega-nav" id="mega-nav-spotlight-on"> 1020 <div class="c-mega-nav"> 1021 <div class="c-mega-nav__container o-container"> 1022 1023 <button class="c-mega-nav__previous-button js-sub-menu-button-prev" aria-label="Return to previous menu" aria-controls="mega-nav-spotlight-on"> 1024 1025 1026<svg class="o-svg o-svg--chevron c-main-menu__chevron c-main-menu__chevron--previous"> 1027 1028 <use class="o-svg__use" xlink:href="/themes/custom/ifg/assets/img/symbol/svg/sprite.symbol.svg?v=12.3#chevron"></use> 1029</svg> 1030 1031 <span class="c-mega-nav__previous-button-text">Back</span> 1032 </button> 1033 1034 1035 <div class="c-main-menu__sub-menu-wrapper c-main-menu__sub-menu-wrapper--level-1 js-sub-menu-wrapper-level-1" id="mega-nav-spotlight-on"> 1036 <h3 class="c-main-menu__sub-menu-item-heading"> 1037 <a href="/spotlight-on" data-drupal-link-system-path="node/32">Spotlight on</a> 1038 </h3> 1039 1040 1041 1042 <ul class="c-main-menu c-main-menu--level-1"> 1043 1044 <li class="c-main-menu__item"> 1045 <a href="/andy-burnham-preparations-prime-minister" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/10438">Andy Burnham: The new prime minister</a> 1046 1047 1048 1049 1050 </li> 1051 1052 <li class="c-main-menu__item"> 1053 <a href="/ministers-database" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/9414">IfG Ministers Database</a> 1054 1055 1056 1057 1058 </li> 1059 1060 <li class="c-main-menu__item"> 1061 <a href="/ministers-reflect" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/112">Ministers Reflect</a> 1062 1063 1064 1065 1066 </li> 1067 </ul> 1068 1069 1070 1071 1072 </div> 1073 1074 </div> 1075 </div> 1076 </div> 1077 </li> 1078 1079 <li class="c-main-menu__item"> 1080 <a href="/our-work/research-and-analysis/publications" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/70">Our publications</a> 1081 1082 1083 1084 1085 </li> 1086 1087 <li class="c-main-menu__item c-main-menu__item--expanded"> 1088 <a href="/our-podcasts" class="c-main-menu__item-link o-menu-item-link" data-drupal-link-system-path="node/9151">Our podcasts</a> 1089 1090 1091 1092 <button class="c-main-menu__expand-sub-nav js-sub-menu-button-next is-level-0" aria-label="Open sub navigation" aria-haspopup="menu" aria-controls="mega-nav-our-podcasts"> 1093 1094 1095<svg class="o-svg o-svg--chevron c-main-menu__chevron"> 1096 1097 <use class="o-svg__use" xlink:href="/themes/custom/ifg/assets/img/symbol/svg/sprite.symbol.svg?v=12.3#chevron"></use> 1098</svg> 1099 </button> 1100 1101 <div class="c-main-menu__mega-nav js-mega-nav" id="mega-nav-our-podcasts"> 1102 <div class="c-mega-nav"> 1103 <div class="c-mega-nav__container o-container"> 1104 1105 <button class="c-mega-nav__previous-button
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1749 <div class="c-page-header__bottom"> 1750 <figure class="c-page-header__image"> 1751 <div class="c-page-header__image-wrapper"> 1752 <div class="c-media c-media--image c-media--_6-9"> 1753 1754 <picture> 1755 <source srcset="/sites/default/files/styles/16_9_small_mobile/public/2026-09/andy-burnham-conference-2026-speech-3FMWJM5_1504x846.webp?h=dd1b06b1&itok=PxWU7LM1 1x" media="only screen and (max-width: 480px)" type="image/webp" width="691" height="391"></source> 1756 <source srcset="/sites/default/files/styles/16_9_mobile/public/2026-09/andy-burnham-conference-2026-speech-3FMWJM5_1504x846.webp?h=dd1b06b1&itok=cFER6CHo 1x" media="only screen and (max-width: 767px)" type="image/webp" width="1026" height="577"></source> 1757 <source srcset="/sites/default/files/styles/16_9_tablet/public/2026-09/andy-burnham-conference-2026-speech-3FMWJM5_1504x846.webp?h=dd1b06b1&
