Long-term care funding

This report from The Strategic Society Centre sets out recommendations for how policymakers and stakeholders should approach reform of adult social care as a series of 'stepping-stones' in order to overcome current barriers.

James Lloyd, the Centre's Director, argues that the debate on how to fund older people’s long-term care has tended to emphasise a simplistic menu of options, resulting in polarised positions among political parties, and preventing reform from getting under way. But the outcomes required of long-term care funding reform represent not one reform, but many, which vary in their complexity and the political sensitivities they may incur.

The report reveals how many of the stumbling blocks to reform can be overcome, for example: the transition to a national assessment and entitlement framework; staged evolution in the shape of the state safety-net; and, a gradual transition from voluntary to compulsory contributions.

The analysis in the report shows how:

  • widely different models of long-term care funding require some of the same policy changes and structural reforms to be made;
  • seemingly large and challenging reforms can be broken down to a series of manageable steps; and
  • few models of long-term care funding have to represent fixed end-points and can themselves be implemented and developed as stepping-stones in a longer process.

The report argues that such analysis suggests the need for a ‘stepping-stones’ strategy for reform which:

  • prioritises shared steps required by different funding models;
  • evaluates individual funding models as stepping-stones, not just as end-points; and
  • proceeds immediately in areas where consensus exists.
Project details



James Lloyd, The Strategic Society Centre

Grant amount and duration


September 2010 - December 2010