Across the UK, local authorities are facing similar pressures, regardless of their size or level of wealth. These include ageing populations, stalled or declining healthy life expectancy, widening inequality, delayed access to home ownership, and a range of other challenges affecting daily life. At the same time, demand for health and social care is rising, public sector staff are leaving, and budget reductions are looming – making it increasingly difficult to respond to current community needs, let alone building resilience to future challenges.
In 2013/14, local authority budgets allocated around half of spending to children’s and adult social care (16% to children’s and 36% to adult social care). By 2023/24, this had risen to about two-thirds (with 22% to children’s care and 39% to adult social care). However, even this level of investment does not meet the actual demand, which continues to exceed available funding.
Given this context, the environments we create become more and more important. Any opportunity to support the health of our populations and prevent, reduce or delay reliance on clinical intervention and social care should be considered essential, and given exceptional weight in the planning balance.

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