I agree that social care and related health should be administered by one just one authority, but should it be health or social services or should a completely new authority be formed.
As to whether independent social care providers are profiteering from the system I am not too sure for to have quality care does cost.
If Andy Burnham is stating that these social care providers should be run by either social services or health rather than independently, this I would seriously contest. The reason being than generally the most expensive providers are run by these authorities as the lowest paid would generally be paid no less than the Living Wage as opposed to the National Living Wage, their pensions would generally be better as these may still be based on final salaries as to contribution as is the newly created work portable pensions which are being rolled out to all employees who are currently not in a pensionable employment.
The management structures will generally be more expensive to run than in a private provider, but this would depend on the extent of the profit being extracted by the owners from their care company. But with the current state of social services and health finances due to Government austerity cuts the scope for excessive profits are being restrictive.
With regards to zero hours contracts and I agree that they should not used in practice, Local Authorities do use these for some of their workforce, but I am not sure about health.
What should be occurring is zero contracts should be outlawed, everyone should be paid at least the Living wage, which would make the National Living wage redundant. In addition retain the independent providers, but insist on a effective quality control system, which should be independently monitored outwith the care provider, be they independent, Local Authority or health.
There are currently local independent HealthWatch organisation in all localities who do, at present, monitor Care home, GP surgeries, Pharmacies, Dentists and Opticians. Their remit should be extended to day services and all other care providers and their powers should be strengthened, for at present they can not insist to look at records kept by the respective organisations, unless the organisations offer them to the Enter and View representatives. Also they can only state recommendations, but these should be extended to be more than voluntary for the care providers to follow them.
Then the HealthWatch visits would be more on a par to the CQC (Care Quality Commission) inspections.