Despite persistent economic weakness, Japan, as the country with the world’s oldest population, set out in 2000 to establish an entirely new approach to social care. Part-social insurance model, part-general taxation model, the Japanese system has grappled with a series of questions which we are facing in the social care sector here in the UK: what should the state offer; who should be eligible; and how should it be funded? The speakers discussed the Japanese experience of health care reform, care for frail and/or vulnerable older people, and the latest thinking on the progress towards funding reform and integration in England. This event explored how Japan was able to gain public support for funding reform and incorporate small single-service organisations into large ‘integrated delivery systems’ which provide a comprehensive range of health and long-term care insurance services. While England tries to develop a balance of service integration with provider competition, we explored how Japan created a vibrant provider market for community-based care.
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About the contributors
Rt Hon Paul Burstow MP
Rt Hon Paul Burstow MP has served as Liberal Democrat MP for Sutton and Cheam since 1997 and is currently Chair of the Liberal Democrat Parliamentary Party. He has just finished chairing the Joint Committee on the Draft Care and Support Bill and is now chairing a year-long independent commission on mental health with the think tank CentreForum. Prior to this he served as the Minister of State for Care Services, as position he held until September 2012. His areas of responsibility were care for the elderly, adult social care, mental health services, and learning disability programmes. He was also responsible for reforming social care law and funding, and for promoting parity of esteem for mental health, in particular pioneering the development of new talking therapy services for children and young people.
Masahiko Hayashi is the Deputy Assistant Minister for International Policy Planning in the Ministry of Health, Labour and Welfare in Japan and was formerly Director-General of the Wages and Welfare Statistics Division within the same Ministry. He is originally from Miyagi Prefecture and graduated in 1985 with a PhD from the Tokyo Institute of Technology. He joined what was then known as the Ministry of Labour and worked in Employment Measures for the Elderly Division, part of the Employment Security Bureau. He then continued his work in public employment and labour standards, followed by a stint in research at the Minister’s Secretariat, Ministry of Labour. In 2001, he joined JETRO’s Paris Centre and in 2003 became Counsellor, Permanent Mission of Japan to the International Organizations in Geneva, Switzerland. Since returning to Japan in 2009, he has had various roles in the Women’s Bureau, including Advising Officer for Childcare and Family Care Leave. He has also held roles concerned with employment security and workers’ compensation.
Dr Mayumi Hayashi
Mayumi Hayashi is a Research Fellow in the Institute of Gerontology at King’s College London and an Associate Research Fellow in the Centre for Japanese Studies at the University of East Anglia. Although her original training was as an historian, Dr Hayashi’s approach embraces insights from social gerontology, political science and other disciplines, and addresses various issues in the care of older people in Britain and Japan, from historical, transnational and other perspectives, seeking ways forward in the practical application of policy. Her doctoral research at the University of East Anglia examined the contemporary history of residential care for older people in Britain and Japan. This will appear in her forthcoming book: The Care of Older People: England and Japan, A Comparative Study (Pickering & Chatto). She has expanded her research perspectives into current policy issues and the practical implications of various care options.
Holly Holder (Chair)
Holly Holder is a Fellow in Health Policy at the Nuffield Trust. Her current projects at the Trust include evaluating integrated care systems, tracing the evolution of Clinical Commissioning Groups, and comparative analysis of international health and social care systems. Prior to joining the Trust in October 2011, she worked for the Centre for Analysis of Social Exclusion at the London School of Economics. Her work there focused on the measurement of equality and human rights in the UK, including inequalities in the outcomes, provision and receipt of health and social care. She also worked on a year-long project exploring how issues related to choice, control and empowerment can be better measured in order to guide policy-makers more accurately. She was also involved in a project exploring public attitudes towards redistribution using European survey data. Holly has an MSc in Social Policy and Planning from the London School of Economics and is a trained cognitive interviewer.