Green paper to propose ‘big shift’ from care homes to home care, hints Matt Hancock


Matt Hancock has said the long-awaited social care green paper will outline proposals to shift people away from care homes and into the care of domiciliary providers.

Speaking at the House of Lords Economic Affairs committee on Tuesday, the Health and Social Care Secretary said more people go into residential care than is “clinically justified”.

 “I think there’s a big opportunity to make social care better for the individual being cared for and better value for money by a shift from residential to domiciliary care,” he said.

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“A Norwegian minister told me that they had moved from essentially 80% residential to 80% domiciliary care.”

Hancock told his peers that domiciliary care is cheaper than residential care and that people want to stay at home for as long as possible.

“It’s also better clinically,” he said. “The evidence shows that when people are being discharged from hospital, a far higher proportion go into residential homes than clinically is recommended.

“When doctors say you should be going into your own home with a care package, they end up in residential homes even though residential homes are more expensive.

“That will get a mention in the green paper, I have no doubt.”

When asked by the Committee’s Chair Lord Forsyth of Drumlean, when the delayed green paper would be published, Hancock said it is coming “in due course”.

“I’m afraid it has been delayed in the break due to Brexit and the need for bandwidth,” he said.

“We continue to work on it and continue to improve it. I wish that the green paper had been published by now.”

Tags : Matt HancockSocial Care Green Paper
Sarah Clarke

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