2013 年 24 巻 E2 号 p. 29-50
England provides long term care services as a part of the social care. Approximately 1.7 million people use social care services organized by the 150 local councils in 2005. At 1.2 million, older people constitute by far the largest user group for social care. Of those, 1.0 million older people used publicly "brokered" community-based services that include domiciliary care (i.e., support to people in their own homes) and day care (services and activities available in other settings). Local authorities spent £ 8.0 billion on personal social care services in 2004/5, 1.6 billion of which was recouped from users through means-tested charges. A further 3.7 billion was paid out to individuals on non-means-tested benefits to help toward the costs of care. The amount of public support for dependent people varies significantly depending on the wealth and geographical location of individuals. This paper first follows the evolution of the English policy of social services since 1980's, then introduces the current debates on community care policy, and finally explains the market structure of the community care market in England.
