Politicians urged to seize chance to change social care

 
Elderly person Ministers are looking to publish plans for social care reform in the spring

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Politicians from all parties have been urged to work together to find a way to overhaul the "failing" social care system in England.

Cross-party talks about the care given to the elderly and disabled failed in 2010 but will start again this month.

In an open letter, charities, faith-based groups and senior figures in the NHS and local government say the opportunity must not be missed.

Plans to reform social care will be put forward in the spring, ministers said.

But before that politicians are seeking to achieve cross-party consensus on the best way forward.

Health Secretary Andrew Lansley, Lib Dem health minister Paul Burstow and shadow health secretary Andy Burnham are expected to hold the first in a series of meetings within the next few weeks.

In the letter sent to the prime minister and published in the Daily Telegraph, 72 signatories, including leading figures from charities such as Carers UK and Age UK, as well as peers, academics and members of the British Medical Association and NHS Confederation, have suggested they should not squander the opportunity.

How does social care work?

  • To get state-funded social care individuals are assessed on needs and means.
  • Each council sets its own threshold for how incapacitated a person has to be to be eligible for help. Most have been increasing this bar in recent years.
  • If someone does qualify for help, the amount of savings they have is taken into account.
  • Those with savings of under £13,000 get free care.
  • Between £13,000 and £23,250 individuals have to contribute to the costs. Above the higher amount they have to pay for all of it themselves.
  • A government-commissioned review published in the summer suggested changes to this system.
  • The review, carried out by economist Andrew Dilnot, recommended a new partnership between the state and individual.
  • People needing care should be responsible for the first £35,000 of costs with the state picking up the tab for the rest, he said.
  • The cross-party talks that are getting under way this month will use these recommendations as the basis for trying to reach agreement on the funding situation.

The letter said: "We should celebrate the fact that we are all living longer lives, particularly disabled people and those with long-term conditions.

"But the unavoidable challenge we face is how to support the increasing number of people who need care.

"It is currently a challenge which we are failing to meet - resulting in terrible examples of abuse and neglect in parts of the care system.

"This comes at huge cost to the dignity and independence of older and disabled people, but also to our society, family life and the economy."

'At risk'

The letter went on to say people were being left "lonely, isolated and at risk" because of the problems with the current system.

It cited research produced by Age UK which suggested that of the 2m people with care needs, 800,000 were not getting any support because councils had started restricting access to services.

In a separate interview with the BBC, Councillor David Rogers of the Local Government Association said councils, which are in control of running the means-tested system, are united in their view of the need for change.

He said: "There is no doubt about the urgency and need for reform. Without exception, across local government all parties are in agreement. National politicians must try to come up with something."

Chair of the Care and Support Alliance Simon Gillespie: ''The current system is broken''

Attempts to reform the system collapsed before the last election after cross-party talks failed.

Labour accused the Tories of dirty tricks after they launched a campaign suggesting Mr Burnham, who was then health secretary, wanted to introduce a death tax to pay for changes to the system.

Once again, the way any new system is paid for is expected to be the most controversial and difficult element of the discussions.

Last summer a government-commissioned review by the economist Andrew Dilnot recommended a partnership between the state and individual with people responsible for the first £35,000 of their social care costs and the government picking up the bill after that.

But questions still remain over how affordable this is for both parties.

The government refused to comment on the upcoming talks, but Mr Burstow said ministers saw reform of social care as an "urgent priority".

Mr Burnham added reforming social care was the "biggest public policy challenge the country faces".

"This is an issue that transcends party politics and we look forward to playing our part in any discussions."

 

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  • rate this
    0

    Comment number 258.

    What is needed is a radical re-think based on hospitalisation and care homes being the last option.
    The NHS would be cheaper and more effective if people were returned home for nursing care for this you would need GP,District Nurse and carer provision. Also suggest family in employment could be released for care duties and paid social benefits for the period of care.

  • rate this
    +6

    Comment number 229.

    The Dilnot commission recommends elderly pay £35k-£50k of their care fees at max.
    CareHome residents would still need to pay for their accom & food + any costs above the Local Auth max rate. For my mum this would mean she must find £350 pw instead of £750 - meaning she can stay settled where she is indefinitely - instead of facing a move when savings run out in 7 yrs. Its not a free ride.

  • rate this
    +7

    Comment number 176.

    We need a radical re-think of how we, as a state, we meet our duty of care to those citizens in need of support. We have many experts who know how to deliver quality social care & support to those unable (through age or disability) to look after themselves. Politicians should take a back seat in the decision about how it's done, their job is to administer our money to pay for it.

  • rate this
    +10

    Comment number 133.

    Very difficult issue, you can't throw people who didn't save on the street & the state can't really afford to pay 100% of everybodys care which forces those who can afford to, to pay.

    An efficient state run care system would probably be considerably cheaper for everyone than the private system but who in the government would ever champion that idea!

  • rate this
    +37

    Comment number 104.

    Means testing destroys the incentive to save for your own retirement and care. The current system penalises the careful & rewards the irresponsible

    The solution is to have a 2 tier system. Basic state care or private care with a contribution from the state. This may be politically unnacceptable but it would be fairer to those who save & would reduce the overall burden on the taxpayer

 

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