Digital switchover: insights from the Partners in Care and Health (PCH) digital switchover survey

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This report presents findings from the Partners in Care and Health (PCH) digital switchover survey, commissioned by Department of Health and Social Care to assess councils’ readiness for the migration from analogue to digital telecare services. The survey received 66 responses, including 63 councils with adult social care responsibilities, representing a response rate of approximately 42% of upper-tier authorities. While this limits the extent to which findings can be generalised across the whole sector, the results provide a snapshot of progress (May 2025), confidence levels, and areas of emerging risk as the January 2027 switch-off deadline approaches. Please note that whilst the survey was commissioned by DHSC the interpretations and considerations within the report are those of Partners in Care and Health.

Executive summary

Overall, responding councils report high confidence in managing the digital switchover, with almost all indicating they are either very or fairly confident in minimising disruption to telecare services. Progress towards digital telecare is well advanced in many areas, with a further half of councils having more than half of their alarms digitally capable and a quarter already fully digital. For people who rely on telecare, councils expect the transition to deliver improved service reliability, enhanced care and support, better interoperability, and richer data and insights. These outcomes are seen as enabling more responsive and preventative models of care, improving safety and supporting independence for vulnerable residents.

However, the survey also highlights significant challenges that could impact people if not addressed. A notable minority of councils still have large proportions of analogue alarms in use, leaving some individuals at risk of service failure or accidental migration as network changes accelerate. Reliance on mobile connectivity introduces further risks, particularly in areas with poor coverage or as the 2G network is withdrawn. Uneven awareness of switchover impacts beyond adult social care, especially in housing, raises the potential for wider system failures affecting alarms, lifts or other critical services used by the public.

Financial and operational pressures remain a central concern. While most councils have identified a funding approach, this is largely reliant on adult social care and core council budgets, adding strain to already stretched services in the absence of dedicated central funding. Supplier readiness and data-sharing arrangements with communication providers are inconsistent, increasing the risk of delays and unmanaged transitions. Although councils do expect benefits from the digital switchover, long-term financial savings are uncertain, and realising the full value of digital telecare will depend on sustained investment and continued national support to mitigate risks to both services and the people who depend on them.

Key findings

  • Confidence among responding councils with regards to managing the digital switchover (N = 64) is high, with 57.8 per cent (37 councils) very confident and 40.6 per cent (26 councils) fairly confident. However, even the single council (1.6 per cent) reporting low confidence indicates potentially uneven preparedness.
  • Awareness is strongest in adult social care (N = 66), where 89.4 per cent (59 councils) are fully aware of switchover impacts but awareness drops significantly elsewhere, for example, housing services (N = 61; 37.7 per cent / 23 councils ‘fully aware), which may signal organisational gaps
  • With regards to funding the switchover (N = 63), most councils (87.3 per cent / 55 councils) have established a funding approach, but the 12.7 per cent (eight councils) without a plan, as well as a heavy reliance on ASC and core budgets, reflect ongoing financial strain and limited flexibility. It should be noted that this reallocation of resource, alongside a lack of central funding, may place additional strain on already stretched council services.
  • Councils do foresee benefits from digital telecare, particularly around enhancing care and support (N = 48; 60.4 per cent / 29 councils expecting ‘many benefits’), however, long-term savings (N = 58) are uncertain, with 29.3 per cent (17 councils) expecting no financial benefit from the switchover.
  • Around one third of councils (31.7 per cent / 20 councils) have changed supplier to meet digital requirements but most changes were driven by supplier readiness (N = 17; 94.1 per cent / 16 councils citing this as a contributing factor).
  • Half of responding councils (50 per cent / 32 councils) experienced no supplier / provider related delays, however, the remaining half did, including 14.1 per cent (nine councils) substantial and 14.1 per cent (nine councils) moderate, highlighting inconsistent experiences across suppliers / providers.
  • With regards to digital progress (N = 63), 25.4 per cent (16 councils) of councils were already fully digital with 54 per cent (34 councils) having more than half of their alarms upgraded, but a combined 20.7 per cent(13 councils) still have less than half or none upgraded, which may leave people at risk of service cut-off as we progress towards the January 2027 deadline.
  • Of those councils providing telecare (N = 63), mobile-reliant alarms were common, with 73 per cent (46 councils) using devices at least somewhat reliant on mobile connectivity (2G / 4G). The retirement of the 2G network may introduce future reliability risks for councils with devices solely dependent on this network.
  • With regards to Alarm Receiving Centre (ARC) capabilities (N = 63), 84.1 per cent (53 councils) reported that their ARC was already able to receive alarm calls digitally with a further 9.5 per cent (six councils) noting that this was progressing. That 6.3 per cent (four councils) of responding councils could not confirm their ARC status is concerning, reflecting pockets of uncertainty on end-to-end telecare digitisation.
  • While many councils have shared data with at least one communication provider, several councils remain without full coverage across all major networks. These differences appear to reflect varying levels of provider engagement, differing operating models across networks, and the complexity of navigating multiple data sharing agreements simultaneously. Nevertheless, this creates a risk, where an analogue reliant telecare user could be migrated without the necessary mitigations in place.
  • Some councils have strong data‑matching coverage, with 28.6 per cent (12 councils) matching two‑thirds or more of their telecare users with a communication provider. However, the 45.2 per cent (19 councils) who “don’t know” their matching rate reveal a potential insight gap into the extent to which data sharing activity is protecting their telecare users from accidental migration, where they have not yet achieved a fully digital telecare service. 

