In this slideshow, Rt Hon Paul Burstow MP, Minister of State for Care Services (2010-2012), explains the need for social care reform in England due to an ageing population and the challenges ahead.

1. Rt Hon Paul Burstow MP
Care Minister, 2010-2012
Commons convenor
Lib Dem Health Team

6. A revolution in survival
Number of centenarians in the UK,
Thousands
1981-2081
700
600
500
400
300
200
100
0
1981
1991
2001
2011
2021
2031
2041
2051
2061
2071
2081

7. The oldest old: growing fast
Percentage of people aged 85+,
United Kingdom, 2011-2081
10%
9%
8%
7%
6%
5%
4%
3%
2%
1%
0%
2011
2021
2031
2041
2051
2061
2071
2081

8. The pressure on families
Dependency ratio
UK, 1950-2100
Oldest old support ratio
0.9
18
0.8
16
0.7
14
0.6
12
0.5
10
0.4
8
0.3
6
0.2
4
0.1
2
0.0
0
1950
1970
1990
2010
2030
2050
2070
2090

9. Reform: from FOR to WITH
 Welfare to Well-being
 Rescue to Prevention
 Fragmentation to
Integration
 Transactional to
relational
 CARE BILL: Enabling
Framework

10. Funding reform
 State accepts
responsibility for tailend risk
 Means test made more
generous
 Eligibility is nationalised
 Everyone has a stake
 BUT. Market response
awaited

11. Challenges: Changing culture
 Stigma: fear to hope
 Leadership:
institutional to system
 Workforce: silos to
teams
 Money: short to long
term
 Trust: hospital to
home

12. Changing attitudes

13. A Benefit NOT a Burden
Informal care;
£34bn
Volunteering;
£10bn
Goods and
Services; £76bn
Taxes; £45bn
£175 billion
Donations,
etc; £10bn
Source: RVS