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27th June 2017

Social care: a prefunded solution

As the UK population ages, the cost of publicly funded social care in the UK is projected to rise from 1.0 per cent of GDP (£19.0 billion) today to more than 2.0 per cent of GDP (£40.1 billion) in 2066-67. It is this threat to the UK’s long-term public finances that led to the Conservative party manifesto commitment that “…those who can should rightly contribute to their care from savings and accumulated wealth” through the introduction of a “single capital floor, set at £100,000”. Dubbed the ‘dementia tax’ during the campaign, it is not yet clear whether the manifesto proposals will in fact be dropped.

17th February 2017

Reform submission: Government’s green paper consultation on “Improving Lives: the Work, Health and Disability Green Paper”

Reform recognises the urgent need to reform the welfare system in order to better support people with a disability or health condition. As the Green Paper states, this must ensure appropriate support both for those who can work (according to their capacity, which may be limited) and those who cannot.

16th February 2017

Saving STPs. Achieving meaningful health and social care reform

Current ambitions for NHS reform rest on Sustainability and Transformation Plans (STPs). These aim to bring local leaders together to create cohesive systems of care that are proactive, not reactive, with a focus on prevention and care being delivered in the community rather than in hospitals. They also aim for health and social care systems to properly exploit technology. All this will save time and money and deliver better quality care. In their current form, however, STPs are not going to work.

18th January 2017

Faulty by design. The state of public-service commissioning

How public services are commissioned underpins their success in healthcare, criminal justice, employment services and beyond. In theory, designing contracts for services delivered by third-party providers stokes competition for service delivery, driving down prices and incentivising expert providers to deliver the best services to meet users’ needs.

25th October 2016

The State of the State 2016-17

The State of the State report provides a unique, independent analysis of the UK public sector through a business lens. Produced by Deloitte UK in collaboration with Reform, the insight is informed by interviews with public sector leaders, citizen research and an in-depth analysis of government data.