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Looking to the long term: the Japanese approach
- Author:
- CURRY Natasha
- Publisher:
- Nuffield Trust
- Publication year:
- 2017
- Place of publication:
- London
This briefing highlights two examples of preventative service from Japan which provide low level support to older people before their health deteriorates. The “Ten Million House” is run by volunteers and provides an informal meeting space for older people and activities. It aims to connect older people who are at risk of becoming isolated before their health deteriorates, providing them with an informal network they can rely on when their care needs increase. The ‘Dream Lake Village’ day centre provides low-level care to older people who live at home but who need some help with daily activities. It has been designed to increase users’ independence and prevent their decline. The examples show how, instead of waiting for those people to deteriorate to the point where they need care, the Japanese Government is encouraging municipal governments to invest in community facilities, volunteering and social support networks. (Edited publisher abstract)
Caring for an ageing population: points to consider from reform in Japan
- Authors:
- CURRY Natasha, PATTERSON Linda, HOLDER Holly
- Publisher:
- Nuffield Foundation
- Publication year:
- 2013
- Pagination:
- 42
- Place of publication:
- London
Japan has the world’s oldest population, 23% being aged 65+. In order to relieve the pressure on its health and social care system, the country introduced Long Term Care Insurance (LTCI) in 2000, a compulsory scheme for those aged over 40, which offers access to social care for those aged over 65 on the basis of need alone. At the heart of the LTCI system is the care manager who is responsible for developing a package of care and advising individuals of their options. While quality of provision was not initially built into the system, it became a central focus in 2005. The authors describe two models of provision: integrated delivery systems; and dementia group homes. In many ways, the LTCI scheme has been a success, but it has not achieved all that was intended. It has also not been without controversy; and its greatest test is yet to come as it grapples with an older population that already accounts for nearly one quarter of its population. It will be useful for England to reflect on the Japanese experience, for its challenges and difficulties are as valuable as its successes in helping shed light on options for social care in England. This report is from a project part funded by the Great Britain Sasakawa Foundation, ‘Universal access and low costs? Health and social care the Japanese way’, which included a study visit to Japan in 2012, during which a variety of organisations, policy-makers, clinicians and academics were visited. (Edited publisher abstract)
What can England learn from the long-term care system in Japan?
- Authors:
- CURRY Natasha, CASTLE-CLARKE Sophie, HEMMINGS Nina
- Publisher:
- Nuffield Trust
- Publication year:
- 2018
- Pagination:
- 54
- Place of publication:
- London
This report considers what lessons may be drawn from the introduction of a comprehensive long-term care system in Japan. The report is based on a literature review and a visit to Japan in November 2017 to study the country’s long-term care insurance (LTCI) system. This report identifies what England may be able to learn from Japan and what England could and should take into account as the next set of reforms develop. This report seeks to offer a brief overview of the Japanese LTCI system and to highlight the pertinent points of learning for England which are considered under the following headings: getting public buy-in; controlling demand: embedding flexibility; shaping service provision; workforce; navigating the system and mobilising community assets, focusing on prevention. (Edited publisher abstract)