"Bigger boosts to productivity will be difficult to find. There are efforts to share more information: Leeds City Council has set up an 'Intelligence Hub' to monitor differences in care across the city and identify bottlenecks, for instance. Technology can be used to monitor old folks’ needs, alerting carers only if something goes wrong. But local authorities and providers are limited in how much they can innovate, given strict rules on quality and safety, and most of them lack the cash required to invest in new models of care.
The most obvious remaining savings are not in the social-care sector, but in the National Health Service (NHS). According to Age UK, a charity, last year patients spent 174,000 days waiting in hospital beds for places in residential care homes, even though an NHS hospital bed is more than three times as costly as one in a care home. All eyes are on Manchester, where health and social-care commissioning are to be integrated, in the first large-scale experiment of its kind in England. But any savings are likely to take years to materialise..."
Read more at http://www.economist.com/news/britain/21660146-ageing-population-shrinking-state-and-growing-problem-frailer#wKPfb08beUCVyeJw.99