Who decides ‘what works’, and how does it get implemented? Insights from the UK’s new centre for implementing evidence in adult social care

The UK’s adult social care system faces severe challenges, including funding shortages, unmet needs and an overburdened workforce. Resultantly, there is a push for high-quality evidence in service enhancement and resource allocation. Using evidence to improve services is essential, but questions arise about best practices for identifying ‘what works’, integrating evidence into everyday practice and addressing resource constraints. Findings from a 2021 UK survey and consultative forums with stakeholders across adult social care underscore concerns about implementing evidence-based practices and highlight the need for increased collaboration to expand the evidence base. These findings shed light on stakeholders’ perspectives regarding factors shaping adult social care practices, opportunities for evidence to play a greater role, definitions of valid evidence and priorities for change. Improved communication and coordination within the sector are crucial to enhance evidence-based decision making, focus limited resources on proven strategies and shape a more effective, evidence-informed adult social care system.