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Appendix 3 ASCH - 16.12.2025

Committee report · Cabinet · Tue 16 Dec 2025 · East Sussex County Council · agenda item 42

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This report summarises progress on Council Priorities for Adult Social Care and Health in Quarter 2 of 2025/26. p1

The Care Quality Commission inspected the Council's adult social care services in 2025 and rated them 'good', highlighting collaboration with people who use the services as a strength. p2

The net Adult Social Care and Safer Communities budget for 2025/26 is £285.747m, and the forecast outturn is £294.787m, an overspend of £9.040m, largely relating to the Independent Sector. p7

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  • p1Adult Social Care and Health – Q2 2025/26 Summary of progress on Council Priorities, issues arising, and achievements
  • p2Adult Social Care (ASC) Care Quality Commission inspection The Care Quality Commission (CQC) inspected the Council earlier in 2025 and have now given a positive assessment of our adult social care services, recognising our commitment to providing the best possible support for residents. Giving the Council a rating of ‘good’, the CQC highlighted the collaboration with those using the service as a ‘real strength’. Their report was based on an inspection and feedback from residents and partners. It found our workforce to be knowledgeable and passionate, supported by a strong leadership team. The CQC recognised the efforts of staff to provide care and support that was person-centred through services that were easy to access. They found that effective systems, processes and practices are in place to ensure people are protected from abuse and neglect, strengthened by the ethos that safeguarding was “everyone’s business” which inspectors found to be embedded across the local authority. The CQC's chief inspector of adult social care and integrated care, said: "What really stood out was how people felt listened to and treated with dignity. The staff at East Sussex should be really pleased with their good rating and the services they're providing to people in the county." Demand for care and support services In accordance with the Care Act 2014, ASC commission and provide a range of services to support adults and older people across East Sussex. There is an increasing complexity of need amongst people accessing support, with demand for services exceeding pre-pandemic levels and continuing to increase. Some examples include: · There has been an 7.1% increase in activity (Appearance of Need Tool, assessments, reviews, other statutory work, and safeguarding episodes) completed in 2025 (up to end of September) compared to the same period in 2024, and a 12.7% increase on the same period in 2023.
  • p7The pilot was supported by strong collaboration between the Council, Active Rother, Active Sussex and East Sussex Healthcare Trust. Baton of Hope On Tuesday 23 September 2025 the Baton of Hope Tour came to Hastings. The Baton of Hope is a charity with a vision to inspire a society where suicide and suicide prevention are openly and widely discussed, with the tour visiting 20 locations across England to raise awareness of suicide and to offer hope through action. In Hastings, 43 people with lived experience of suicide carried the baton around Hastings and St Leonard’s. The event was co-ordinated by Men’s Room Hastings and St Leonard’s Community Interest Company and Hastings Voluntary Action, supported by the Council. Revenue Budget Summary ASC and Safer Communities The net ASC and Safer Communities budget of £285.747m for 2025/26 includes a 4% inflationary uplift of £10.724m to support the care market across the Independent Sector. This uplift is in addition to £9.626m to fund growth and demographic pressures and service demands, with the costs of the increases being partially funded by £7.515m raised through the 2% ASC Care Precept. The department has savings targets of £7.420m for 2025/26. The net forecast ASC outturn for 2025/26 is £294.787m, which is an overspend of £9.040m. This largely relates to the Independent Sector, where the overspend is £8.862m. This is due to an increase in demand compared to Q4 2024/25 and periods before, which informed the modelling for 2025/26 and therefore would not have captured the 7.4% growth in demand. More people are being supported but at a lower average cost compared to Q4 2024/25 (a decrease of 3.5%) because we are working closely with the market, being prudent with packages of support and reviewing more people. There is an overspend in Directly Provided Services of £0.178m due to staffing cost pressures, increasing costs and demand for equipment services to support people in their homes.

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