Key considerations for stakeholders

Central government

  • To reduce uneven risk through targeted national support: While most councils have identified a funding approach, this is largely reliant on adult social care and core council budgets, placing additional pressure on already stretched services. Targeted national support could help mitigate risk for areas with high volumes of analogue alarms still in use and support investment in resilience measures.
  • To strengthen convening of national stakeholders for bespoke challenges: Awareness of switchover impacts is high within adult social care but significantly lower across other service areas, for example, in housing. The cohesive convening of stakeholders, aligned to ongoing challenges (e.g. group-scheme alarms) may help to reinforce the whole-system nature of the switchover and support councils to take a more corporate approach.
  • To improve assurance over data sharing and matching: While many councils have shared data with one or more communication providers, a large proportion cannot yet confirm the extent to which telecare users are matched and protected. Developing greater local visibility of data sharing coverage and gaps could strengthen assurance and reduce the risk of unmanaged migration.

Local government

  • To continue to prioritise the completion of end-to-end digital telecare migration: Although progress is well advanced overall, a minority of councils still have a significant proportion of analogue alarms in use, which may increase the risk of service disruption as the 2027 deadline approaches. Continued focus on upgrading remaining analogue equipment, alongside mitigations such as data sharing, can help reduce this risk.
  • To strengthen organisational awareness and coordination: The survey highlights variation in awareness across council services beyond adult social care. Supporting collaboration between ASC, housing, property, IT and other relevant services can help identify and address risks associated with wider analogue dependencies across the council estate. Upper-tier councils may wish to develop their understanding of progress within their district councils, particularly where group-scheme alarms are offered through housing provision. 
  • To improve assurance over data sharing and matching: While data sharing is now widespread, many councils have shared data with a varying number of communication providers, and as such, have varying proportions of telecare users without a matched provider. Where analogue alarms remain, councils may wish to develop insight into (1) the number of data sharing agreements signed so far, (2) the proportion of their telecare customers matched as a result and (3) what risk mitigations can be put in place for those telecare customers who have not yet been matched with a communication provider.
  • On continued analogue use: Where analogue services currently remain in use, councils may wish to take active steps to manage these risks by ensuring telecare customers are kept informed, devices are regularly tested, and communication providers are engaged. New analogue installations are strongly discouraged except as a short-term last resort where no digital alternative is viable; in mobile not spots, councils may wish to consider fixed broadband-based telecare as a more sustainable option. In these instances, councils may also wish to strengthen data sharing with communication providers, monitor performance and call failure rates, and prioritise replacement where reliability concerns are identified.

Key considerations for telecommunications providers

  • To increase consistency of engagement: Council experience of provider engagement and data sharing vary significantly between providers. While some have been highly engaged, others have not, creating a confusing picture for councils looking to protect vulnerable residents. Consistent cross-provider approaches to engagement may help councils to plan with greater confidence. 
  • Opportunity to support resilience as networks continue to evolve: With further network changes, including 2G retirement, already underway, clear communication on timelines and implications can help councils and suppliers plan for resilient solutions, particularly in areas with variable connectivity.
  • Key considerations for telecare suppliers / providers

  • Opportunity to demonstrate readiness and futureproofing: Supplier readiness was a key factor influencing councils’ progress and, in some cases, decisions to change provider. Clear assurance on digital capability, testing and resilience can support councils to manage risk and plan transitions more effectively.
  • Opportunity to support realisation of digital benefits: Councils expect benefits from digital telecare, including improved reliability, interoperability and data insights, but these are contingent on wider service models and infrastructure. Working collaboratively with councils can help translate technical capability into improved outcomes for residents.
  • Opportunity to maintain strong engagement through the final phase of transition: While engagement levels are generally positive, a minority of councils report delays or inconsistent support. Continued, proactive engagement, particularly as the switchover accelerates, can help ensure end-to-end readiness and reduce the risk of service disruption.

Introduction

The Public Switched Telephone Network (PSTN) migration, also known as ‘the digital switchover’, is an industry-led digital transformation project, migrating individuals from the analogue landline network to digital IP-based technologies. The switchover is necessary because the current analogue landline network is decades old and failure rates are increasing as the infrastructure ages. The digital switchover means that traditional analogue devices, such as telephone handsets and telecare units connected to the analogue network, will need to be upgraded / reconnected to the digital network. There is also a risk that other analogue-reliant devices, such as alarm systems or lifts, may also be disrupted or fail.

There is a risk that analogue to digital migrations may disrupt telecare services, with devices designed to operate on analogue landlines having a higher rate of failure when connected to digital telephone landlines. There is a need for these devices to be replaced as quickly as possible to mitigate any risk of failure or disruption.

In April / May 2025, Partners in Care and Health conducted a survey to gauge councils’ current position on awareness, planning and implementation of the digital switchover

The work was commissioned by the Department of Health and Social Care to further understanding as to progress, identify key areas of challenge and / or concern, and where further support should be targeted. 

The survey launched April 2, 2025 and remained open until May 23, 2025. From the 66 responses received, 63 were from councils with responsibility for adult social care (ASC) and three were from district councils. With regards to councils with ASC responsibility, this was a response rate of 41 per cent.