1757itok=-GCVjRDM 1x" media="only screen and (max-width: 1017px)" type="image/webp" width="874" height="491"></source> 1758 <source srcset="/sites/default/files/styles/16_9_desktop/public/2026-09/andy-burnham-conference-2026-speech-3FMWJM5_1504x846.webp?h=dd1b06b1&itok=xniY6FZD 1x" media="only screen and (max-width: 1275px)" type="image/webp" width="1044" height="588"></source> 1759 <source srcset="/sites/default/files/styles/16_9_desktop/public/2026-09/andy-burnham-conference-2026-speech-3FMWJM5_1504x846.webp?h=dd1b06b1&itok=xniY6FZD 1x, /sites/default/files/styles/16_9_desktop_2x/public/2026-09/andy-burnham-conference-2026-speech-3FMWJM5_1504x846.webp?h=dd1b06b1&itok=rppl3m7g 2x" media="only screen and (min-width: 1276px)" type="image/webp" width="1044" height="588"></source> 1760 <source srcset="/sites/default/files/styles/16_9_small_mobile/public/2026-09/andy-burnham-conference-2026-speech-3FMWJM5_1504x846.jpg?h=dd1b06b1&itok=PxWU7LM1 1x" media="only screen and (max-width: 480px)" type="image/jpeg" width="691" height="391"></source> 1761 <source srcset="/sites/default/files/styles/16_9_mobile/public/2026-09/andy-burnham-conference-2026-speech-3FMWJM5_1504x846.jpg?h=dd1b06b1&itok=cFER6CHo 1x" media="only screen and (max-width: 767px)" type="image/jpeg" width="1026" height="577"></source> 1762 <source srcset="/sites/default/files/styles/16_9_tablet/public/2026-09/andy-burnham-conference-2026-speech-3FMWJM5_1504x846.jpg?h=dd1b06b1&itok=-GCVjRDM 1x" media="only screen and (max-width: 1017px)" type="image/jpeg" width="874" height="491"></source> 1763 <source srcset="/sites/default/files/styles/16_9_desktop/public/2026-09/andy-burnham-conference-2026-speech-3FMWJM5_1504x846.jpg?h=dd1b06b1&itok=xniY6FZD 1x" media="only screen and (max-width: 1275px)" type="image/jpeg" width="1044" height="588"></source> 1764 <source srcset="/sites/default/files/styles/16_9_desktop/public/2026-09/andy-burnham-conference-2026-speech-3FMWJM5_1504x846.jpg?h=dd1b06b1&itok=xniY6FZD 1x, /sites/default/files/styles/16_9_desktop_2x/public/2026-09/andy-burnham-conference-2026-speech-3FMWJM5_1504x846.jpg?h=dd1b06b1&itok=rppl3m7g 2x" media="only screen and (min-width: 1276px)" type="image/jpeg" width="1044" height="588"></source> 1765 <img loading="eager" width="1044" height="588" class="c-media__image" src="/sites/default/files/styles/16_9_desktop/public/2026-09/andy-burnham-conference-2026-speech-3FMWJM5_1504x846.jpg?h=dd1b06b1&itok=xniY6FZD" alt="Andy Burnham" typeof="foaf:Image"> 1766 1767 </picture> 1768 1769 1770 1771 </div> 1772 1773 1774 </div> 1775 <figcaption class="c-page-header__image-caption"> 1776 Andy Burnham speaking at the Labour Party Conference. 1777 1778 </figcaption> 1779 </figure> 1780 </div> 1781 </div> 1782</header> 1783 1784 1785 1786 <section class="c-abstract o-section"> 1787 <div class="c-abstract__container o-container"> 1788 <div class="c-abstract__inner"> 1789 <p class="c-abstract__body"> Andy Burnham made an impassioned case for adult social care reform in his conference speech, drawing on his family’s own experience and telling care workers help was coming. But despite the rhetoric, the speech risks being another exercise in can kicking, says Stuart Hoddinott. 1790</p> 1791 </div> 1792 </div> 1793 </section> 1794 1795 1796 <section class="c-text-block c-text-block--has-sidebar o-section"> 1797 <article class="c-text-block__container o-container"> 1798 <div class="c-text-block__inner"> 1799 <div class="o-content-from-editor js-wysiwyg"> 1800 <h3>Burnham’s vision is ambitious but vague</h3><p>In his speech, Burnham outlined his goal to establish a ‘National Care Service’ (NCS). This is not new: he was recommitting, if passionately, to a promise set out in Labour’s 2024 manifesto and, even further back, Gordon Brown’s 2010 manifesto.