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A short history of social care funding
Transcript of A short history of social care funding
'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
Royal Commission on long term care appointed.
'With Respect to Old Age', Report of the Royal Commission on Long Term Care (Sutherland Report), published.
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.
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.
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.
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.
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.
White Paper 'Our health, our care, our say' builds on 2005 Green Paper, but offers no specific funding proposals.
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'.
Government runs a six-month public engagement exercise about how social care should be funded.
Government introduces bill that would offer free personal care at home for those with highest needs.
Informal cross-party talks break down following a dispute about compulsory and voluntary approaches – the 'death tax' row.
Government publishes White Paper 'Building the National Care Service'.
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.
Dilnot Commission appointed to 'make recommendations on how to achieve an affordable and sustainable funding system for care and support'.
Report of Dilnot Commission 'Fairer Care Funding' published.
Government engages with care and support stakeholders about priorities for reform; commits to White Paper and progress report on funding 'in the spring'.
Publication of White Paper 'Caring for our Future', Progress Report on Funding Reform, and a draft Care and Support Bill.
Government announces the introduction of social care funding reforms, including capped cost model from April 2017.
Find us on:
For more information on social care: http://www.kingsfund.org.uk/socialcare
The King's Fund's response:
Green Paper 'Shaping the Future of Care Together' marks the launch of 'Big Care Debate'.
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.
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.
Government launches consultation on 'A new partnership for care in old age'.
Budget brings forward implementation of capped cost model to 2016, with cap to be set at £72,000.
Care Bill incorporating clauses to implement the Dilnot proposals placed before parliament.
Government says it is committed to principles of Dilnot proposals if way can be found of funding them.
Government's response: http://bit.ly/17X12Qj
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.
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.
The government announces that funding reforms (including capped cost model and reform of means testing) will be postponed until April 2020.
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.
Fresh calls for a cross-party approach to health and social care funding from charities and MPs.
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'.
The Care Act, including funding reforms, receives royal assent.