Long-term funding of adult social care Contents

Contents

Summary

Introduction

1 The state of social care

Funding pressures

Demand and cost pressures

Reductions in spending on publicly funded social care

Additional funding for social care, 2016–17 to 2019–

The funding gap

The impact of the funding pressures

Unmet and under-met need

Increasing reliance on unpaid carers

The workforce

Quality

Care providers under pressure

A fragile care market

Conclusion

2 Principles for funding social care

Good quality care

Considering working age adults as well as older people

Ensuring fairness between the generations

Aspiring over time towards universal access to personal care free at the point of delivery

Risk pooling—protecting people from catastrophic costs, and protecting a greater portion of their savings and assets

‘Earmarked’ payments

3 Options for funding social care

How much funding is needed?

Meeting future demand

Funding good care

Reforms

Conclusion

Options for raising extra funding

Current funding arrangements

Future revenue-raising options

Funding social care in other countries–‘social insurance systems’

Conclusions and recommendations

4 Social care and its wider context—health, public health and housing

Interdependencies between health and social care

Delivery and integration at a local level

Social care, health and public health funding

Housing

5 Political and public consensus on social care

A cross-party approach: a parliamentary commission

Public engagement

Conclusions and recommendations

Annex: Note of visit to New Deanery Care Home, Braintree

Formal minutes

Witnesses

Published written evidence

List of Reports from the Committees during the current Parliament




Published: 27 June 2018