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Cost of social care. Aibu

304 replies

Onlyifyouknewthetruth2026 · 19/10/2026 15:15

My son gets overnight respite 2 nights a month. Not a great amount but still respite. I have attached a pic showing the annual cost which is alot. Just for reference.

Got me thinking about social care and money.
With a aging population and more calls for social care no wonder it's on its knees
Im curious what others think about the cost.

Cost of social care. Aibu
OP posts:
SupernaturalAddict · 19/10/2026 20:59

Cheese55 · 19/10/2026 20:55

The assisted d bill is about people who have 6 months left to live and a terminal illness. It's nothing to do with disabled people, conflating the 2 means stopping people from dieing without pain.

Canada and the Netherlands allow euthanasia for those with disabilities. I believe/ think that they've both expanded the criteria after it was initially allowed.

Cheese55 · 19/10/2026 20:59

Jellycatspyjamas · 19/10/2026 20:18

The vast majority of disabled people aren’t getting £1m packages, they’re having personal budgets cut leaving them housebound , they’re unable to access education because specialist provision has been decimated, they’re reliant on parents caring for them well beyond their capacity to do so.

Childrens services can’t find safe placements for children who are unsafe at home. Yes there’s a financial cost that needs consideration but there’s a very real human cost in cutting services, and those chickens are coming home to roost - as every professional I know predicted they would.

The more severely disabled will always be looked after thankfully, and they are the ones with the expensive packages of care costing thousands just to keep them safe and those around them safe.

CurdinHenry · 19/10/2026 20:59

The answer is collective care plus (for those with capacity) assisted dying. Neither will ever happen. Hope I die before I get old etc.

Pallaska · 19/10/2026 20:59

@ExtraHotDoubleShot they existed you just didn't encounter them.

Watch The Silent Minority, 1981. There are some parts on Youtube.

- YouTube

Enjoy the videos and music that you love, upload original content and share it all with friends, family and the world on YouTube.

https://www.youtube.com/watch?v=O4eqzf_e4u4

CurdinHenry · 19/10/2026 21:00

Cheese55 · 19/10/2026 20:59

The more severely disabled will always be looked after thankfully, and they are the ones with the expensive packages of care costing thousands just to keep them safe and those around them safe.

I mean tell that to the kids thrown off the Tate and into a crocodile pit

Nottodaybob · 19/10/2026 21:00

ExtraHotDoubleShot · 19/10/2026 20:26

Evidence of what? Have the million daily posts on anxious teens that bully their parents escaped your attention? Or the fact there were no non verbal autistic children when you were a kid? There are no up to date statistics. Those will take time to come through. But what’s happening is obvious.

There were non verbal children when I was a child, silly to suggest that there weren't.

And anxious teens aren't receiving the type of help we are discussing here, if they receive any help at all.

There are however more children surviving than would have previously - the ones severely premature or who have had strokes or other severe trauma at birth or shortly after. That is increasing the numbers of disabled children.

Anyahyacinth · 19/10/2026 21:01

SupernaturalAddict · 19/10/2026 20:56

I thought the National care service was only for the elderly? I've seen quite a few charity posts on sm criticing not including adult care.

Phased roll out proposed starts with elderly but is intended for all.

I've no time for we cant afford thing when we spend so much propping up private care / companies ...we need to take the profits away ...they haven't led to better care ony price gouging

ThePieceHall · 19/10/2026 21:01

Jellycatspyjamas · 19/10/2026 20:18

The vast majority of disabled people aren’t getting £1m packages, they’re having personal budgets cut leaving them housebound , they’re unable to access education because specialist provision has been decimated, they’re reliant on parents caring for them well beyond their capacity to do so.

Childrens services can’t find safe placements for children who are unsafe at home. Yes there’s a financial cost that needs consideration but there’s a very real human cost in cutting services, and those chickens are coming home to roost - as every professional I know predicted they would.

I’m a single adopter of two. My elder child has nearly broken me. My youngest is coming close. My eldest is in a specialist residential college for their specific and primary disability. It’s only a 35-week placement. I’m expected to ‘house’ in the holidays, even though it’s extremely challenging and actually I don’t have any legal responsibility any more as they are an adult. My local authority has offered me six hours of respite for the whole of half-term. They presented it to me like it was the biggest gift ever. My eldest has nowhere else to go as literally no one else would have them. I had to phone the emergency duty team a few weeks back, when my youngest assaulted me and the social worker who FINALLY called me back shared with me that my local authority is paying £17K a week to accommodate a child presenting with the same complex needs as my youngest. Anyway, I’m very grateful to the government for the £86 a week in Carer’s Allowance.

StinkyFarts · 19/10/2026 21:03

What about children like my nephew who will never have any “quality of life?”. No amount of therapy will
help him walk, talk, eat unaided, see. I’m not sure the purpose is in keeping him alive. I don’t know if he’s in constant pain. Possibly.

But no one wants to have that conversation.

Anyahyacinth · 19/10/2026 21:04

Nottodaybob · 19/10/2026 21:00

There were non verbal children when I was a child, silly to suggest that there weren't.

And anxious teens aren't receiving the type of help we are discussing here, if they receive any help at all.

There are however more children surviving than would have previously - the ones severely premature or who have had strokes or other severe trauma at birth or shortly after. That is increasing the numbers of disabled children.

