NHS 'will collapse' without social care reform, PM tells BBC

Andy Burnham has told the BBC "the NHS will collapse" if social care is not reformed but said he could not put a timeline on changes.

In his first major interview since becoming prime minister, Burnham said he would not want to leave office without bringing in "substantial change" to the social care system.

The prime minister also suggested making it harder to claim benefits, saying the country had to get serious about getting the welfare bill down.

Conservative leader Kemi Badenoch has meanwhile written to the prime minister, saying he should rule out tax rises or increased borrowing to fund social care reform.

Burnham told the BBC that if the government did not reform social care, the NHS would "collapse under the weight of trying to care for people who've really not needed to end up in the NHS system".

But pressed on whether he would create a new system before the next election, he said he "couldn't put a timeline on it right here, right now", though he would put "whatever political capital I have into fixing broken social care".

Burnham first proposed a universal system of social care in England in 2009 when he was health secretary under Gordon Brown, and a year later pursued the idea of a compulsory levy to fund it.

One of the options floated by that Labour government was allowing people to defer the payment until after they died, which led to the Tories branding it a "death tax".

Burnham is due to make a speech on adult social care on Wednesday.

The BBC understands the PM will stop short of unveiling plans for a new system in this speech, instead announcing he is speeding up the Casey Commission, an independent review that has been considering possible solutions for social care.

Baroness Louise Casey is not expected to give her final recommendations until 2028, but Burnham wants to bring her schedule forward.

He told the BBC: "Social care was on a longer path and I have brought it straight forward."

Adult social care provides state support to help people live more independently, including assistance at home with tasks like washing and cleaning.

Unlike the NHS, social care is not free at the point of use. In England and Northern Ireland, people with savings worth more than £23,250 are not entitled to help with care costs from their council.

Sarah Woolnough, chief executive of healthcare think tank the King's Fund, said the current "punitive system" meant that "quite a lot of people go without care that they need", with one in seven paying in excess of £100,000 for social care.

While Burnham has not yet outlined any plans, Woolnough to