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Dilnot sets out pillars for care reform

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Andrew Dilnot’s commission on social care funding has set out four priorities for its recommendations on reform.

Building on his comments last month about the need for a new national system of “pooling risk” Professor Dilnot’s commission lists the key areas in a new consultation document.

Its first pillar for reform is that the new care-funding system “should ideally offer people the opportunity to be protected against the risk of future care and support costs”.

The commission laments the fact that most people are currently “unable to benefit from any sort of risk pooling, which could reduce the overall costs people face”.

However, Prof Dilnot’s team, which includes Lord Norman Warner and Dame Jo Williams, accepted that that adequately calculating the financial risks involved was “a challenge for both public and private sector provision”.

The panel’s other priorities are:

  • Making sure people properly understand how the social care system works, so they can better plan for their needs. This role is not limited to local authorities and the voluntary sector, but also to financial advisers and consumer organisations.
  • Better defining the wider system of public support so that people have a clearer idea of what they can expect from the NHS, social services, and the benefits system – areas where there is currently a large degree of overlap.
  • Identifying the correct level of resources for social-care and where increases should come from. Prof Dilnot’s team expects greater resource will be needed for care and support in the future, not only because of increased demographic pressure on the system, but also to deliver “quality outcomes” for people. The panel states that defining  the “optimal mix” of those increases from the available funding streams will require “difficult trade-offs”.

The consultation is open until 28 January and can be viewed at:

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