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Improving equity and sustainability in UK funding for long-term care: lessons from Germany

Glendinning, C. (2007) Improving equity and sustainability in UK funding for long-term care: lessons from Germany. Social Policy & Society, 6 (3). pp. 411-422. ISSN 1474-7464

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Abstract

This paper argues for a transformation of arrangements for accessing and allocating public resources for long-term care in the UK. Currently these arrangements are fragmented, inequitable and not always well targeted. While not necessarily advocating a social insurance approach, the experience of Germany nevertheless shows how simplicity, transparency and equity of access can be combined with strong cost control levers and political sustainability. An opportunity to transform ways of accessing and distributing public resources for long-term care arises with the piloting of ‘individual budgets’ in 13 English local authorities from 2006. The paper argues that the principles underpinning individual budgets should be extended, with the UK government taking a strong national lead.

Item Type: Article
Academic Units: The University of York > Social Policy and Social Work (York)
The University of York > Social Policy Research Unit (York)
Depositing User: York RAE Import
Date Deposited: 13 Feb 2009 17:39
Last Modified: 13 Feb 2009 17:39
Published Version: http://dx.doi.org/10.1017/S1474746407003727
Status: Published
Publisher: Cambridge University Press
Identification Number: 10.1017/S1474746407003727
URI: http://eprints.whiterose.ac.uk/id/eprint/7471

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