<a class="footnote-number js-footnote-number" id="footnoteref13_zoq51um" title="https://manifesto.deryn.co.uk/wp-content/uploads/2021/04/TheLabourPartyManifesto-2010.pdf " href="#footnoteref13_zoq51um" aria-label="Click to open the footnote."> 1801 <sup>13</sup> 1802</a> 1803 1804<dfn class="footnote-text js-footnote-text"> 1805 <a href="https://manifesto.deryn.co.uk/wp-content/uploads/2021/04/TheLabourPartyManifesto-2010.pdf">https://manifesto.deryn.co.uk/wp-content/uploads/2021/04/TheLabourPartyManifesto-2010.pdf</a> 1806</dfn> 1807 </p><p>Details were slim in both documents, however. To flesh out that offering Wes Streeting, when health secretary, commissioned Louise Casey to run a commission on what form the NCS could take. (That was an odd decision, given that he’d commissioned the Fabians to undertake a similar exercise while in o
1807pposition.)</p><p>The prime minister’s sense of urgency was palpable, but also not new: the government has already asked Casey to report sooner than planned, and begun outlining some workforce reforms – including that pay be more closely matched to NHS staff, and better opportunities for progression, among others.</p><p>The speech and subsequent press release from No.10 provided slightly more detail about what the NCS will eventually entail. The government intends to provide older adults with free personal care – support to carry out daily tasks like dressing, washing and eating – funded through “adjustments” the triple lock on pensions. </p><p>This sounds expansive but still leaves a lot of questions. Free personal care is specifically for older adults, but the government has said nothing about working age adults, who account for a little over 40% of people receiving publicly funded long-term care. The press release rules out free “bed and board” in residential care, meaning that some people may still face enormous costs for care.<a class="footnote-number js-footnote-number" id="footnoteref14_wjk6z2s" title="https://www.gov.uk/government/news/prime-minister-andy-burnham-sets-out-plans-for-a-new-national-care-service" href="#footnoteref14_wjk6z2s" aria-label="Click to open the footnote."> 1808 <sup>14</sup> 1809</a> 1810 1811<dfn class="footnote-text js-footnote-text"> 1812 <a href="https://www.gov.uk/government/news/prime-minister-andy-burnham-sets-out-plans-for-a-new-national-care-service">https://www.gov.uk/government/news/prime-minister-andy-burnham-sets-out-plans-for-a-new-national-care-service</a> 1813</dfn> 1814 In his speech, Burnham said that no one will pay care charges out of their “basic state pension” but does not rule out some kind of co-payment out of other income. Further permutations and options are too numerous to list.</p><p>Crucially, though, Burnham said he will not establish the NCS until after the next general election. That means none of this could start until as late as 2029. That is a mistake.</p><h3>The government should establish the NCS in this parliament and build it further in the next</h3><p>Waiting until after the next election is the wrong decision. It leaves the sector in limbo for another three years, struggling to deal with years of underfunding and decades of neglect by consecutive governments. It will break a manifesto promise (despite others being <a href="https://www.instituteforgovernment.org.uk/comment/burnham-starmer-reeves-tax-lock-manifesto">treated as sacrosanct</a>). Most obviously it means there is no guarantee of an NCS ever being established, as it relies on Labour winning the next election, a far from certain outcome.