Care homes are in the news again and not in a good way. The combination of an ageing demographic, shrinking public finances and a history of policy neglect points to that horrible word — a crisis.
Around about the time of the Dilnot Report a few people suggested the idea of a National Care Service and the idea is still around. I’ve started wondering whether it might be an opportunity to create the first 21st century public service. If you could start from scratch without the inertia of an existing bureaucracy how would you go about building it?