Bottom line is that if you are self-funding, you can have that in entirely private nursing homes.
But for tax-payer funded placements, the beds go first to those who need them for physical care.
It would not be acceptable for someone to be refused a place, or moved hundreds of miles from their family, because someone who did not need that level ofmcare was occupying a space.
And it's going to be hard enough tot fund social care at this utilitarian level over the next couple of decades.
If a younger person required long-term institutional care, the family can visit freely but don't move in. And it doesn't change with age.