Should the planned cap on liability for care costs be uniform across England?

By Nuffield Foundation

A new briefing paper presenting data on regional variations in care costs has been published by the Care and State Pension Reform project (CASPeR) as part of a project funded by the Nuffield Foundation.

The briefing paper addresses the question of whether the planned cap on liability to meet care costs should be uniform across England. It sets out the different dimensions of equity that are relevant to the debate about regional variations in the care cap, namely that people should be assured that: 

  • However high their life-time care costs they will be left with a minimum level of savings.
  • Whatever their resources they will be required to spend no more on their care than a specified amount that is equal for all.
  • Whatever their resources and however high their annual care costs they will not be required to fund their own care for more than a specified number of years which is equal for all.

The CASPeR briefing paper finds that the case for and against a variable cap includes: 

  • The differences in disability-free life expectancy suggesting residents of more deprived areas can expect longer periods of care toward the end of life.
  • Higher care home fees in more affluent areas affect the rate people may reach the cap.
  • Differences in income and savings mean that people from more deprived areas will spend-down a higher proportion of their savings before reaching the cap.
  • A varying cap would be complex to administer when service users move area.
  • Uniformity of expenditure across the country may be regarded as more important than other aspects of equity.
There is scope for debate about whether the cap on liability to meet care costs should be uniform across the country or vary by region or area. This issue merits policy consideration, which should be informed by the data and discussion in our briefing note about regional variation in relevant variables such as average care home fees.” Raphael Wittenberg, Associate Professorial Research Fellow, Personal Social Services Research Unit, LSE
The fact that care home fees are higher in some parts of the country than others does not necessarily mean that the planned cap should vary for this reason. What might be a more constructive debate is what the aim is of the cap; for example, to place a ceiling on the amount people have to spend on their care, or protect a proportion of their savings or leave them with a minimum level of savings after meeting their care costs, and whether the cap should be uniform across the country or vary because of this.” Ruth Hancock, Professor in the Economics of Health and Welfare at University of East Anglia

Related


Explore our projects

Young-boy-uses-tablet-with-mother-for-maths-learning-Can-maths-apps-add-value-to-learning-PROJ
New

Education | 2020 - 2022

Can maths apps add value to learning?

View project
Older-man-reads-textbook-Assembling-data-jigsaw-Greater-Manchester-PROJ
In progress

Welfare | 2020 - 2024

Assembling the data jigsaw: powering robust population research in MSK disease

View project
Medical-professional-massages-patient-knee-Understanding-joint-replacement-surgery-decision-making-for-older-patients-PROJ
In progress

Welfare | 2020 - 2023

Supporting older patients to make informed decisions about knee surgery

View project
Woman-medical-professional-treats-patient-impact-MSK-conditions-outcomes-other-illnesses-PROJ
In progress

Welfare | 2020 - 2022

The impact of musculoskeletal conditions on outcomes of other illnesses

View project
Female-nurse-sees-patient-in-office-Integrating-enriched-longitudinal-data-North-Staffordshire-Stoke-on-Trent-PROJ
In progress

Welfare | 2020 - 2025

Enriched data integration for population musculoskeletal health intelligence

View project
Older-man-and-woman-walk-together-Geographical-mapping-prevalence-outcomes-MSK-conditions-Wales-Scotland-PROJ
In progress

Welfare | 2020 - 2022

Mapping rheumatic and musculoskeletal disease in Scotland and Wales

View project
New

Welfare | 2020 - 2022

Older people in England: the geography of challenges and opportunities

View project
Senior-woman-enjoys-video-call-on-smartphone-Social-cohesion-in-context-of-COVID-19-PROJ
New

Welfare | 2020 - 2021

Social cohesion in the context of COVID-19

View project
New

Education | 2020 - 2020

The impact of COVID-19 on mainstream schools in England

View project
Toddler-gleefully-eats-baked-beans-How-COVID-19-is-affecting-food-security-proj
New

Welfare | 2020 - 2021

How the COVID-19 crisis is affecting food security

View project
New

Welfare | 2020 - 2022

Vulnerability, migration and well-being: experiences, perceptions and barriers

View project
In progress

Education | 2020 - 2021

Post-16 educational trajectories and social inequalities in political engagement

View project
Young-boy-uses-tablet-with-mother-for-maths-learning-Can-maths-apps-add-value-to-learning-PROJ
New

Education | 2020 - 2022

Can maths apps add value to learning?

