Andy Burnham has proposed an NHS-style social care system that would provide free care at the point of use to people across England.
The prime minister said he wants a system based on the principle that “everyone contributes, everyone is covered.” He also said the plan could involve changes to taxation, although he has not yet set out the final funding model.
Burnham plans to present his vision for social care, while Baroness Casey’s review is expected to examine how a national care service could be delivered. The government brought forward the timetable for the review, with recommendations now expected next summer.
How Would the New System Work?
Burnham said his proposed model would follow some of the principles behind the NHS. The aim is to create a system in which people can receive personal care without facing the same means-tested charges that currently apply in England.
At present, adult social care is not generally free at the point of use. Eligibility for council support depends partly on a person’s financial circumstances.
Burnham said any reform would need to be properly funded and introduced carefully. He has also said that he intends to put the plan before voters at the next general election.
Funding Remains a Major Question
The cost of universal social care remains one of the central issues surrounding the proposal.
Burnham has not provided a final funding plan. He said that “nothing is off the table” when considering how the new system could be paid for, while also saying the government must consider the effect on public finances.
Some Labour MPs have suggested possible changes to existing spending commitments as one way of raising money for social care.
Meanwhile, Conservative politicians have said they would oppose further tax increases to finance the proposed reforms. Other opposition figures have called for greater detail and continued cross-party discussions.
Burnham Wants Cross-Party Talks
The prime minister has said social care reform will require political cooperation. The government has already started discussions with opposition parties as it considers the future structure of the system.
The government’s previously announced principles for a National Care Service include better links between hospitals, home care and community services, sustainable funding and greater emphasis on helping people remain independent for longer.
Social Care Reform Faces a Long Road
Burnham has made social care reform one of his major policy priorities. His interest in a national care service also dates back to his time as health secretary.
However, the latest proposal remains a plan rather than an established system. The funding arrangements, eligibility rules and detailed structure will need to be developed before any nationwide changes can be implemented.
For now, the government is expected to use Baroness Casey’s review and cross-party discussions to shape the proposals before Burnham presents a detailed plan to voters at the next general election.
