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Future demand for long-term care in the UK
 — a summary of projections of long-term care finance for older people to 2051
Author(s)Raphael Wittenberg, Adelina Comas-Herrera, Linda Pickard
Corporate AuthorJoseph Rowntree Foundation - JRF; Personal Social Services Research Unit - PSSRU, London School of Economics; Nuffield Community Care Studies Unit, University of Leicester
PublisherJoseph Rowntree Foundation - JRF, York, 2004
Pages14 pp
SourceYork Publishing Services, 64 Hallfield Road, Layterthorpe, York YO31 7ZQ. Free pdf version (1859352049) available: www.jrf.org.uk/bookshop
KeywordsServices ; Domiciliary services ; Nursing homes ; Care homes ; Long term ; Costs [care].
AnnotationProjections show that future demand for long-term care services is sensitive to the projected numbers of older people and future dependency rates. This paper examines the possible implications of making all personal care free to users, which in itself would have a marked effect on the balance between public and private expenditure on long-term care for older people now and in the longer term. The distribution of public spending on long-term care also merits consideration. Under the current financing regime, public spending is concentrated on the poorest third of care home residents. The extra public spending required for free personal care would be concentrated on the top third of residents. This paper's analysis shows that even under current patterns of care and funding arrangements, there is much uncertainty about whether and how far the proportion of gross domestic product (GDP) devoted to long-term care will need to rise over the next decades to meet demographic pressures and rises in the real unit costs of care. These findings suggest that policy makers need to plan for uncertainty in future demand for long-term care and in the public expenditures that could arise. (RH).
Accession NumberCPA-040519005 B
ClassmarkI: N: LHB: KW: 4Q: QDC

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