02/06/2026
What’s really stopping Adult Social Care Direct Payments uptake?
We recently brought together councils from across the country to discuss what’s happening with Direct Payments in practice - and the conversations were incredibly honest.
Confidence was repeatedly raised. Not just practitioner confidence, but confidence across the wider system - confidence in processes, local support options, flexibility, and having better conversations earlier.
Councils also spoke openly about:
• The ongoing pull back towards “time and task” models
• How difficult outcomes-focused practice can be to embed consistently
• Variation between teams
• Local market and supply pressures
• Direct Payments still being introduced too late in the journey
The strongest takeaway was that the future of Direct Payments is about far more than process. It’s about creating conditions for more creative, personalised, and outcomes-focused support.
We’ve summarised the key themes and emerging insights in the carousel below.
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