</p><p>Instead, Burnham should have the courage of his own convictions establish the NCS in this parliament – and build then on it from there. Form should follow function when it comes to new structures in public services: but once Casey provides her final report next year, Burnham should then have no excuse for not having a clear vision for the NCS.</p><p>The newly established NCS need not be the finished article. But the government should give it responsibility for some initial functions that it wants to be in any final version. Those could include things such as: </p><ul style="list-style-type:disc;"><li data-list-item-id="ec3a7a0212eb26b045874cd1dfb7c4af3"><span style="font-family:Symbol;"></span>Workforce planning, data gathering, and some training, responsibility for which currently sits mostly with two charities (Skills for Care and the Social Care Institute for Excellence, SCIE) and s
1814ome with the DHSC</li><li data-list-item-id="e9e91760c566979907ffe8090c0d0a90d"><span style="font-family:Symbol;"></span>Involvement in the Fair Pay Agreement negotiations, the process that the government is establishing to agree pay and conditions for care workers<a class="footnote-number js-footnote-number" id="footnoteref15_wpb05s9" title="https://www.gov.uk/government/consultations/fair-pay-agreement-process-in-adult-social-care/outcome/fair-pay-agreement-process-in-adult-social-care-government-response " href="#footnoteref15_wpb05s9" aria-label="Click to open the footnote."> 1815 <sup>15</sup> 1816</a> 1817 1818<dfn class="footnote-text js-footnote-text"> 1819 <a href="https://www.gov.uk/government/consultations/fair-pay-agreement-process-in-adult-social-care/outcome/fair-pay-agreement-process-in-adult-social-care-government-response">https://www.gov.uk/government/consultations/fair-pay-agreement-process-in-adult-social-care/outcome/fair-pay-agreement-process-in-adult-social-care-g…</a> 1820</dfn> 1821</li><li data-list-item-id="ec4a09e7406e8b026a84186444e608808"><span style="font-family:Symbol;"></span>Standardising the assessment process for adult social care across the country</li><li data-list-item-id="eb051fcc76790cb67a9fe1011e0dec2c1"><span style="font-family:Symbol;"></span>Commissioning of specialist services, where there is limited national demand and therefore provision in local areas</li><li data-list-item-id="e47b83170681507b3907087788022e9e1"><span style="font-family:Symbol;"></span>Supporting improvement across the sector by identifying and spreading best practice, responsibility for which currently sits with SCIE</li></ul><p>Establishing the NCS along these lines would not undermine the government’s ability to expand the organisation’s role later. The government has already said it intends to introduce the NCS “in phases”,<a class="footnote-number js-footnote-number" id="footnoteref16_bsmgpr8" title="https://www.gov.uk/government/news/prime-minister-andy-burnham-sets-out-plans-for-a-new-national-care-service " href="#footnoteref16_bsmgpr8" aria-label="Click to open the footnote."> 1822 <sup>16</sup> 1823</a> 1824 1825<dfn class="footnote-text js-footnote-text"> 1826 <a href="https://www.gov.uk/government/news/prime-minister-andy-burnham-sets-out-plans-for-a-new-national-care-service">https://www.gov.uk/government/news/prime-minister-andy-burnham-sets-out-plans-for-a-new-national-care-service</a> 1827</dfn> 1828 though is waiting until after the election so that it can secure a mandate for adjusting the triple lock. But the proposals laid out above could be relatively cheap and still allow expansion after the 2029 election.