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Financing long-term care in Great Britain

Published online by Cambridge University Press:  20 April 2012

S. R. Nuttall ,
R. J. L. Blackwood ,
B. M. H. Bussell ,
J. P. Cliff ,
M. J. Cornall ,
A. Cowley ,
P. L. Gatenby  and
J. M. Webber
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Abstract

This paper is concerned with the current and future financing of long-term care (LTC). This is defined as the provision of nursing and care services to those adults who are incapable, to some degree, of looking after themselves, but excluding short-term convalescent care. The current position is summarised, covering the demand and supply of LTC, how it is currently financed, new developments and consumer attitudes. The paper then goes on to consider future developments. Possible patterns of future demand, covering likely needs and costs are given. Consideration is then given as to how future demand may be financed.

The paper discusses some of the initiatives that might be undertaken to encourage proper planning by both the State and individuals and concludes that the actuarial profession should have a significant role to play in communicating the issues and evaluating solutions.

Keywords

Long-Term CareDisabilityProjectionsActuarial Initiatives
Type
Research Article
Information
Journal of the Institute of Actuaries , Volume 121 , Issue 1 , 1994 , pp. 1 - 68
Copyright
Copyright © Institute and Faculty of Actuaries 1994

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References

REFERENCES

(1) Government Actuary (1993). National population projections: 1991-based. Office of Population Censuses and Surveys Series PP, 18. H.M.S.O., London.Google Scholar
(2) Laing, W. (1993). Care of elderly people market surrey 1992/93. Sixth edition, Laing & Buisson.Google Scholar
(3) Martin, J. et al. (1988). The prevalence of disability among adults. Office of Population Censuses and Surveys. H.M.S.O., London.Google Scholar
(4) Green, H. General Household Survey 1985—Informal carers. H.M.S.O.Google Scholar
(5) Department of Health (1990). Community care in the next decade and beyond: policy guidance.Google Scholar
(6) Family Expenditure Survey 1991. Family spending.Google Scholar
(7) General Household Survey 1990.Google Scholar
(8) The Mercantile and General Reinsurance Company PLC (1991). Looking into long term care.Google Scholar
(9) Henley Centre. Caring for the elderly: a problem in the making (commissioned by Laurentian Financial Group).Google Scholar
(10) National Long-Term Care Surveys (1982, 1984). U.S. Department of Commerce.Google Scholar
(11) Donaldson, L. J. & Jagger, C. (1984). Outcome of admissions of elderly people to hospitals and homes: a survey and follow up. Society of Community Medicine.Google Scholar
(12) Booth, T. et al. (1983). Patterns of mortality in homes for the elderly. Age and Ageing.CrossRefGoogle Scholar
(13) Benjamin, S. (1992). Using the value of their houses to fund long term care for the elderly. 24th International Congress of Actuaries.Google Scholar
(14) Social Trends 22 (1992). Central Statistical Office.Google Scholar
(15) Social Trends 23 (1993). Central Statistical Office.Google Scholar
(16) Wittenberg, R. (1989). Prototype insurance policy for LTC. Department of Health.Google Scholar
(17) Wilkin, J.C. et al. (1992). Financing of long-term care costs: government proposals. Record—The Society of Actuaries, 18, 1B.Google Scholar