The Making of Ageing Policy
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The Making of Ageing Policy

Theory and Practice in Europe

Edited by Rune Ervik and Tord Skogedal Lindén

Demographic changes transform societies and challenge existing institutional solutions and policies. The need for policies addressing these challenges has increasingly been put on the agenda. The Making of Ageing Policy analyzes these innovative policy ideas and practices at both the international and the national level.
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Chapter 10: Strategies to meet long-term care needs in Norway, the UK and Germany: a changing mix of institutional responsibility

Rune Ervik, Ingrid Helgøy and Tord Skogedal Lindén


Do recent long-term care (LTC) initiatives in Norway, the UK and Germany deviate from the traditional welfare regime path of these countries? This chapter will give a brief overview of the most significant changes in LTC policies in Norway, the UK and Germany. Following this overview we will address two important questions. First, how much responsibility will the state, civil society, families and individuals have to bear for future care needs? Second, to what degree do reform ideas represent a break with existing traditions and welfare regimes? LTC is defined as ‘the care for people needing support in many facets of living over a prolonged period of time’ (Colombo et al. 2011, p. 39). We concentrate on the elderly, ‘comprising institutional (residential) care, community care [and] informal care’ (Timonen 2005, p. 31). A major topic in the literature on LTC is the division of care between the state, the market, the family and civil society.

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