Showing posts with label england. Show all posts
Showing posts with label england. Show all posts

Thursday, 18 December 2014

Are there any other ways to fund adult social care like a private fund?

There is another post about reducing the need for healthcare by making healthy life easier.

Could people club together to fund a trust which pays government (or whoever else) to provide adult social care? This would by-pass elected chancellors and their decision-making-ability-deficits. https://en.wikipedia.org/wiki/Edhi_Foundation has done this in Pakistan and managed to run Accident and Emergency departments and ambulances in a country that has no government budget for healthcare.

A quick google didn't find easy estimates of the cost of adult social care per person.
The figure in England is tens of billions for a population of 53.01 million.
That's from the figures in a big font size on page six of this:
http://www.nao.org.uk/wp-content/uploads/2015/03/Adult-social-care-in-England-overview.pdf

Assuming that a billion is a thousand million, that's a thousand pounds each per person alive per year of life.

Assuming that a trust fund can make 10%, that's £10,000 per year in trust per person.
The 10% figure is based on P2P lending recently on the smaller sites. I don't know if large-scale investment could ever make that much after inflation so call it £20,000 or £40,000 in trust per person.
This american page suggested 6% after inflation is a better rule of thumb if you include admin costs of private funds with their accounting, sales, porsche-driving fund managers and city centre offices to support. A fund would also have to pay admin costs, so a rough-and-ready way of running it cheaply would be good. The picture is from http://www.jeffbevan.co.uk and shows how someone sells eggs in Street in Someset. It also shows what people both love and hate about welfare state compared to private insurance: it may be cheap to admnister but it's hard to get a receipt and prove what you are entitled to.