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Reforming long-term care
 — recent lessons from other countries
Author(s)Caroline Glendinning, Nicola Moran
Corporate AuthorSocial Policy Research Unit - SPRU, University of York
PublisherSocial Policy Research Unit - SPRU, University of York, York, June 2009
Pages57 pp (Working paper, no DHP 2318)
SourceSPRU, University of York, Heslington, York Y010 5DD. http://www.york.ac.uk/spru Full report can be downloaded from: http://www.york.ac.uk/spru/research/pdf/LTCare.pdf
KeywordsServices ; Finance [care] ; Social policy ; Comparison ; Germany ; Netherlands ; Denmark ; Australia ; Japan.
AnnotationDuring 2008 and 2009, the Department of Health (DH) conducted a major review into the funding of, and future strategy for, adult social care, in preparation for a Green Paper ('Shaping the future of care together', Cm 7673, July 2009). The review was also tasked with considering whether funding and service delivery arrangements should be the same for everyone with care and support needs or vary according to type of need. This paper reports on the experiences of five countries (Germany, the Netherlands, Denmark, Australia and Japan) in reforming their arrangements for funding and delivering long-term care. For each country, it presents background and context, and outlines current or recent debates and reforms. In the case of Germany, the design of the its long-term care insurance scheme's cost-containment measures and funding pressures are noted. None of the five countries has, or is considering developing for the future, private, long-term care insurance. Moreover, nor are individuals' assets or housing equity used for funding long-term care. Lessons for the reform of care and support in England are discussed. (RH).
Accession NumberCPA-091110208 E
ClassmarkI: QC: TM2: 48: 767: 76H: 76K: 7YA: 7DT

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