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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 10 May 2017

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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/2r20HM5
2008
Government runs a six-month public engagement exercise about how social care should be funded.
July 2009
http://bit.ly/ZkGVtp
http://bbc.in/2r2k2g7
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/2qT53be
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:
For more information on social care: http://www.kingsfund.org.uk/socialcare
http://bit.ly/11jVETb
http://bit.ly/2pknOEp
http://bit.ly/142o8GN
http://bit.ly/142oFbQ
http://bit.ly/15GvOyC
http://bit.ly/ptZMNt
http://bit.ly/2q5ZRxG
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/1dK50mg
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
June 2013
The King’s Fund establishes
an independent commission chaired by economist Kate Barker, to review how health and social care is organised, funded and delivered.

http://bit.ly/2qIqLM9
Sept 2014
The Barker Commission recommends a new settlement for health and social care, based on a single integrated budget and funded through taxation and changes to existing public spending.

http://bit.ly/2hxlSAQ
The government announces that funding reforms (including capped cost model and reform of means testing) will be postponed until April 2020.

http://bit.ly/1OjNt2f
July 2015
Nov 2015
In the Spending Review and Autumn Statement, the government announces extra money for adult social care through an improved Better Care Fund and a new power for councils to levy a special council tax ‘precept’ for social care.

http://bit.ly/2pVUNOx
http://bit.ly/1QHVv9k
Fresh calls for a cross-party approach to health and social care funding from charities and MPs.

http://bit.ly/2jtMVgF
http://bit.ly/2qAaEmE
Jan 2017
March 2017
The Chancellor announces £2 billion extra funding for adult social care over the next three years, and a Green Paper later in the year with proposals 'to put the system on a more secure and sustainable long-term footing'.

http://bit.ly/2pmI5Ej
http://bit.ly/2m24m9L
May 2014
The Care Act, including funding reforms, receives royal assent.
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