Rt Hon Paul Burstow MP

Care Minister, 2010-2012 Commons convenor

Lib Dem Health Team

A revolution in survival

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1981 1991 2001 2011 2021 2031 2041 2051 2061 2071 2081

Thousands Number of centenarians in the UK,

1981-2081

The oldest old: growing fast

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2011 2021 2031 2041 2051 2061 2071 2081

Percentage of people aged 85+,

United Kingdom, 2011-2081

The pressure on families UK, 1950-2100

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1950 1970 1990 2010 2030 2050 2070 2090

Dependency ratio Oldest old support ratio

Reform: from FOR to WITH Welfare to Well-being

Rescue to Prevention

Fragmentation to Integration

Transactional to relational

CARE BILL: Enabling Framework

Funding reform State accepts

responsibility for tail-end risk

Means test made more generous

Eligibility is nationalised

Everyone has a stake

BUT. Market response awaited

Challenges: Changing culture Stigma: fear to hope

Leadership: institutional to system

Workforce: silos to teams

Money: short to long term

Trust: hospital to home

Changing attitudes

A Benefit NOT a Burden

Taxes; £45bn

Goods and Services; £76bn

Informal care; £34bn Volunteering;

£10bn

Donations, etc; £10bn

£175 billion Source: RVS