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Baroness Casey launches the Big Conversation on Care with the public

BARONESS CASEY LAUNCHES THE BIG CONVERSATION ON CARE WITH THE PUBLIC

Baroness Casey of Blackstock has today (29 July) launched The Big Conversation on Care, the most ambitious public conversation in a generation, handing the public a direct role in shaping the future of adult social care in England.

Between now and April 2027, The Big Conversation will give people across England the opportunity to say what they want and expect from a future National Care Service, including on the tough questions on who it should support, what families should reasonably be expected to do, and how the country should pay for care in a fair and sustainable way.

The launch follows warnings from Baroness Casey that the adult social care system is “broken”, and that previous attempts to reform social care have too often failed because they have tried to resolve fundamental questions without first building public understanding and consent.

Baroness Casey of Blackstock said:

“For too long, we have been stuck in the same cycle: crisis, promises of reform, another review, and then retreat, while the people who need care, and their families, bear the brunt.

“Social care affects every family in this country: whether we need care ourselves, care for someone we love, work in care, or pay for it through our taxes.

“That’s why I am launching The Big Conversation on Care today. I want people across England to help us face the hard questions about how we can build a National Care

Service. It is only by listening to the public that we can build the agreement needed for lasting reform.”

The Big Conversation will aim to engage with one million people across England. It is open to everyone through a new online platform which has launched today at caseycommission.co.uk/bigconversation/, starting the conversation by asking people: when we are old or disabled, or have a serious illness, who should support us and how?

The Big Conversation will conclude by April 2027. Baroness Casey has agreed to provide the Independent Commission’s recommendations by summer 2027.

Notes to editors

  • The Big Conversation on Care will be delivered by Baroness Louise Casey as part of the Independent Commission on Adult Social Care.
  • The public can take part through a new online platform from today caseycommission.co.uk/bigconversation/
  • The Big Conversation will run in two phases. The first phase of the conversation, from July to November, will ask people about the values and principles we should all expect from a care system and who should be eligible for support. The second will focus on how care should be funded and how reform should be delivered.
  • For media enquiries on the Independent Commission please email enquiries@caseycommission.co.uk.
  • In March, Baroness Casey recommended the Government take six immediate actions on dementia, motor neurone disease and adult safeguarding due to the urgency of the reform needed in these areas. Her recommendations can be found here: https://caseycommission.co.uk/wp-content/uploads/2026/03/Baroness-Casey-letter-to-Rt-Hon-Wes-Streeting-MP-March-2026.pdf
  • For media enquiries on the Independent Commission’s Terms of Reference or the Government’s response to the Commission and its recommendations, please email DHSC at press.office@dhsc.gov.uk.