What I’m hearing again and again when I speak to care providers is just how exposed they’re feeling right now. Global conflict can sound like something that just belongs in the news, but the reality is it shows up very quickly in day-to-day operations of care providers, just look at the rising cost of fuel. Understanding how global events translate into local risk is now part of running a care service
Global conflict rarely stays global
Modern conflicts exert influence far beyond their borders because today’s economy is deeply interconnected. Energy markets are global. Supply chains span continents. Financial systems respond instantly to uncertainty.
Periods of geopolitical tension in the Middle East consistently trigger volatility in oil and gas markets. Even the risk of disruption can push wholesale prices upward, feeding through to electricity generation, transport costs and the price of everyday goods. According to analysis by the Energy and Climate Intelligence Unit, higher fossil fuel prices have added more than £120 billion to UK business and public sector energy costs since 2021, illustrating how global instability quickly becomes a domestic economic issue.
At the same time, governments responding to international crises often divert attention and funding toward defence, security and energy resilience. Care, by contrast, is left to absorb inflationary shocks through systems never designed for rapid adjustment.
This chain reaction is crucial to understand: geopolitical conflict is rarely the end of the story, it is the first domino.
Energy volatility and the care sector’s silent dependency
Energy has become one of the most significant and unpredictable cost pressures facing care providers and their staff.
Care homes, by their very nature, are energy intensive environments. Heating, hot water, catering, laundry and clinical equipment operate around the clock, leaving little scope to reduce consumption without affecting care quality. Unlike households, care providers receive no energy price cap protection, exposing them fully to market volatility.
Care England has warned that the sector remains heavily exposed to global gas markets because UK electricity generation continues to rely on imported gas, while storage capacity is among the lowest in Europe. Even well managed efficiency improvements can be “quickly wiped out by spikes in the energy market driven by forces completely outside a provider’s control.”
In Ireland, the exposure is particularly acute. Heavy reliance on imported energy contributed to the government introducing once off inflation supports for over 1,400 voluntary and community care providers in response to energy driven cost pressures, an acknowledgement of just how vulnerable the sector has become to global price shocks.
The structural issue is clear: energy costs rise in weeks, while care fees and funding settlements move in years.
Inflation, essential supplies and fragile care supply chains
Energy instability feeds directly into wider inflation, something care providers experience not in discretionary spending, but in essential goods and services.
Food price inflation affects every meal served. Higher transport and logistics costs push up supplier pricing for PPE, medical consumables, continence care and cleaning products. Business energy data shows that medium sized organisations saw energy unit prices rise by over 10% year on year in 2024, with care providers among the most exposed due to constant demand.
Grant Thornton notes that even where local authorities have increased average care fees by as much as 8%, those uplifts have failed to keep pace with rising wage, energy and food costs, effectively locking inflationary pressure into providers’ margins.
For a sector with limited pricing freedom, inflation does not reduce profitability, it undermines sustainability.
Workforce pressures accelerated by global uncertainty
Geopolitical instability also affects people.
Adult social care across the UK relies heavily on international labour. Changes in global migration patterns, tighter visa regimes and rising compliance costs have coincided with domestic inflation, creating a perfect storm for workforce planning.
Skills for Care reports that adult social care vacancy rates remain around three times higher than the wider economy, with international recruitment falling sharply since late 2023. At the same time, better pay elsewhere continues to be the dominant reason for staff leaving the sector.
As one senior sector figure put it, “wages rise in response to inflation, but fee uplifts rarely follow at the same pace, leaving providers to absorb the difference or rely more heavily on agency staffing.”
The financial impact is obvious, but the deeper cost is instability of care delivery and mounting pressure on already stretched teams.
Funding gaps and policy lag
Perhaps the most persistent challenge for care leaders is the mismatch between the speed of global shocks and the pace of funding response.
Local authorities in England spent £34.5 billion on adult social care in 2024/25, a real terms increase, but even this failed to fully offset inflation, leaving councils drawing down reserves and warning of financial fragility across both commissioners and providers.
In Ireland, healthcare and social care expenditure has risen sharply, but official figures acknowledge that inflation and energy related costs continue to place strain on budgets, complicating long term planning for both statutory and voluntary providers.
The structural problem remains unresolved: care absorbs global shocks faster than funding systems can adjust.
What care leaders can realistically do
Care providers cannot control geopolitics, but they can manage exposure.
Energy audits, efficiency investments and smarter contract strategies have become board level priorities, not operational nice to haves. Stronger supplier partnerships may offer more resilience than short-term procurement. Scenario planning that accounts for geopolitical instability is increasingly essential rather than strategic overreach.
We asked Martin Lowthian for his thoughts on ‘what can a care provider do to cope and support colleagues during these challenging times’, given his experience in the sector.
As part of their Risk Management processes providers should focus on business continuity threats and this falls into that category of risk. It is outside of your span of control to prevent it from happening, but you can mitigate the impact by putting in place measures to ensure that you can minimise consumption of electricity, whilst maintaining safety – Care England wrote some great guidance around this. Additionally, smart rostering solutions that allow you to optimise your team’s visits reduces their costs and of course the time spent travelling. Business Continuity Plans should consider all areas of threat, so fuel, staffing and costs are identified and scenarios documented to trigger a response.
Above all, sector voices need to be heard. As Professor Martin Green, Chief Executive of Care England, has noted, the persistence of care market fragility is a sign that funding does not reflect real world cost pressures. Without a clearer link between global economic reality and care funding mechanisms, risk will continue to sit disproportionately with providers.
This is not about optimism, it is about realism.
From distant conflict to daily care
The pathway from geopolitical turmoil to rising care costs is no longer abstract. It runs through energy bills, supplier contracts, workforce recruitment and funding negotiations happening every day across the UK and Ireland.
As global instability becomes a more regular feature of the international landscape, care leaders will increasingly find themselves responding to pressures driven by events far beyond their local environment. Understanding those connections, and planning accordingly, will be essential to protecting both organisational sustainability and the people who rely on care services.
In an interconnected world, even distant conflict has very local consequences. The care sector is already living with that reality.
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