Greater Manchester Mayor Andy Burnham has put forward ambitious plans to introduce a free social care system for everyone in England, modelled on the principles of the National Health Service. The proposal, which Burnham intends to present to voters at the next general election, aims to provide universal access to social care services, ensuring that individuals do not face prohibitive costs for essential support.

Unlike the NHS, which is free at the point of use, social care in England currently requires individuals to contribute to costs, with eligibility based on savings thresholds. Those with more than £23,250 in savings are generally not entitled to council assistance with care expenses, a situation Burnham has likened to an "unfair" American healthcare system where vulnerable people can lose their assets.

Burnham stated that his proposed system would operate on "NHS principles," meaning "everyone contributes, everyone is covered." He acknowledged that such a significant reform might necessitate tax increases, admitting that this could be a difficult or unpopular prospect for some. However, he emphasized that "nothing is off the table at this moment in time" regarding funding mechanisms.

The mayor also highlighted the strain on the NHS caused by the lack of adequate social care, noting that many hospital beds are occupied by patients who cannot be discharged due to insufficient support at home. He suggested that a robust social care system could alleviate pressure on hospitals and improve patient flow.

Burnham plans to consult with Whitehall troubleshooter Baroness Casey, who is conducting a review, to advise on the optimal implementation of these reforms. He indicated that the detailed proposals developed by Baroness Casey would be subject to cross-party discussions to foster consensus.

While the exact cost of such a system remains a subject of debate, with an estimate of £18 billion per year mentioned, Burnham contested this figure, asserting it would not be that high. He reiterated that people are already incurring substantial costs and facing unfair outcomes under the current system.

Conservative shadow home secretary Chris Philp has already voiced opposition, suggesting that the Labour party is proposing further tax rises and stating that the Conservatives would not support such measures.

Burnham's advocacy for social care reform is deeply personal, stemming in part from his experience with his father, Roy, who had Alzheimer's and passed away recently. This experience has underscored for him the critical need for a more comprehensive and equitable social care provision.