Intended for healthcare professionals

Views And Reviews

Social care funding: what can we learn from Germany and Japan?

BMJ 2018; 363 doi: (Published 25 October 2018) Cite this as: BMJ 2018;363:k4429
  1. Camilla Cavendish, senior fellow
  1. Mossavar-Rahmani Center for Business and Government, Harvard Kennedy School, USA
  1. camilla_cavendish{at}

Any long term solution to social care will need to take people with it

The government will announce the autumn budget on 29 October. All eyes will be on the chancellor to see how he plans to fund the promised extra £20bn (€23bn; $26bn) a year for the NHS and what he will do to fund social care.

The Care Quality Commission’s (CQC) recent list of care “blackspots”—areas where patients face the double whammy of a failing local hospital and poor care services—brings home the impact on the NHS of our threadbare system of looking after frail older people.

If the public can be persuaded that social care is crippling the NHS, they are more likely to support new taxes to pay for it.

Until now, social care has not been a salient political matter. While …

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