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A short history of social care funding

Successive governments have tried hard to find a more sustainable and fairer way of funding adult social care. This timeline shows developments in the social care funding system in England from 1996 to 2013.
by

The King's Fund

on 5 June 2013

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Transcript of A short history of social care funding

A short history of social care funding Sept 1997 'I don't want [our children] brought up in a country where the only way pensioners can get long-term care is by selling their home.'

Tony Blair, addressing Labour Party Conference Dec 1997 Royal Commission on long term care appointed. Mar 1999 'With Respect to Old Age', Report of the Royal Commission on Long Term Care (Sutherland Report), published. 2000 The government's response to the Royal Commission rejects the proposals for free personal care, but agrees to amend means-tested care, introduce free NHS nursing care in care homes and invest in new services. Apr 2002 HM Treasury commissions Sir Derek Wanless to conduct an independent review of NHS spending. He recommends a more thorough assessment of social care funding needs, but this is not acted on. Mar 2005 The Green Paper 'Independence, Wellbeing & Choice' sets out new vision for adult social care based on independence, choice and control. Changes 'will need to be met from existing funds' over the next 10-15 years. 2005 Sir Derek Wanless leads review of future social care needs for The King's Fund. 'Securing Good Care for Older People' is published in 2006 and recommends partnership funding model. Apr 2006 A Joseph Rowntree Foundation report recommends a co-payment funding model, where care costs are split 80:20 between state and individuals, and removal of means testing. Jan 2006 White Paper 'Our health, our care, our say' builds on 2005 Green Paper, but offers no specific funding proposals. 2007 The 2007 Spending Review 'welcomes' assessments of The King's Fund and Joseph Rowntree Foundation reports and commits to 'undertake work to look at reform options and consult on a way forward'. http://bit.ly/12HQTWt (page 204) 2008 Government runs a six-month public engagement exercise about how social care should be funded. July 2009 http://bit.ly/ZkGVtp http://bit.ly/XWvLtD Oct 2009 Nov 2009 Government introduces bill that would offer free personal care at home for those with highest needs. http://bbc.in/10d4QWU Feb 2010 Informal cross-party talks break down following a dispute about compulsory and voluntary approaches – the 'death tax' row. http://bit.ly/143uhCE Mar 2010 Government publishes White Paper 'Building the National Care Service'. http://bit.ly/17SdHCa The King's Fund publishes review and update of Wanless report 'Securing Good Care for More People'. It reiterates case for partnership funding model and proposes a staged, long-term approach to reform. Mar 2010 http://bit.ly/15Ks4Me Jun 2010 Dilnot Commission appointed to 'make recommendations on how to achieve an affordable and sustainable funding system for care and support'. http://www.dilnotcommission.dh.gov.uk/ July 2011 Report of Dilnot Commission 'Fairer Care Funding' published. http://bit.ly/10d5TGu Sept–Dec 2011 Government engages with care and support stakeholders about priorities for reform; commits to White Paper and progress report on funding 'in the spring'. Jan 2012 July 2012 July 2012 Publication of White Paper 'Caring for our Future', Progress Report on Funding Reform, and a draft Care and Support Bill. http://bit.ly/12gIcBf http://bit.ly/17WOAks Feb 2013 Government announces the introduction of social care funding reforms, including capped cost model from April 2017. http://bit.ly/17idPfL http://www.facebook.com/thekingsfund http://www.twitter.com/thekingsfund Find us on: Find out more about social care funding: http://www.kingsfund.org.uk/scf http://bit.ly/11jVETb http://bit.ly/qaq8LR http://bit.ly/142o8GN http://bit.ly/142oFbQ http://bit.ly/15GvOyC http://bit.ly/ptZMNt http://bit.ly/Zqgqnf The King's Fund's response: http://gu.com/p/34n78/tw Green Paper 'Shaping the Future of Care Together' marks the launch of 'Big Care Debate'. May 2010 New coalition government says it 'understands the urgency of reform' and commits to establishing an independent commission to review options, including voluntary insurance and partnership model.

http://bit.ly/cjcW0d (page 30) http://bit.ly/XWABXZ http://bit.ly/14P6Wp0 The cross-party talks 'discontinued'. Andy Burnham blames this on a failure by the coalition government to draw up a timetable to deliver reforms. Conservative Party pledges to introduce 'home protection scheme' involving voluntary insurance. Cross-party talks begin. 1996 Government launches consultation on 'A new partnership for care in old age'. Mar 2013 Budget brings forward implementation of capped cost model to 2016, with cap to be set at £72,000. May 2013 Care Bill incorporating clauses to implement the Dilnot proposals placed before parliament. http://bit.ly/10zgcvW July 2012 Government says it is committed to principles of Dilnot proposals if way can be found of funding them. http://bit.ly/17X12Qj Government's response: http://bit.ly/17X12Qj
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