England’s population is ageing. In the next 25 years, the number of people older than 85 will double to 2.6 million. Does the ageing population mean an inevitable rise in demand and the costs of care? As this report explores, the reality is more subtle and complex.

The number of people unable to get the care they need for things like washing and dressing is increasing; care providers are going out of business and, faced with the possibility of catastrophic costs, many people are fearful of the future. This analysis sets out what is necessary to reform and fund adult social care...