Information on how we are doing in adult social care

Adult social care in Tower Hamlets 2018-19: How are we doing?

What has changed in adult social care over the last year? Where does adult social care perform well and where are improvements needed? This information and much more is in our Local Account of adult social care in Tower Hamlets. 


The Tower Hamlets population is 318,000. We have the fastest growing population in the country. 4719 people received long and short-term care services from the council in 2018-19:

  • older people (54%)
  • learning disability (26%)
  • physical support needs (11%)
  • mental health needs (8%)


  • 78.1 years - life expectancy for a man versus 79.6 years national average
  • 82.5 years - life expectancy for a woman versus 83.2 years national average
  • adults report the highest levels of depression and anxiety in London and the fourth highest levels of long term mental health problems

Care and support

We spent £129 million in 2018-19. Our budget is £122 million for 2019-20.

Service/budget/people who received this

  • Care homes - 650 people - £30m
  • Homecare - 1,780 people - £29m
  • Direct payments - 530 people - £10m
  • Day care - 490 people - £5m

The remainder was spent on staffing costs, and a wide variety of preventative support options to keep people as independent and well as possible.

What you have told us

67% of adult social care users are extremely or very satisfied with their care and support - 8 percentage points higher than last year. A further 24% are quite satisfied.

Social care helps me

  • have a better quality of life: 94%
  • have control over daily life: 88%
  • feel safe: 88%
  • be as independent as possible: 71%

...these are all as good as or better than last year.

A summary of our achievements

  • Better support to friends and family who care for their loved ones
  • Supporting people with a learning disability to be independent and healthy
  • Becoming a dementia friendly borough
  • More choice and control for people in sheltered housing
  • Helping more people to live as independently as possible
  • Closer working with the NHS
  • Supporting people to return home from hospital
  • Providing good quality care and support

A summary of our challenges

  • Rising demand and restricted resource
  • Changing how we work
  • Introducing a means-tested charge for community support
  • Information and advice

A summary of our future priorities

We will:

  • Run activities and programmes that encourage residents to have healthy lifestyles
  • Provide evidence-based early intervention and prevention programmes, helpingresidents to be as healthy as possible for as long as possible.
  • Change how we provide information to residents on health and care, making iteasier for people to get advice and help at an early stage.
  • Integrate health and care so that residents get a better, more joined-up experienceof both systems.
  • Make better use of technology and equipment in health and care, recognising itspotential to improve how people manage their health conditions and care needs.
  • Staff in adult social care will do more to empower people,focusing on the strengths and abilities of social care users as wellas the things they need help with.
  • Offer choice and personalised support to social care users,including the promotion of direct payments so that people havemore control over the care they receive.

Read the full Local Account 2019

What is the Local Account?

Under new government guidelines, councils across England must publish this annual document to set out progress and outcomes achieved in adult social care. The report describes our performance over the last year and our priorities for the future so that everyone can find out where we are doing well and where we need to improve; and scrutinise, check and challenge our performance. The aim is to provide transparency for local people to better understand how social care is being delivered in Tower Hamlets, leading to greater involvement and challenge. 

We are really keen to hear what people think about the quality and performance of adult social care in Tower Hamlets. If you have any feedback or comments about the Local Account, or if you would like copies of any of the documents referred to in the Local Account, please email

The Local Account 2018

Read the Local Account 2018.

The Care Quality CommissionAHWB

The Care Quality Commission (CQC) is the social care regulator for England.

On its website you can find information and reports on the quality of care services in Tower Hamlets and across England. 

If you are looking for a care home, for example, you can see how one compares to another and how well it might meet your needs or the needs of someone you care for.