Social Policy and Administration, vol. 36, 2002, p. 1-19
Both Australia and the United Kingdom have tried various ways to contain the growth and cost of institutional care for older people. The central planning solution adopted by Australia proved more successful in limiting residential care growth than the quasi-market strategy implemented in the UK. Moreover the UK's market based strategy led to aged care being privatised. This has created a powerful lobby with a vested interest in resisting efforts to contain costs and regulate standards. Privatisation added to devolution of responsibility to localities in the UK has also led to enormous variation in the supply and cost of services across the country. Finally, both countries have moved towards requiring older people and their families to pay more towards their own care.
V. Timonen and I. McMenamin
Social Policy and Administration, vol. 36, 2002, p. 20-35
Care of older people in Ireland has traditionally been the responsibility of (female) family carers. In the face of an ageing population and more female participation in the labour market, this model is becoming less sustainable. However government policy has focused on supporting the existing system of informal family care through various forms of financial help and on shifting the increasing costs of institutional care onto families.