Improving equity and sustainability in UK funding for long-term care: lessons from Germany

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Abstract

This paper argues for a transformation of arrangements for accessing and allocating public resources for long-term care in the UK. Currently these arrangements are fragmented, inequitable and not always well targeted. While not necessarily advocating a social insurance approach, the experience of Germany nevertheless shows how simplicity, transparency and equity of access can be combined with strong cost control levers and political sustainability. An opportunity to transform ways of accessing and distributing public resources for long-term care arises with the piloting of ‘individual budgets’ in 13 English local authorities from 2006. The paper argues that the principles underpinning individual budgets should be extended, with the UK government taking a strong national lead.
Original languageEnglish
Pages (from-to)411-422
Number of pages12
JournalSocial Policy and Society
Volume6
Issue number3
DOIs
Publication statusPublished - 2007

Keywords

  • social care services issues
  • health services issues
  • comparative research
  • ill/disabled children
  • funding

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