Surely, May’s announcement of many, many more people being made to pay directly for their social care means that costings in STPs are wrong?
As such, they cannot and should not be implemented.
Those providing the care will also have large assets in the form of charges on people’s homes. How (if at all) will these be ring-fenced for the NHS and/or social care in future?
Those making the charges will have assets and so be able to borrow against them or sell them on to hedge funds – they could, in effect, be packaged and traded just as mortgages were – a big facet of the last big financial crash.
A great deal of money can be made or lost in this situation.