Economic Affairs Committee
Social care funding: time to end a national scandal

7th Report of Session 2017-19 - published 4 June 2019 - HL Paper 392


Summary of conclusions and recommendations

Chapter 1: Introduction

Existing funding arrangements

Table 1: Estimated breakdown of gross adult social care funding, 2016/17

Box 1: Eligibility for public funding

Public funding sources

Box 2: New sources of public funding

Chapter 2: Challenges

Political challenges of reform

Box 3: Government reviews and attempted reforms of social care funding since 1999

Cross-party consensus

Public understanding

Funding for adult social care

Inadequate funding

Figure 1: Adult social care spending, 2010/11 to 2017/18 (adjusted for inflation)

Rising demand for adult social care

Unmet demand

Required additional funding

Unpaid carers

Table 2: Numbers of unpaid carers in England by amount of care provided, 2011


The ‘condition lottery’ and catastrophic costs

Self-funders, local authority fees and market sustainability

Regional differences




Care as a profession

Chapter 3: Options for reform

Principles for reform

Public versus private individual funding

Cap and floor

Free at the point of use

Box 4: Free personal care in Scotland


Private insurance

Options for public funding

Hypothecated versus general taxation

Box 5: Mandatory social insurance in Germany and Japan

Intergenerational fairness

Box 6: Recommendations from the Barker Commission for raising additional funding for social care, including money that could be raised

National versus local responsibility

Appendix 1: List of Members and declarations of interest

Appendix 2: List of witnesses

Appendix 3: Call for evidence

Appendix 4: Private meeting with care workers

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Q in footnotes refers to a question in oral evidence.

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