12 April 2025
The government’s increase in the rate of employer National Insurance Contributions (NICs) from 13.8% to 15% came into effect at the weekend. As a result, the care sector, like many others, is facing detrimental financial pressures in trying to provide a high-quality care service. Our overall staff costs are projected to rise by at least 9%, thanks to the number of part-time staff we have and the low level of pay in the sector. We provide a regulated service based very heavily on personal interaction, so we can’t simply reduce staffing levels. Many care workers are at or close to minimum wage, so there’s no way to mitigate the increases by negotiating a lower pay rise. Providers would love the opportunity to pay their staff more, as they deserve it, but it simply cannot be budgeted for. These cost increases impact both self-funders and services contracted by local authorities or the NHS. For those paying for their own care this is leading to higher than normal price increases of 8% to 10%. This may be an unmanageable burden for some. Where the local authority or the NHS is the customer, we have no control over prices and the vast majority are unwilling or unable to cover the increased costs. The UK government has chosen not to provide local authorities with sufficient funds to cover the NIC increases for care that they commission – although they have where the care is provided in house. As a result, care providers who deliver care to the most vulnerable on behalf of local authorities are facing potentially existential challenges. The Care Association Alliance is urging the government to fix these funding shortfalls so that local authorities can properly support care providers. We urge HM Treasury to redress the unfairness and ensure that local authorities are able to support providers, and we call on the Department for Health and Social Care and the Ministry for Housing, Communities and Local Government ensure that this funding is passed on.