An assessment of long-term care funding in the UK. With the number of people aged over 85 set to double between 2011 and 2041, the UK faces a daunting challenge in finding better ways of paying for long-term care. In 1995 the Joseph Rowntree Foundation set up an inquiry to consider this question, and its principal recommendation was the establishment of a compulsory national care insurance scheme. Ten years on, there is no coherent system across the UK of meeting care costs, reflecting a lack of consensus about how best to address this challenge. "Facing the Cost of Long-term Care" emphasises that doing nothing is not an option and examines various models for funding long-term care in the current political and policy context. The report highlights the lack of fairness, consistency and adequacy in the current system, and suggests various policy options, including additional resources, to improve funding for long-term care in the future. It is a useful reference for policy makers; health managers; care managers; older people's organisations; economists and academics concerned with how we pay for long-term care.
As Special Adviser to the Joseph Rowntree Foundation, Donald Hirsch has been closely involved in the Foundation's work monitoring welfare reform and trends in poverty and social exclusion. He is author of several reports looking at the implications of new tax credits and exploring labour market issues facing older people, and has recently written (with Professor Jane Millar of the University of Bath) a review of Labour's welfare reform published in JRF's Foundations series