Political parties have spent years talking to each other, off and on, about finding an agreed system of social care. They all claim they want a system they all accept, unlike other policy areas. They fail to find one, with Labour, Conservative and coalition governments backing the existing system in the absence of agreement on change.
There are a number of different issues and aims to consider. Most people wanting reform are not considering the needs of those in care , but are considering who pays the bills. They think taxpayers should pay more and the people in care should pay less so their families can inherit more.
Social care is largely administered for the state by local government. The NHS is a national service, so there are border disputes over who needs medical care in a hospital and who should be discharged to a care home with GP support. Healthcare and stays in hospital are free for all whilst social care has to be paid for if you have savings and or a private pension on top of the state pension. Councils pay for those without means, arguing over the adequacy of government grant to do so.
The current system rests on a central distinction between hotel services, lodging and food provided by a care home which remain an individual responsibility, and medical services which are paid for by taxpayers. There is a good case to make that it would be neither affordable nor fairmotivated workforce. to provide full hotel style board and bed in a care home free whilst other elderly or disabled have to pay for their own home, heat and meals. Both those at homes and those in care homes should only have the bills paid if they lack capital and additional income. The review needs to consider the current system as a serious runner to continue with a few tweaks.The important issues are quality of care and how to recruit a skilled and