Austerity is seeing to that our improvements in infant mortality are stalling and falling behind other parts of the world.
Corridor care is leading to unexpected excess deaths. There is already a kind of cull happening our Emergency Service Drs have given weekly numbers for deaths that shouldn't have happened. See also maternity service scandals

CurdinHenry · 19/10/2026 21:05

StinkyFarts · 19/10/2026 21:03

What about children like my nephew who will never have any “quality of life?”. No amount of therapy will
help him walk, talk, eat unaided, see. I’m not sure the purpose is in keeping him alive. I don’t know if he’s in constant pain. Possibly.

But no one wants to have that conversation.

There's a haunting short story about someone dying and discovering that they have to experience life as every single human being before they get to ascend to heaven. I often wonder how differently people would think about uncontrolled suffering if they knew this to be so.

Jellycatspyjamas · 19/10/2026 21:05

I hear you @ThePieceHall adopter of 2 here too - and the lack of support absolutely drives the breakdown of adoption costing hundreds of thousands of pounds more than giving the right support when cracks started to show.

likelysuspect · 19/10/2026 21:05

Owninterpreter · 19/10/2026 20:47

You know there are only 36 children that have million pound placements and the children's commissioner classes them as illegal.

Its not 5% of the population.

Its not even 5% in a special school, let alone high cost placements.

What do you mean by 36 children? Under what service?

There are 3 children in my service alone (out of nearly 600) who have residential settings (not LD/physical disability, not a residential school) who have million pound placements.

Two are well over 20k a week, the other is 19k. We have plenty more in the teens per week.

Jellycatspyjamas · 19/10/2026 21:07

StinkyFarts · 19/10/2026 21:03

What about children like my nephew who will never have any “quality of life?”. No amount of therapy will
help him walk, talk, eat unaided, see. I’m not sure the purpose is in keeping him alive. I don’t know if he’s in constant pain. Possibly.

But no one wants to have that conversation.

What conversation? That his life should be ended? By whom?

Nottodaybob · 19/10/2026 21:08

StinkyFarts · 19/10/2026 21:03

What about children like my nephew who will never have any “quality of life?”. No amount of therapy will
help him walk, talk, eat unaided, see. I’m not sure the purpose is in keeping him alive. I don’t know if he’s in constant pain. Possibly.

But no one wants to have that conversation.

It's difficult because it's talking about thee intrinsic value of a human being - is there value to someone simply being alive, or does quality of increase their value? Is it quality of life or how much value they may bring to society?

A very, very difficult conversation, and I'm not 100% sure what side of the fence I'm on taking in to consideration my experience of the care systems, my religious and moral beliefs and my personal experience.

CurdinHenry · 19/10/2026 21:08

Jellycatspyjamas · 19/10/2026 21:07

What conversation? That his life should be ended? By whom?

Nobody but that means perhaps years of shrieking in the dark, unheard.

Cheese55 · 19/10/2026 21:09

CurdinHenry · 19/10/2026 21:00

I mean tell that to the kids thrown off the Tate and into a crocodile pit

Those are not the people we're talking about. I knew of a person who wouldn't ever be allowed into a public space he was so violent.

Cheese55 · 19/10/2026 21:14

Anyahyacinth · 19/10/2026 21:01

Phased roll out proposed starts with elderly but is intended for all.

I've no time for we cant afford thing when we spend so much propping up private care / companies ...we need to take the profits away ...they haven't led to better care ony price gouging

The problem is, because a LA treats it's staff better with proper sick pay, maternity etc etc, it's more expensive for LAs to provide the care in house. It was Thatcher who started to close all that down and let the private sector do it on the cheap, but they do it by treating their workers badly.

CurdinHenry · 19/10/2026 21:15

Cheese55 · 19/10/2026 21:09

Those are not the people we're talking about. I knew of a person who wouldn't ever be allowed into a public space he was so violent.

Why aren't we talking about them?

Nottodaybob · 19/10/2026 21:19

likelysuspect · 19/10/2026 21:05

What do you mean by 36 children? Under what service?

There are 3 children in my service alone (out of nearly 600) who have residential settings (not LD/physical disability, not a residential school) who have million pound placements.

Two are well over 20k a week, the other is 19k. We have plenty more in the teens per week.

That's the figure the children's commission have published. 36 are £1million placements. 3 in your service. None in mine. Probably evens out in the 150 odd authorities.

Nottodaybob · 19/10/2026 21:20

CurdinHenry · 19/10/2026 21:15

Why aren't we talking about them?

Because their care packages are fairly average in cost.

Pollyanna87 · 19/10/2026 21:20

The cost of social care is one of the reasons why cousin marriage needs to be banned.

likelysuspect · 19/10/2026 21:22

Nottodaybob · 19/10/2026 21:19

That's the figure the children's commission have published. 36 are £1million placements. 3 in your service. None in mine. Probably evens out in the 150 odd authorities.

What sort of placements?

I can tell you now there are far far more in the UK than this!

These 3 were made in the last month or so in any case. Ive had many in the past 4 or 5 years just in my team

My service is not the entire cohort in my LA in any case, we are just one area of it.

CurdinHenry · 19/10/2026 21:22

It's awful how many people are dying because the NHS can't afford cutting edge care so bespoke million pounds a year care packages rumble on

likelysuspect · 19/10/2026 21:24

Nottodaybob · 19/10/2026 21:19

That's the figure the children's commission have published. 36 are £1million placements. 3 in your service. None in mine. Probably evens out in the 150 odd authorities.

You've misunderstood the figures. Ive just looked it up

These are unregistered placements which also happen to cost over 20k a week

There are far far more children in registered placements which cost over 20k a week. Not just 36

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