</p><p>It would also address real issues in the sector and support the government’s planned workforce reforms. For example, stewardship of the workforce is currently too fragmented and reliant on a charity (Skills for Care) for what is a vital function. </p><p>There is also a potential political benefit. It would allow Labour to claim, correctly, that it has fulfilled a 2024 manifesto commitment and would give Burnham a strong story to tell at the next election, showing progress on what has become a totemic issue for him. It would also safeguard the NCS. If Labour lose the next election, it would be more harder for an incoming government to scrap it, even in nascent form, than to cancel ‘plans’ still little more than a glint in a former prime minister’s eye. </p><p>There is no reason for delay. Burnham has a huge majority and a mandate to establish the NCS from the 2024 manifesto. Rather than waste this parliament – and risk wasting the next one if he loses the election – he should get on and establish the NCS.</p><p> </p><p> </p> 1829 1830 </div> 1831 </div> 1832 1833 </article> 1834 </section> 1835 1836 1837 1838 1839 1840 1841 1842 1843 1844 1845 <section class="c-meta-rows o-section"> 1846 <div class="c-meta-rows__container o-container"> 1847 <dl class="c-meta-rows__inner"> 1848 <div class="c-meta-rows__row"> 1849 <dt class="c-meta-rows__label"> 1850 Topic 1851 </dt> 1852 <dd class="c-meta-rows__items"> 1853 <a href="/search/?topic%5B186%5D=186">Ministers 1854 </a> 1855 </dd> 1856 </div> 1857 <div class="c-meta-rows__row"> 1858 <dt class="c-meta-rows__label"> 1859 Keywords 1860 </dt> 1861 <dd class="c-meta-rows__items"> 1862 <a href="/search/?keyword=Public%20spending%20(457)">Public spending 1863 </a> 1864 <a href="/search/?keyword=Economy%20(212)">Economy 1865 </a> 1866 <a href="/search/?keyword=Health%20(228)">Health 1867 </a> 1868 <a href="/search/?keyword=Social%20care%20(266)">Social care 1869 </a> 1870 <a href="/search/?keyword=Welfare%20(277)">Welfare 1871 </a> 1872 </dd> 1873 </div> 1874 <div class="c-meta-rows__row"> 1875 <dt class="c-meta-rows__label"> 1876 Political party 1877 </dt> 1878 <dd class="c-meta-rows__items"> 1879 <a href="/search/?political_party%5B16%5D=16">Labour 1880 </a> 1881 </dd> 1882 </div> 1883 <div class="c-meta-rows__row"> 1884 <dt class="c-meta-rows__label"> 1885 Administration 1886 </dt> 1887 <dd class="c-meta-rows__items"> 1888 <a href="/search/?administration%5B587%5D=587">Burnham government 1889 </a> 1890 </dd> 1891 </div> 1892 <div class="c-meta-rows__row"> 1893 <dt class="c-meta-rows__label"> 1894 Public figures 1895 </dt> 1896 <dd class="c-meta-rows__items"> 1897 <a href="/search/?people%5B584%5D=584">Andy Burnham 1898 </a> 1899 </dd> 1900 </div> 1901 <div class="c-meta-rows__row"> 1902 <dt class="c-meta-rows__label"> 1903 Publisher 1904 </dt> 1905 1906 <dd class="c-meta-rows__items"> 1907 Institute for Government 1908 </dd> 1909 </div> 1910 1911 </dl> 1912 </div> 1913 </section> 1914 1915 1916</article> 1917 1918 <section class="o-section o-section--has-gradient o-section--has-background">
