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Means Testing Adult Social Care in England

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  • Les Mayhew

    (City, University of London)

Abstract

With the number of U.K. citizens aged 75 and over doubling to 10 million by 2040, social care funding remains a key policy challenge. The Care Act 2014 included reforms designed to make care funding sustainable, by establishing a new level for what individuals and the state will pay in England. However, the Government has postponed their introduction until 2020 amid concerns about cost. This paper uses the delay to investigate the current and proposed means testing formulae and finds fault with both. It proposes an alternative formula called the “preferred formula”, which it argues is fairer and does not require capital limits. It further suggests that the proposed life-time cap care on costs is unnecessary since the preferred formula contains a mechanism that automatically limits asset depletion. Using examples, the research tackles an issue with all means testing which is that it disincentivises saving, so preventing more money entering the care system.

Suggested Citation

  • Les Mayhew, 2017. "Means Testing Adult Social Care in England," The Geneva Papers on Risk and Insurance - Issues and Practice, Palgrave Macmillan;The Geneva Association, vol. 42(3), pages 500-529, July.
    • Handle: RePEc:pal:gpprii:v:42:y:2017:i:3:d:10.1057_s41288-016-0041-0
    DOI: 10.1057/s41288-016-0041-0
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    References listed on IDEAS

    as
    1. Les Mayhew & Martin Karlsson & Ben Rickayzen, 2010. "The Role of Private Finance in Paying for Long Term Care," Economic Journal, Royal Economic Society, vol. 120(548), pages 478-504, November.
    2. Les Mayhew, 2009. "On the effectiveness of care co-ordination services aimed at preventing hospital admissions and emergency attendances," Health Care Management Science, Springer, vol. 12(3), pages 269-284, September.
    3. Karlsson, Martin & Mayhew, Les & Rickayzen, Ben, 2007. "Long term care financing in four OECD countries: Fiscal burden and distributive effects," Health Policy, Elsevier, vol. 80(1), pages 107-134, January.
    4. Karlsson, Martin & Mayhew, Les & Rickayzen, Ben, 2007. "Long term care financing in 4 OECD countries: fiscal burden and distributive effects," Publications of Darmstadt Technical University, Institute for Business Studies (BWL) 34405, Darmstadt Technical University, Department of Business Administration, Economics and Law, Institute for Business Studies (BWL).
    5. Karlsson, Martin & Mayhew, Les & Plumb, Robert & Rickayzen, Ben, 2006. "Future costs for long-term care: Cost projections for long-term care for older people in the United Kingdom," Health Policy, Elsevier, vol. 75(2), pages 187-213, January.
    6. Joan Costa-Font & Raphael Wittenberg & Concepció Patxot & Adelina Comas-Herrera & Cristiano Gori & Alessandra di Maio & Linda Pickard & Alessandro Pozzi & Heinz Rothgang, 2008. "Projecting Long-Term Care Expenditure in Four European Union Member States: The Influence of Demographic Scenarios," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 86(2), pages 303-321, April.
    7. Les Mayhew & David Smith, 2014. "Personal Care Savings Bonds: A New Way of Saving Towards Social Care in Later Life*," The Geneva Papers on Risk and Insurance - Issues and Practice, Palgrave Macmillan;The Geneva Association, vol. 39(4), pages 668-692, October.
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