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Introduction and context | Vision and Strategy for Adult Social Care and Health | Birmingham City Council
Vision and Strategy for Adult Social Care and Health

Introduction and context

Improving the health and wellbeing of adults and older people in Birmingham

We want adults and older people to be resilient and live independently where possible. They should have choice and control over their lives, so they can have a good quality of life and good health and wellbeing.

We have a big role in helping people achieve these goals. This is a shared responsibility across the organisation.

For example, we help make sure there is suitable housing that meets different needs and offers choice.

People also need a range of community services and to feel safe leaving their homes to use them.

Most adults and older people can use mainstream services on their own or with support from family, friends or social groups. Some people need extra support from Adult Social Care (ASC) and other public services, such as health services.

We face increasing challenges in achieving these goals:

  • people are living longer, often with more complex needs. This puts pressure on available resources. While Birmingham has a relatively young population, the number of older people is growing quickly. Around 11,000 adults are living with dementia.
  • there are also many younger adults with disabilities or mental health needs.
  • funding has reduced, so it is more important than ever to use resources effectively. At the same time, expectations of public services are rising. People want support that helps them stay independent and have choice and control over their lives.

We need to adapt to these challenges.

We will review the services we provide and how we organise and deliver them. We will make sure our structures support our goals and work effectively. Our staff will have the skills and capability they need to meet current and future demand.

Putting in place a strategy for delivering the outcomes

We need a clear strategy to help achieve these goals for adults and older people.

Most people want to live happy, fulfilled lives with their families, friends and communities. They value their independence and want to live at home or in their community, with support if needed.

Most people do not want to rely on others. They may accept short-term or ongoing support if it helps them stay independent. For many people, this is achievable. Some people, including those with disabilities or age-related needs, will need support from Adult Social Care (ASC). For a small number, residential or nursing care may offer the best quality of life.

This strategy is based on 10 principles, set out in the following pages.

Page last updated: 28 July 2026