1919 <div class="o-container"> 1920 <header class="o-section__header"> 1921 <h3 class="o-section__heading">Related content</h3> 1922 </header> 1923 <div class="o-card-container o-card-container--four-per-row"> 1924 1925 1926<article about="/comment/labour-conference-2026-andy-burnham-pass-test-leadership" typeof="schema:Article" class="c-card c-card-- c-card--compact c-card--white"> 1927 <div class="c-card__tag-wrapper"> 1928 <small class="c-card__date o-tag o-tag--white">28 SEP 2026</small> 1929 1930 <small class="c-card__content-type o-tag o-tag--white">Comment</small> 1931 </div> 1932 1933 <div class="c-card__content-wrapper"> 1934 1935 1936 <h3 class="c-card__title"> 1937 <a class="c-card__link" href="/comment/labour-conference-2026-andy-burnham-pass-test-leadership"> 1938 <span property="schema:name" class="field field--name-title field--type-string field--label-hidden">Labour Conference 2026: Will Andy Burnham pass his first test of leadership? </span> 1939 1940 </a> 1941 </h3> 1942 1943 1944 <p class="c-card__description"> 1945 The IfG has identified five key areas where the prime minister can use conference to prove he is serious about delivering change. 1946 1947 </p> 1948 </div> 1949 </article> 1950 1951 1952 1953 1954 1955<article about="/podcast/inside-briefing/burnham-goes-big" typeof="schema:Article" class="c-card c-card-- c-card--compact c-card--white"> 1956 <div class="c-card__tag-wrapper"> 1957 <small class="c-card__date o-tag o-tag--white">30 SEP 2026</small> 1958 1959 <small class="c-card__content-type o-tag o-tag--white">Podcast</small> 1960 </div> 1961 1962 <div class="c-card__content-wrapper"> 1963 1964 1965 <h3 class="c-card__title"> 1966 <a class="c-card__link" href="/podcast/inside-briefing/burnham-goes-big"> 1967 <span property="schema:name" class="field field--name-title field--type-string field--label-hidden">Burnham goes big: What difference does it make?</span> 1968 1969 </a> 1970 </h3> 1971 1972 1973 <p class="c-card__description"> 1974 Claire Ainsley and Sophie Stowers join us in the IfG's pop-up studio in Liverpool to share their instant reaction to the PM's big conference speech. 1975 1976 </p> 1977 </div> 1978 </article> 1979 1980 1981 1982 1983 1984<article about="/publication/better-incapacity-benefits" class="c-card c-card-- c-card--compact c-card--white"> 1985 <div class="c-card__tag-wrapper"> 1986 <small class="c-card__date o-tag o-tag--white">24 SEP 2026</small> 1987 1988 <small class="c-card__content-type o-tag o-tag--white">Report</small> 1989 </div> 1990 1991 <div class="c-card__content-wrapper"> 1992 1993 1994 <h3 class="c-card__title"> 1995 <a class="c-card__link" href="/publication/better-incapacity-benefits"> 1996 <span class="field field--name-title field--type-string field--label-hidden">Designing better incapacity benefits</span> 1997 1998 </a> 1999 </h3> 2000 2001 2002 <p class="c-card__description"> 2003 Personalising benefits and support is key to helping disabled people into work. 2004 2005 </p> 2006 </div> 2007 </article> 2008 2009 2010 2011 2012 2013<article about="/comment/think-tank-no10-strategic" typeof="schema:Article" class="c-card c-card-- c-card--compact c-card--white"> 2014 <div class="c-card__tag-wrapper"> 2015 <small class="c-card__date o-tag o-tag--white">23 SEP 2026</small> 2016 2017 <small class="c-card__content-type o-tag o-tag--white">Comment</small> 2018 </div> 2019 2020 <div class="c-card__content-wrapper"> 2021 2022 2023 <h3 class="c-card__title"> 2024 <a class="c-card__link" href="/comment/think-tank-no10-strategic">
