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There is consensus that social care should be provided by the state for everyone according to their needs; but not unlike politicians (although much less bitter) the consensus becomes fragile when it comes to discussions about how to pay. Despite not necessarily agreeing on the method of payment – as people often make decisions about care when they are financially and emotionally vulnerable – most people we spoke to wanted financial decisions to be decoupled from choices they made about care. And many were reluctant to pay a lump sum at the point of need. Indeed, there was a preference to make payments over the life course.
But the system is far too complex, even those who were navigating their way through it thought so. The public do not have a clear idea of how the care system works beyond rejecting what is currently available and asking for a fairer and simpler system. As the issue of social care seems likely to remain on the election agenda and beyond, the public needs to be better engaged, to build a wider consensus that includes current and future care users.
'When I’m 94: How to fund care for an ageing population' is available now from www.ippr.org/publicationsandreports/publication.asp?id=737
Dalia Ben-Galim, senior research fellow, ippr
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