Government spending impacts on unpaid carers in England since 2010: a systematic review

Since 2010, austerity-driven cuts in government expenditure have severely impacted unpaid carers in England. This systematic review examines evidence on caregivers’ financial security, service access and health. Despite the Care Act 2014’s goals, inadequate funding limits its effectiveness. Increased economic hardship, insufficient Carer’s Allowance and rising unmet care needs disproportionately affect disadvantaged groups, younger carers and women, worsening mental and physical health. Two recommendations emerge: first, immediate government investment and the establishment of a cross-party commission to set a minimum level of caregiver support; and, second, longer-term systemic change that recognises caregiving as a fundamental political right, protects caregivers’ social security and addresses broader social inequities.