2025 <span property="schema:name" class="field field--name-title field--type-string field--label-hidden">A Downing Street think tank would not make No.10 strategic </span> 2026 2027 </a> 2028 </h3> 2029 2030 2031 <p class="c-card__description"> 2032 Is Morgan McSweeney right to claim that it is impossible for No.10 to think big? 2033 2034 </p> 2035 </div> 2036 </article> 2037 2038 2039 2040 </div> 2041 </div> 2042</section> 2043 2044 2045 2046 2047 2048 2049 <div class="u-clear"></div> 2050 </div> 2051 2052</main> 2053 2054 2055<footer class="c-footer"> 2056 <div class="c-footer__container o-container"> 2057 <div class="c-footer__top"> 2058 <div class="c-footer__logo-container"> 2059 <a href="/" class="c-footer__logo" title="Return to the homepage"> 2060 2061 2062<svg class="o-svg o-svg--ifg-logo"> 2063 2064 <use class="o-svg__use" xlink:href="/themes/custom/ifg/assets/img/symbol/svg/sprite.symbol.svg?v=12.3#ifg-logo"></use> 2065</svg> 2066 </a> 2067 </div> 2068 2069 <nav role="navigation" aria-labelledby="block-ifg-footer-menu" id="block-ifg-footer" class="c-footer__links-container block block-menu navigation menu--footer"> 2070 2071 <h2 class="visually-hidden" id="block-ifg-footer-menu">Footer menu</h2> 2072 2073 2074 2075 <ul class="c-footer__menu"> 2076 <li class="c-footer__menu-item"> 2077 <a class="c-footer__menu-item-links" href="/about-us">About us</a> 2078 </li> 2079 <li class="c-footer__menu-item"> 2080 <a class="c-footer__menu-item-links" href="/contact-us">Contact us</a> 2081 </li> 2082 <li class="c-footer__menu-item"> 2083 <a class="c-footer__menu-item-links" href="/privacy-policy">Privacy</a> 2084 </li> 2085 <li class="c-footer__menu-item"> 2086 <a class="c-footer__menu-item-links" href="/accessibility-policy">Accessiblility</a> 2087 </li> 2088 <li class="c-footer__menu-item"> 2089 <a class="c-footer__menu-item-links" href="/ai-use">AI use at the IfG</a> 2090 </li> 2091 <li class="c-footer__menu-item"> 2092 <a class="c-footer__menu-item-links" href="/about-us/careers">Careers</a> 2093 </li> 2094 <li class="c-footer__menu-item"> 2095 <a class="c-footer__menu-item-links" href="/about-us/media-centre">Media centre</a> 2096 </li> 2097 <li class="c-footer__menu-item"> 2098 <a class="c-footer__menu-item-links" href="/about-us/partnerships">Partner with us</a> 2099 </li> 2100 </ul> 2101 2102 2103 2104 </nav> 2105 2106 </div> 2107 2108 <div class="c-footer__bottom"> 2109 <div class="c-footer__copyright-container"> 2110 <p class="c-footer__copyright">© 2026 Institute for Government 2111 | Design and development by 2112 <a href="https://soapbox.co.uk" target="_blank">Soapbox</a> 2113 </p> 2114 2115 <p class="c-footer__credit">The Institute is a company limited by guarantee registered in England and Wales 2116 No. 6480524 2117 Registered 2118 Charity No. 1123926 </p> 2119 </div> 2120 2121 <nav class="c-social-links c-social-links--footer" aria-label="Links to social media channels"> 2122 2123 <a class="c-social-links__link" title="Visit IfG Bluesky profile" href="https://bsky.app/profile/instituteforgovernment.org.uk" target="_blank"> 2124 2125 2126<svg class="o-svg o-svg--bluesky"> 2127 2128 <use class="o-svg__use" xlink:href="/themes/custom/ifg/assets/img/symbol/svg/sprite.symbol.svg?v=12.3#bluesky"></use> 2129</svg> 2130 <span class="visually-hidden">Bluesky profile</span> 2131 </a> 2132 2133 2134 <a class="c-social-links__link" title="Visit IfG LinkedIn profile" href="https://www.linkedin.com/company/institute-for-government" target="_blank"> 2135 2136 2137<svg class="o-svg o-svg--linkedin"> 2138 2139 <use class="o-svg__use" xlink:href="/themes/custom/ifg/assets/img/symbol/svg/sprite.symbol.svg?v=12.3#linkedin"></use> 2140</svg> 2141 <span class="visually-hidden">LinkedIn profile</span> 2142 </a> 2143 2144 <a class="c-social-links__link" title="Visit IfG YouTube profile" href="https://www.youtube.com/user/instituteforgov" target="_blank"> 2145 2146 2147<svg class="o-svg o-svg--youtube"> 2148 2149 <use class="o-svg__use" xlink:href="/themes/custom/ifg/assets/img/symbol/svg/sprite.symbol.svg?v=12.3#youtube"></use> 2150</svg>
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