A good day to plug @CPSThinkTank's work with @DamianGreen on social care, which is still for my money the most convincing option on the table cps.org.uk/media/media-co…
Our view is that Dilnot or variants of it fall down on the house price issue. 'Vanilla' Dilnot doesn't protect people's homes. Trying to fix that results in a policy which protects the massive housing wealth of the south at the expense of the north.
And the idea of incorporating it within the NHS falls down because a) the NHS really doesn't want the headache and b) you're taking stuff people are already paying for privately and substituting state funding.
What we suggest is modelling it on the state pension, which everyone understands. The state guarantees a decent level of care, then people pay for higher quality (via insurance) if they want it.
(We also do need to inject more cash into the system, and crucially make it easier to build care homes and retirement housing, as we have shockingly poor provsision.)
We published a follow-up report here explaining the pros and cons of the main options. Short version: there is a trade-off between cost and comprehensiveness, all options cost more, we think ours manages those trade-offs best... cps.org.uk/research/fixin…
(Since then there’s been some talk about doing it as a percentage of wealth rather than set figure, which is interesting as a way to tackle the house price issue but haven’t seen any detailed modelling…)
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