Liberal Democrats - Social care
Create a Carer’s Minimum Wage
Raise adult social-care pay by a sector-specific minimum wage.
Last updated: May 2026.
Policy baseline
The manifesto proposes a higher Carer’s Minimum Wage. Costs depend on adult social-care workforce pay, hours and public fee pass-through.
- Targets paid adult social-care workers.
- Publicly funded providers require higher fees.
- Pay compression could spread costs upward.
Core trade-offs
The direct beneficiaries are care workers and recruitment. The costs fall mainly on taxpayers, councils and self-funders. The main economic question is provider costs can exceed the pay rise.
- Care workers and recruitment gain most directly.
- Costs fall mainly on taxpayers, councils and self-funders.
- Key risk: provider costs can exceed the pay rise.
Fiscal impact by 2028-29
+GBP 2.0bn to +GBP 10.0bn. Central estimate: +GBP 4.0bn.
- Positive numbers mean net fiscal cost; negative numbers mean Exchequer savings.
- Main channel is the scored tax, spending or delivery change.
- Offsets depend on tax receipts, behaviour and pass-through.
- Range reflects uncertain implementation and economic response.
- This is not an official costing.
Economic impact by 2028-29
- Jobs: NHS and care demand for staff rises; shortages may bid workers away from other sectors.
- Wages: Direct gains for health and care staff if pay or hours rise.
- Prices: Public provision limits prices; agency costs can rise under shortages.
- GDP / productivity: Potentially positive if health improves labour supply; delivery bottlenecks may limit gains.
Assessment
This is a real trade-off, not a free gain. Care workers and recruitment benefit, while taxpayers, councils and self-funders bear most costs. Overall output depends on behaviour, capacity and pass-through.
Confidence: Medium-low. Higher on the policy target and fiscal channel; lower on behaviour, pass-through and economy-wide effects.
Main risks
- Workforce shortage: More money may bid up scarce labour rather than expand capacity.
- Productivity risk: Extra appointments or care hours need workflow changes to improve outcomes.
- Cost drift: Health and care commitments tend to grow with demographics and wages.
Safeguards
- Tie funding to workforce plans.
- Track outputs and outcomes, not just spending.
- Limit agency-cost leakage.
Academic evidence
Gruber, Journal of Public Economics, 1997
Payroll tax incidence
Employer payroll taxes are often shifted partly to workers through wages, but incidence depends on institutions and time.
Important for employer NIC and labour-cost policies.
Crawford, Stoye and Zaranko, Journal of Health Economics, 2021
Care and hospital use
Long-term care spending can interact with hospital use among older people.
Relevant to care spending and NHS offsets.
UK government evidence
Liberal Democrats, 2024
Liberal Democrat manifesto
The manifesto gives announced policy detail across health, care, housing, taxes and climate.
Used to define the policy scenarios.
Liberal Democrats, 2024
Liberal Democrat costings
Party costings give 2028-29 spending, revenue and investment figures.
Used as starting anchors, not official costings.
Funding a Fair Deal: Liberal Democrat Manifesto Costings (2024)
Skills for Care, 2025
Adult social-care workforce
The report gives workforce scale and pay context for adult social care.
Used for care workforce exposure.
State of the adult social care sector and workforce in England 2025 (2025)
Sources
- PolicyLens illustrative scenario methodology for create a carer’s minimum wage Internal - PolicyLens, 2026
- Long-term Care Spending and Hospital Use Academic article - Crawford, Stoye and Zaranko, Journal of Health Economics, 2021
- The Incidence of Payroll Taxation Academic article - Gruber, Journal of Public Economics, 1997
- Funding a Fair Deal: Liberal Democrat Manifesto Costings Party costing - Liberal Democrats, 2024
- State of the adult social care sector and workforce in England 2025 Sector report - Skills for Care, 2025
- For a Fair Deal: Liberal Democrat Manifesto 2024 Party policy source - Liberal Democrats, 2024
Other Liberal Democrats policies
PolicyLens estimates are illustrative and should not be treated as official costings.