Rt Hon Paul Burstow MP Care Minister, 2010-2012 Commons convenor Lib Dem Health Team
A revolution in survival Number of centenarians in the UK , Thousands 1981-2081 700 600 500 400 300 200 100 0 1981 1991 2001 2011 2021 2031 2041 2051 2061 2071 2081
The oldest old: growing fast Percentage of people aged 85+, United Kingdom, 2011-2081 10% 9% 8% 7% 6% 5% 4% 3% 2% 1% 0% 2011 2021 2031 2041 2051 2061 2071 2081
The pressure on families UK, 1950-2100 Dependency ratio Oldest old support ratio 0.9 18 0.8 16 0.7 14 0.6 12 0.5 10 0.4 8 0.3 6 0.2 4 0.1 2 0.0 0 1950 1970 1990 2010 2030 2050 2070 2090
Reform: from FOR to WITH Welfare to Well-being Rescue to Prevention Fragmentation to Integration Transactional to relational CARE BILL: Enabling Framework
Funding reform State accepts responsibility for tail- end risk Means test made more generous Eligibility is nationalised Everyone has a stake BUT. Market response awaited
Challenges: Changing culture Stigma: fear to hope Leadership: institutional to system Workforce: silos to teams Money: short to long term Trust: hospital to home
Changing attitudes
A Benefit NOT a Burden Informal care; Volunteering; £34bn £10bn Goods and Services; £76bn Donations, Taxes; £45bn etc; £10bn £175 billion Source: RVS
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