This article is from the source 'bbc' and was first published or seen on . It will not be checked again for changes.

You can find the current article at its original source at http://news.bbc.co.uk/go/rss/-/1/hi/health/8593118.stm

The article has changed 16 times. There is an RSS feed of changes available.

Version 12 Version 13
Social care levy plans unveiled Social care 'levy for everyone'
(about 1 hour later)
A compulsory levy will be introduced to create a universal system of social care for adults in England, under plans unveiled by ministers. A compulsory levy should be introduced to fund a universal social care system for adults in England, Labour says.
They call for a new commission to look at when and how the fee should be applied, and how much it should be. It said the move would represent the biggest shake-up in the welfare state since the creation of the NHS and end the "cruel lottery" currently in place.
It is widely agreed the current means-tested system needs reform because of the ageing population. But ministers refused to be drawn on how much people should pay, saying a commission would be set up to look at that if they won the election.
A compulsory charge is opposed by the Conservatives, who called one proposal for a levy on estates a death tax. Such a charge is opposed by the Tories, who have dubbed it a death tax.
The subject is now likely to become a key issue during the election campaign.The subject is now likely to become a key issue during the election campaign.
Funding optionsFunding options
Demands for care have been rising as people live longer, and costs have been ballooning. The current system for providing support to the elderly and people with disabilities is means-tested.
So if Labour's plan for a National Care Service were introduced - and this would not happen until after the lifetime of the next parliament - it will be the first time everybody has been entitled to state support for a residential care place or home help.
The intervention comes after councils have been struggling to cope with rising demand, mainly fuelled by the ageing population.
WHERE THE PARTIES STAND Labour - Put forward three proposals last summer and after public consultation is expected to back a compulsory levyTories - Proposed an £8,000 voluntary insurance model to cover residential care costs. Now drawing up plans for a voluntary scheme to cover domestic care, such as help washing, eating and dressing in the homeLib Dems - Initially supportive of free personal care - like Scotland has introduced - but now want a "partnership" whereby state pays some and individual tops this up. Open to compulsory levy Q&A: Social careWHERE THE PARTIES STAND Labour - Put forward three proposals last summer and after public consultation is expected to back a compulsory levyTories - Proposed an £8,000 voluntary insurance model to cover residential care costs. Now drawing up plans for a voluntary scheme to cover domestic care, such as help washing, eating and dressing in the homeLib Dems - Initially supportive of free personal care - like Scotland has introduced - but now want a "partnership" whereby state pays some and individual tops this up. Open to compulsory levy Q&A: Social care
Some councils have already started to limit access to support to those with the most severe needs. The result is that many vulnerable people living at home have been left to fend for themselves or rely on the help of family and friends for assistance with washing, eating and dressing.
The result is that many elderly people living at home have been left to fend for themselves or rely on the help of family and friends for assistance with washing, eating and dressing.
Thousands of people have also been forced to sell family homes to pay for residential care.Thousands of people have also been forced to sell family homes to pay for residential care.
The government put forward three funding options for a new system last summer.The government put forward three funding options for a new system last summer.
The options all involved the state providing a basic level of funding, which could be topped up by personal contributions, an insurance scheme or a compulsory fee. They all involved the state providing a basic level of funding, which could be topped up by personal contributions, an insurance scheme or a compulsory fee.
Unlike Tuesday's announcement, the policy paper last summer went as far as to suggest a compulsory charge could be up to £20,000 per person.
This incited the Tory accusations of a death tax, as one of the ways it could be paid was from a person's estate once they had died.
The government consulted widely on the proposals, with many charities and social care chiefs backing a compulsory charge as the best way to raise the money needed to sustain the system.The government consulted widely on the proposals, with many charities and social care chiefs backing a compulsory charge as the best way to raise the money needed to sustain the system.
FROM THE TODAY PROGRAMME More from Today programmeFROM THE TODAY PROGRAMME More from Today programme
But cross-party talks in recent months failed to reach a consensus.But cross-party talks in recent months failed to reach a consensus.
The Conservatives are adamant people should not be compelled to pay, and instead back a voluntary insurance scheme. The Conservatives are adamant people should not be compelled to pay and refused to back a compulsory levy in talks held in recent months. Instead, they back a voluntary insurance scheme.
