Securing Good Care for Older People

Summary

More than one million older people (aged 65 and over) use publicly funded social care services in England. In light of criticism and controversy about the funding of these services, The King’s Fund commissioned Sir Derek Wanless to undertake a review of social care. The review sought to determine how much should be spent on social care for older people in England over the next 20 years and what funding arrangements need to be in place to ensure that this money is available and will produce high-quality outcomes. This report of their findings will make a significant contribution to the debate on the future of social care.

Download contents

The full report and a summary version can be downloaded using the links at the top of this page. As the full report is a very large file (3.5MB), you may prefer to download individual chapters using the links below.

• Title pages (149 kb)
• Summary (158 kb)
• Introduction (96 kb)
• Chapter 1 - The origins and development of social care (205 kb)
• Chapter 2 - Patterns of need for social care (160 kb)
• Chapter 3 - How is the current system performing on services? (216 kb)
• Chapter 4 - How is the current system performing on standards and processes?
• Chapter 5 - How is the current system performing on outcomes? (101 kb)
• Chapter 6 - Who pays what? (579 kb)
• Chapter 7 - Workforce (166 kb)
• Chapter 8 - Informal care (157 kb)
• Chapter 9 - New influences on care (195 kb)
• Chapter 10 - The outcomes needed in 2026? (245 kb)
• Chapter 11 - How should social care funding systems be judged? (97 kb)
• Chapter 12 - Changing the way the system is funded (256 kb)
• Chapter 13 - Assessing the funding options: implications from the model (333 kb)
• Chapter 14 - Discussion and recommendations (125 kb)
• References (154 kb)
• Appendices - the background papers and research papers that form the appendices to this publication are only available on this website. Go to appendices