The Government accepted each of the royal commission on long term care’s recommendations except the recommendation to provide free personal care. Making personal care free for everyone carries a very substantial cost: the estimated cost is some £1.5 billion in 2003-04 rising to £2.65 billion in 2010-11.
The NHS Information Centre for health and social care publishes annually data on councils’ expenditure on residential care for older people. The latest data are £4,740 million gross or £3,340 million net of user charges for 2007-08.
The Department commissioned the Personal Social Services Research Unit (PSSRU) at the London School of Economics to make projections of expenditure on long-term care for older people in England. In a joint study with the Universities of Essex and Birmingham, funded by the Nuffield Foundation, they estimated that the introduction of free personal care could cost between £1.3 billion and £1.8 billion or more in 2002—PSSRU Research Summary 40, available at:
The response to the ordinary residence guidance consultation is expected to be published in the winter.