Unpacking the care‐related quality of life effect of England's publicly funded adult social care. A panel data analysis
2025

Understanding the Impact of Adult Social Care on Quality of Life in England

Sample size: 332859 publication 10 minutes Evidence: high

Author Information

Author(s): Andrea Salas‐Ortiz, Francesco Longo, Karl Claxton, James Lomas

Primary Institution: Centre for Health Economics, University of York

Hypothesis

How does expenditure on Adult Social Care (ASC) affect the care-related quality of life (CRQoL) of users in England?

Conclusion

Increased expenditure on Adult Social Care significantly improves the care-related quality of life for users, particularly benefiting younger users and those receiving community-based care.

Supporting Evidence

  • ASC expenditure improves CRQoL for both new and existing users.
  • Users aged 18-64 without learning disabilities benefit the most from ASC expenditure.
  • Control over daily life, occupation, and social participation are the most improved CRQoL domains.
  • ASC expenditure positively impacts user satisfaction and health outcomes.

Takeaway

This study shows that spending more on social care helps people feel better and live more independently, especially younger adults and those who get help at home.

Methodology

The study used panel data instrumental variable methods to analyze survey data on ASC service users from 2014/15 to 2019/20.

Potential Biases

The survey population may under-represent certain user groups, including those receiving specific types of support.

Limitations

The study's estimates for new users are based on extrapolation due to a lack of data on individuals not receiving long-term support.

Participant Demographics

The study included users aged 18 and older receiving long-term support, with a focus on those with and without learning disabilities.

Statistical Information

P-Value

p<0.01

Statistical Significance

p<0.01

Digital Object Identifier (DOI)

10.1002/hec.4907

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