Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many care and support workers in England are paid the national living wage; and whether he plans to increase minimum pay for those workers.

Adult social care is a historically low paid sector. In 2024/25, 22% of care workers in the independent sector were paid the National Living Wage (NLW). The median hourly pay rate for care workers was £12.00 in March 2025, 56p higher than the NLW.

We are committed to transforming adult social care and supporting adult social care workers, turning the page on decades of low pay and insecurity. That is why we plan to introduce the first ever Fair Pay Agreement in 2028, backed by £500 million of funding to improve pay and conditions for the adult social care workforce. Negotiations between employee and employer representatives will shape how this funding will be used to enhance pay, terms, and conditions.

The Spending Review allows for over £4 billion in additional funding for adult social care in 2028/29 compared to 2025/26. This includes other sources of income available to support adult social care, additional grant funding, and an increase in the National Health Service’s contribution to adult social care via the Better Care Fund. This £4 billion increase includes £500 million to begin implementing the Fair Pay Agreement in 2028/29.