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Free Home Care
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    • Iain Coleman
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  • Iain Coleman
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  • Support the Motion
  • Sign the Petition
  • Meet the Team

Free Home Care: Social care support provided free at the point of need.

Free Home Care: Social care support provided free at the point of need.Free Home Care: Social care support provided free at the point of need.Free Home Care: Social care support provided free at the point of need.

Our vision is a National Care Service that places social care on the same level as the NHS, with free home care at its heart.

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The Campaign for Free Home Care

In memory of Iain Coleman MP

Vision

Our vision is for a National Care Service with free home care at its heart, placing social care on an equal footing with the NHS. We believe that home care should not be viewed simply as a private act of love performed by families, but as a collective responsibility that we all share.

Inspiration

Just as Aneurin Bevan drew inspiration for the NHS from the successful local model of the Tredegar Medical Aid Society in his hometown of Tredegar, we similarly look to the pioneering free home care model established in Hammersmith & Fulham in 1991 by the late Iain Coleman MP, alongside Dame Sally Powell and Stephen Burke, as a guiding example for our vision of social care.

Outcomes

The outcomes in Hammersmith & Fulham speak for themselves: 


  • The latest figures show that 7.5 people per 1,000 receive home care — the highest rate of any London borough. 
  • Adult Social Care Outcomes Framework data shows that the borough had the 4th lowest number of residents living in care homes of all local authorities in 2024–2025. 
  • Discharge outcomes are particularly strong, with the borough consistently ranking highly for the number of individuals remaining at home 91 days after hospital discharge — ranking 5th nationally in 2023–2024. 
  • Home care also reduces reliance on more costly forms of support such as hospital beds or residential care. In 2026–2027, only 16% of the borough’s £123 million adult social care budget was allocated to free home care, compared with 33% allocated to residential care, despite the relatively low number of residents living in care homes.

Legacy

Baroness Casey made the powerful observation that social care, unlike the NHS or the benefits system, has never had its own “creation moment” — no founding settlement, no defining national mission, and no equivalent of 1948. 


At the same time, many people across the country are frustrated by the pace and scale of national change and are looking for bold yet pragmatic ideas that can transform everyday life. 


We believe that establishing a National Care Service, with free home care at the point of need at its heart and support for co-operative models of provision that put people before profit, could create a modern Bevan-style legacy - delivering the transformational change in social care that people are seeking.

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    Let's Be Sociable

    PROMOTES FAIRNESS AND SOCIAL JUSTICE

    Disability, dementia, illness, and frailty should be treated as shared social risks, not individual financial liabilities. We do not means-test medical care, so why do we means-test help with basic health care such as washing, dressing, drinking, and eating?


    MAINTAINS INDEPENDENT LIVING

    Home care aligns with most people’s preference for maintaining autonomy and ageing well in their own homes surrounded by family, friends, and familiarity, rather than in institutions.


    MAKES ECONOMIC SENSE

    Preventative home care reduces falls, infections, dehydration, malnutrition, and physical and mental decline. It decreases ambulance call-outs, hospital admissions, delayed discharges, and readmissions. It’s also significantly cheaper than hospital beds and residential care.


    SUPPORTS UNPAID CARERS

    Home care supports unpaid carers, who are the invisible backbone of the system and save the public purse billions of pounds each year. It reduces the risk of burnout, income loss, and ill health among carers, enabling families to sustain informal care arrangements and remain economically active. 


    INTEGRATES HEALTH AND SOCIAL CARE

    When home care is unaffordable, unavailable, or rationed, the NHS bears the consequences through increased hospital admissions, delayed discharges, and readmissions. This highlights the urgent need for an effective National Care Service that works alongside and supports the NHS.

    EMBRACES CURRENT SOCIAL AND TECHNOLOGICAL TRENDS

    Advances in assistive technology, telecare, and artificial intelligence are creating new opportunities for a major expansion of home-based support.


    BUILDS ON EXISTING SOCIAL CARE INNOVATIONS

    Free home care complements home-based care innovations already being developed across the UK. These include meals-on-wheels services, Shared Lives schemes, technology-enabled care, telecare, AI-supported social care tools, Hospital at Home programmes, integrated neighbourhood health teams, and age-friendly neighbourhoods.


    DRIVES LOCAL ECONOMIC GROWTH

    A universal home care system would create skilled, community-based employment and support job creation in domiciliary care and related roles in every town, city, village, hamlet, and homestead in the country. 


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    Our Motion for Free Home Care

    In memory of Iain Coleman MP, this Conference calls on the Labour Government, in light of the imminent Casey Commission Report on Adult Social Care, to commit to a national policy of free home care at the point of need as a key building block of the National Care Service and to support provision through co-operative models of social care.

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