One of the suggestions - a compulsory charge, perhaps as much as £20,000, which could be taken from a person's estate after death - was dubbed a "death tax" by the Tories. However, Health Secretary Andy Burnham said making everyone pay - apart from the very poorest - was the only fair way to create a fair system as he unveiled a white paper on the issue.
These reforms will pave the way towards the introduction of a comprehensive national care service available to all - whoever you are, wherever you live, whatever your circumstances Prime Minister Gordon Brown He announced an independent group of experts would be appointed to look at exactly how such a fee could be applied. This will look at a range of methods, including allowing people to defer their pensions, paying it up front or taking it from their estate after death.
Alistair Darling appeared to reject the "death tax" during the chancellors debate on Channel 4 on Monday night. Mr Burnham hailed the policy as a "momentous decision".
However, Health Secretary Andy Burnham said he still favoured a compulsory levy of some sort as he unveiled a white paper on the issue.
He announced an independent group of experts would be appointed to look at exactly how such a fee could be applied.
He hailed the policy as "a momentous decision" that would provide a universal system of care for the first time.
Pensioner Audrey Burgin: "People say I could go on a world cruise for the money I spend on care"Pensioner Audrey Burgin: "People say I could go on a world cruise for the money I spend on care"
"It will give people peace of mind in later life and help them protect everything they have worked for. We have the cruellest system of all at the moment." He added: "It will give people peace of mind in later life and help them protect everything they have worked for. We have the cruellest system of all at the moment."
As an interim measure, the government has already said it will provide free care in their own homes to people with the most severe needs.As an interim measure, the government has already said it will provide free care in their own homes to people with the most severe needs.
People who have been in care homes for more than two years will get their care for free. People who have been in care homes for more than two years will get their care for free from 2014 as part of a phased introduction of the new system.
This will happen from 2014, says Mr Burnham. Campaigners welcomed the move, saying it would benefit the most vulnerable people in society.
Stephen Burke, chief executive of Counsel and Care, the charity for older people, added: "Free care for all is a historic commitment and signals a new frontier to the welfare state."
'Must sort this out''Must sort this out'
The government expects that a new system will take more than the lifetime of the next parliament - perhaps 2016 - to be introduced fully. But shadow health secretary Andrew Lansley accused ministers of still wanting a death tax but just delaying the decision for a few years.
Shadow health secretary Andrew Lansley accused ministers of still wanting a death tax but just delaying the decision for a few years.
FROM THE TODAY PROGRAMME More from Today programmeFROM THE TODAY PROGRAMME More from Today programme
He said charging everyone for social care was "unfair on the people who meet their caring responsibilities" - families caring for elderly relatives at home. He said charging everyone for social care was "unfair on the people who meet their caring responsibilities", such as families caring for elderly relatives at home.
Norman Lamb, the Liberal Democrats' health spokesman, said he wanted to get the three main parties to work together on the issue after the election.
"Seeking consensus is the right approach but that will only work if the cross-party commission is free to consider all ways of funding social care, not just Labour's preferred policy."
Councillor David Rogers, of the Local Government Association, said: "We need a new system and that will inevitably be a combination of tax revenue and individual contributions in some form.Councillor David Rogers, of the Local Government Association, said: "We need a new system and that will inevitably be a combination of tax revenue and individual contributions in some form.
"The next government must sort this out.""The next government must sort this out."
Norman Lamb, the Liberal Democrats' health spokesman, said the parties needed to work together to agree the future of social care funding.
"We should sit down together after the election, accepting that we need to raise more money and arguing the case for a partnership between the state and the individual.
"Seeking consensus is the right approach but that will only work if the cross-party commission is free to consider all ways of funding social care, not just Labour's preferred policy. The commission should report within a year so changes can be implemented straight away," he said.


What is your experience of social care? Has your mother or father received care? How has the cost of care affected you? You can send us your experiences using the form below. If you want to comment on these plans, please go to our Have Your Say debate. What is your experience of social care? Has your mother or father received care? How has the cost of care affected you? You can send us your experiences using the form below. If you want to comment on these plans, please go to our Have Your Say debate.
The BBC may edit your comments and not all emails will be published. Your comments may be published on any BBC media worldwide. Terms & ConditionsThe BBC may edit your comments and not all emails will be published. Your comments may be published on any BBC media worldwide. Terms & Conditions