PolicyLens

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.

Read the policy-specific methodology note

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.

The Incidence of Payroll Taxation (1997)

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.

Long-term Care Spending and Hospital Use (2021)

UK government evidence

Sources

Other Liberal Democrats policies

PolicyLens estimates are illustrative and should not be treated as official costings.