Almost 300,000 people are currently on waiting lists
The Association of Directors of Adult Social Services (ADASS) has found that around 600 people are joining an ever-growing waiting list each day to be assessed for care and support in England. The ADASS survey also found that 294,449 are currently waiting for their first care and support assessment. This has increased by 90,000 in the last five months. Furthermore, 25% (73,792) have been waiting for more than six months to be assessed. If the waiting list continues to increase at the current rate there will be 400,000 on the waiting list by November this year. This would be double the size of the waiting list compared to November 2021. This would result in more people waiting for six months or longer to receive an assessment putting more vulnerable people at serious risk of not receiving the care they need.
Those assessed are still waiting for social care to begin
Of those that have been assessed for care and support in England, 37,447 of those that have been assessed as needing social care have been waiting for the service to begin or for their first direct payment. In addition, it has been found that 210,106 people that have received a payment or services were overdue for a review in accordance with the Care Act. In total 543,002 people have either been waiting for an assessment, review, start of a service, or direct payment. This has increased by 37% compared to November 2021.
Delays are affecting vulnerable people and adult social care
These findings have shown that adult social care is deteriorating and those that are in desperate need of care are being left uncertain and at risk. Not only is this putting vulnerable people at risk, but adult social care as a whole. These long waiting lists are contributing to low occupancy levels across the sector which is impacting operators, leading to some closing their doors.
How can we help?
At Hawsons our dedicated team of specialist accountants and tax advisors offer a wealth of experience in the care sector including residential homes, nursing homes and other specialist care services.
Our in-depth knowledge and understanding of the sector is applied and we work closely with our clients, ensuring that changes in the care sector are recognised promptly and appropriate strategies implemented and actions taken. We recognise that no two homes are the same.
We have extensive experience in providing clients with the required support and advice from the initial acquisition and investment structures, reducing future taxation and enhancing tax relief opportunities.
More from our care sector experts
You can also find all of our latest care sector news and newsletters here.
If you are looking for advice in a particular area, please get in touch with your usual Hawsons contact.
Alternatively, we offer all new clients a free initial meeting to have a discussion about their own personal circumstances – find out more or book your free initial meeting here. We have offices in Sheffield, Doncaster and Northampton.
Related news
Government Brings Forward Changes to Charity Tax Relief Rules from April 2026
slb@hawsons.co.uk Charity trustees are accustomed to navigating an evolving regulatory environment. While most legislative updates do not alter the day-to-day work of a charity, trustees still need to understand what is changing and whether it affects their...
Why DSARs are Challenging in the Healthcare Sector
matt@bruceandbutler.com ss@hawsons.co.uk Data Subject Access Requests (DSARs) arrive more frequently than many healthcare organisations expect, from both patients and employees. On the surface, a DSAR sounds straightforward. An individual asks for a copy of their...
Managing Payroll Across Multiple Care Homes
ss@hawsons.co.uk Expanding from one care home to several is an exciting milestone for many operators. Growth often happens through acquisition, particularly when independent homes come onto the market. Many successful care providers reach a point where they operate...






