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Social care reform needed within a year - NHS England boss | Social care reform needed within a year - NHS England boss |
(about 1 hour later) | |
Plans to adequately fund the social care sector need to be in place within a year, the head of NHS England has said. | |
Sir Simon Stevens told the BBC the Covid-19 crisis had shone a "very harsh spotlight" on the "resilience" of the care system. | |
He said there was a need to "decisively answer" how high quality care could be provided long-term. | |
The Department of Health said it would bring forward a plan for reform. | |
In their 2019 election manifesto, the Conservatives pledged to find a cross-party solution to reduce pressures on the sector and provide long-term funding. | |
Speaking on the BBC's Andrew Marr programme, Sir Simon said the Covid-19 pandemic should be used to give momentum to plans to overhaul how the system works. | Speaking on the BBC's Andrew Marr programme, Sir Simon said the Covid-19 pandemic should be used to give momentum to plans to overhaul how the system works. |
"If any good is to come from this, we must use this as a moment to resolve once and for all to actually properly resource and reform the way in which social care works in this country," he said. | "If any good is to come from this, we must use this as a moment to resolve once and for all to actually properly resource and reform the way in which social care works in this country," he said. |
"The reality is that after at least two decades of talking about it, we do not have a fair and properly resourced adult social care system with a proper set of workforce supports." | "The reality is that after at least two decades of talking about it, we do not have a fair and properly resourced adult social care system with a proper set of workforce supports." |
Covid-19 'legacy' | Covid-19 'legacy' |
He added: "I would hope by the time we are sitting down this time next year on the 73rd birthday of the NHS that we have actually, as a country, been able to decisively answer the question of how are we going to fund and provide high-quality social care for my parents' generation. | |
"If you take back the history coming out of the Second World War, the country at that point was on austerity. We had rationing for bread and potatoes. | "If you take back the history coming out of the Second World War, the country at that point was on austerity. We had rationing for bread and potatoes. |
"The founders of the NHS did not use that as a moment to hesitate, they said, 'let one of the legacies of the war be the creation of the NHS'. | "The founders of the NHS did not use that as a moment to hesitate, they said, 'let one of the legacies of the war be the creation of the NHS'. |
"That's the same legacy we need for long term care support in social care coming out of coronavirus." | "That's the same legacy we need for long term care support in social care coming out of coronavirus." |
Shadow chancellor Anneliese Dodds told Andrew Marr the government needed to take "much, much more responsibility" for the social care sector. | Shadow chancellor Anneliese Dodds told Andrew Marr the government needed to take "much, much more responsibility" for the social care sector. |
Asked whether Labour would nationalise private care providers, she said the party was not advocating a "massive grand scheme right at this moment". | Asked whether Labour would nationalise private care providers, she said the party was not advocating a "massive grand scheme right at this moment". |
But she added: "We do need a new approach to social care into the future, even the government has said that they want that". | But she added: "We do need a new approach to social care into the future, even the government has said that they want that". |
'Complex questions' | |
A Department of Health and Social Care spokesperson said it had set out a "comprehensive action plan" to support social care in England during the pandemic. | |
"We know there's a need for a long-term solution for social care and there are complex questions to address," they added. | |
"We will bring forward a plan that puts social care on a sustainable footing to ensure the reforms will last long into the future." | |
Social care costs | Social care costs |
Unlike health care, social care is not generally provided for free. In England, anyone with assets over £23,250 is expected to pay for costs. | Unlike health care, social care is not generally provided for free. In England, anyone with assets over £23,250 is expected to pay for costs. |
Local authorities determine their own means-tests for those receiving care at home, which have to be as generous as the test for care homes. | Local authorities determine their own means-tests for those receiving care at home, which have to be as generous as the test for care homes. |
Free personal care is available in Scotland. Some care costs are capped in Wales, and home care is free for the over-75s in Northern Ireland. | Free personal care is available in Scotland. Some care costs are capped in Wales, and home care is free for the over-75s in Northern Ireland. |
At December's election, the government pledged an extra £1bn per year for social care in England over the next five years. | At December's election, the government pledged an extra £1bn per year for social care in England over the next five years. |
It has subsequently given an extra £3.2bn in emergency Covid-19 funds to English councils, which can be put towards helping with social care costs. | |
Ministers have also promised an additional £600m for care homes to help with controlling infections. | Ministers have also promised an additional £600m for care homes to help with controlling infections. |