View project
Serious-teenage-girl-gestures-as-sits-on-couch-in-school-counselor-office-Mental-health-service-provision-for-children-state-care-England-PROJ
New

Justice | 2020 - 2021

Mental health service provision for children in state care in England

View project
New

Justice | 2020 - 2022

Youth custody: Educational influences and labour market consequences

View project
New

Welfare | 2020 - 2022

Vulnerability, migration and well-being: experiences, perceptions and barriers

View project
Toddler-gleefully-eats-baked-beans-How-COVID-19-is-affecting-food-security-proj
New

Welfare | 2020 - 2021

How the COVID-19 crisis is affecting food security

View project
New

Education | 2020 - 2020

The impact of COVID-19 on mainstream schools in England

View project
New

Welfare | 2020 - 2022

Older people in England: the geography of challenges and opportunities

View project
Senior-woman-enjoys-video-call-on-smartphone-Social-cohesion-in-context-of-COVID-19-PROJ
New

Welfare | 2020 - 2021

Social cohesion in the context of COVID-19

View project
Teenage-girl-looks-at-smartphone-next-to-laptop-Growing-up-under-COVID-19-PROJ
New

Education | Welfare | 2020 - 2021

Growing up under COVID-19

View project
Young-boy-wearing-glasses-watches-laptop-school-lesson-with-notepad-The-effects-COVID-19-on-families-time-use-child-development-PROJ
New

Education | 2020 - 2022

The effects of COVID-19 on families’ time-use and child development

View project
New

Welfare | 2020 - 2022

COVID-19 social study

View project
Empty-street-with-cyclist-and-pedestrian-in-distance-Law-and-compliance-during-COVID-19-PROJ
New

Justice | 2020 - 2021

Law and compliance during COVID-19

View project
Older-man-reads-textbook-Assembling-data-jigsaw-Greater-Manchester-PROJ
In progress

Welfare | 2020 - 2024

Assembling the data jigsaw: powering robust population research in MSK disease

View project
Medical-professional-massages-patient-knee-Understanding-joint-replacement-surgery-decision-making-for-older-patients-PROJ
In progress

Welfare | 2020 - 2023

Supporting older patients to make informed decisions about knee surgery

View project
Woman-medical-professional-treats-patient-impact-MSK-conditions-outcomes-other-illnesses-PROJ
In progress

Welfare | 2020 - 2022

The impact of musculoskeletal conditions on outcomes of other illnesses

View project
Female-nurse-sees-patient-in-office-Integrating-enriched-longitudinal-data-North-Staffordshire-Stoke-on-Trent-PROJ
In progress

Welfare | 2020 - 2025

Enriched data integration for population musculoskeletal health intelligence

View project
Older-man-and-woman-walk-together-Geographical-mapping-prevalence-outcomes-MSK-conditions-Wales-Scotland-PROJ
In progress

Welfare | 2020 - 2022

Mapping rheumatic and musculoskeletal disease in Scotland and Wales

View project
New

Welfare | 2020 - 2022

Older people in England: the geography of challenges and opportunities

View project
Toddler-gleefully-eats-baked-beans-How-COVID-19-is-affecting-food-security-proj
New

Welfare | 2020 - 2021

How the COVID-19 crisis is affecting food security

View project
Senior-woman-enjoys-video-call-on-smartphone-Social-cohesion-in-context-of-COVID-19-PROJ
New

Welfare | 2020 - 2021

Social cohesion in the context of COVID-19

View project
New

Education | 2020 - 2020

The impact of COVID-19 on mainstream schools in England

View project
New

Welfare | 2020 - 2022

Vulnerability, migration and well-being: experiences, perceptions and barriers

View project
In progress

Education | 2020 - 2021

Post-16 educational trajectories and social inequalities in political engagement

View project
Woman-looks-at-smartphone-screen-How-the-UK-public-gets-information-about-COVID-19-PROJ
New

Welfare | 2020 - 2020

How the UK public gets information about COVID-19

View project
Reported

Welfare | 2019 - 2020

Valuing data: foundations for data policy

View project
Reported

Welfare | 2019 - 2020

Revaluation and reform: bringing council tax into the 21st century

View project
Reported

Welfare | 2018 - 2019

Atlas of inequality: understanding the local nature of a global phenomenon

View project
Reported

Welfare | 2018 - 2018

Interdisciplinary conference on evidence use in policy

View project
Reported

Welfare | 2018 - 2019

Overview of the major ethical issues arising from data, algorithms and AI

View project
Reported

Welfare | 2018 - 2018

Council tax support schemes’ impact on claimants & local authorities

View project
Reported

Welfare | 2018 - 2018

Improving survey representation of non-resident parents

View project
Reported

Justice | Welfare | 2018 - 2019

Pathways of incarcerated children in care

View project
Reported

Justice | Welfare | 2017 - 2018

Visualising data in care proceedings

View project
Reported

Education | 2017 - 2018

Growing up digital

View project
Reported

Justice | Welfare | 2017 - 2018

Addressing the ‘care cases’ crisis: a sector-led review

View project
Reported

Welfare | 2017 - 2018

Vulnerable migrants and well-being: A pilot study

View project
Search projects

We improve people’s lives by funding research that informs social policy, primarily in EducationWelfare and Justice. We also fund student programmes that give young people skills and confidence in science and research.

We offer our grant-holders the freedom to frame questions and enable new thinking. Our research must stand up to rigorous academic scrutiny, but we understand that to be successful in effecting change, it also needs to be relevant to people’s experience.

Profile

COVID-19 response

Nuffield-funded social scientists are conducting COVID-19 research in real-time, to capture people’s experiences of the social, cultural and economic impacts of the pandemic.