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NEW GOLTC System profile: Long-Term Care in England

NEW GOLTC System profile: Long-Term Care in England

News

United Kingdom
United Kingdom (England)

Published:
09 Jun 2025

We are delighted to share the new GOLTC Long-Term Care System profile for England, written by Simon Bottery (King’s Fund) and Natasha Curry (Nuffield Trust).

Highlights from the LTC system profile for England:

  • The long-term care (LTC) system in England restricts access to publicly funded support to people with the highest needs and lowest assets and/or income.
  • People who do not qualify are required to fund their own care and there are no available long-term care insurance products.
  • Needs and means-testing criteria are set nationally but are administered and financed by 153 local authorities, which in practice results in some variation in access.
  • Services are mostly provided by independent providers.
  • Quality of services is regulated by an idependent national body, the Care Quality Commission.
  • Pay in the sector is low and recruitment and retention are ongoing challenges.
  • There is increasing use of technology in the sector, with around 75% of providers now using electronic care records.
  • Since 2014, repeated attempts have been made to reform access to the long-term care system but none has succeeded.

Click here to read theĀ LTC system profile for England.

Click here to see all theĀ GOLTC system profiles.