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Delivering Dilnot: paying for elderly care
- Authors:
- BURSTOW Paul, (ed.)
- Publisher:
- CentreForum
- Publication year:
- 2013
- Pagination:
- 55p.
- Place of publication:
- London
The aim of this report is to stimulate debate and draw attention to issues around funding care for the elderly. It takes the view that the Dilnot Commission’s proposals are “our best hope of reforming care financing in at least a decade”. and considers how Dilnot could and should be paid for in the fairest and most progressive way. The paper includes the voices of older people and carers directly affected by these issues. Also included are contributions from Lord Sutherland who offers a long term overview; Yvonne Braun, on behalf the Association of British Insurers, who sets out the crucial role that good financial advice can play in helping people to secure peace of mind for the future; and former Care Services Minister Paul Burstow provides detailed analysis on what level Dilnot’s cap should be set at, and how it should be paid for. Original research found that the argument for introducing a £50,000 cap for those with modest assets is overwhelming. The authors suggest that an additional annual pot of money, around £600 million, could be raised by establishing capital gains tax at death. In total the Treasury could save over £2 billion a year to pay for a Dilnot care system at a cap that would still protect those who desperately need it.
Who cares, who pays?
- Author:
- BURSTOW Paul
- Publisher:
- Liberal Democrats
- Publication year:
- 2002
- Pagination:
- 24p.
- Place of publication:
- London
Concerns how the sick and vulnerable are forced to sell their homes for care that should be free.
The Commission on Residential Care: a vision for care fit for the twenty-first century
- Authors:
- BURSTOW Paul, THE COMMISSION ON RESIDENTIAL CARE
- Publisher:
- DEMOS
- Publication year:
- 2014
- Pagination:
- 273
- Place of publication:
- London
The final report from the Commission on Residential Care, which was set up in July 2013 to explore the future of residential care in its broadest sense, from care homes to extra care villages and supported living, for older and disabled people. The Commission sets out a vision for housing with care in the twenty-first-century and outlines how existing housing with care should change to deliver this vision. The report draws on a range of evidence, including surveys, interviews and focus groups with experts, care staff, disabled and older people and members of the public; site visits, and two calls for evidence. Chapter 2 details the stories individuals to show how providing the right housing with care option can improve people's lives. Drawing on the findings from an extensive literature review and focus groups, Chapter 3 looks at what disabled and older people want from housing with care now, and how this might change in the future. Chapter 4 identifies key challenges to housing with care, which include: business models; staff recruitment, retention, training and wages; negative public perceptions of housing with care; confusion over terminology; pressures of demographic change; and increased expectations of the sector. Chapter 5 describes examples of housing with care that work to ensure people gain and maintain independence and autonomy. The final two chapters set out how the Commissioners believe the existing housing with care offer could change to deliver this vision across financial, operational, governance and cultural aspects of care. The Commission recommends a number of measures to embed good practice and challenge public perceptions. The include more accurate definition of ‘housing with care’ throughout government policy; greater co-location of care settings with other community services such as colleges; the expansion of CQC’s role in inspecting commissioning practices; and promoting excellence in the profession through the introduction of a license to practice and a living wage. (Edited publisher abstract)