Hi ElenorRigby
My position on this is quite complex. I experienced 8 very difficult years nursing my mother with dementia. I was never happy with the support that was available.
My interest in all of this predates my joining the labour party, and my initial contacts with my MP were purely to complain about how awful it all was.
What happened is that I began to research the problem of care and care funding very thoroughly.
What i found is that we hadn't set aside money in the way that Sweden had back in the 1970s, and because that we had a pretty huge funding gap opening up by the mid 1990s. This was coupled with the very rapid increase in life expectancy (drugs and acute medicine)so that people were living not just into their 70s and perhaps 80s, but into their 90s and 100s.
John major's solution to the funding gap that this was causing for the health service was to set up the trend that you spotted of closing down the geriatric hospitals and moving people into community care. You had the trend towards privatisation and the rapid expansions of small private care homes at that time.
None of that was necessarily wrong, but it did shift the funding burden from health service, and therefore free at the point of need, to Care service and therefore means tested. A lot of people protested fairly strongle which is why this was an issue in the 1997 election
When Labour came in in 1997 they did what they had promised to do and set up a royal commission to look at how care funding could be better managed. I think that when they came in they were committed to live with the Conservative spending restraints for the first years, and therefore I think when they realised the financial implications of implimenting the full recommendations of the royal commission they panicked. They did then what they did with a number of subsequent reports. They picked up the major recommendation of the problems that needed correcting most urgently, so we have been through the process of taking back the costs that were clearly "health care" into health funding, and trying to distinguish between health and social care.
The reason that I personally think that the National Social Care Package really matters -and it is no skin off my nose if we dont get it, but it could certainly benefit many of you, is that this is the first time when there has been a really thoroughly researched approach to working out how we can deal with funding the vast increase in the very elderly we are expecting in the next 50 years.
As I have indicated most of the impetus for this came from ordinary people, many of whom had like myself gone through the experience of dealing with the last illnesses of their relatives. The consultations were not government led, but they were listened to very thoroughly.
I am certainly no defender of the status quo. I want us to have something much better. It is of course up to you to decide if you are more likely to get a service that we can all be happy with by design, or by the chance that a combination of private sector providers and volunteers will spontaneiously develop services of equal quality all over the country and that we will all happily decide to go out and buy care insurance!
I would estimate that my mother's care cost my family in the region of £100,000. (rather more than that if you start trying to calculate my loss of earnings) The quality was never good enough. If she had been poorer she would have been looked after, If she had been richer, then none of this would have been a problem, she would have had a pension big enough to cover her care fees. It is the people in the middle who are suffering now from this.
I see many of my friends heading towards all of this and I can see it is preventable. All it takes is the kind of vision and will that was there there when my parent's generation decided to set up the NHS