A funding settlement that works for people, not services

This article is about how to fund care and support for a growing, and increasingly diverse, population of older people. We ask whether it is possible to create a funding settlement for longterm care that meets four criteria. These are: fairness; transparency; sustainability (financial and social sustainability); and capacity to support the outcomes that people want and value. Can we create a funding settlement that starts from people's lives ‐ not service‐based assumptions?