The BUILD Elder Care Charter

The Old Person Is the One the System Answers To
Working Draft — September 2026

The big idea

The old person is the one the system answers to. Not the home, not the council, not the provider.

Money follows the person, four sets of eyes stay on them, and families get treated as the care workforce they already are. One standard of care for everyone, whether they owned a house or not.

Pillar 1: Care at home, backed properly

Families who take in a relative get paid and supported, funded by a ring-fenced care account in the relative’s name.

For the family

The care account

Spending rules

Disability aids should be VAT zero-rated; the account makes sure families actually get that relief.

When home care isn’t enough

Same eyes as a care home

Eligibility: anyone willing to take someone in, family or not, subject to the checks above. The person cared for is a single person, or a couple moving in together, usually after a surviving partner is left alone. Non-relatives are DBS-checked, the person must consent, and an independent advocate is involved where they lack capacity.

Why it saves money

Pillar 2: Care homes that deserve the name

Proper pay, proper food, a reason to get up in the morning, and buildings fit for hotter summers.

Staff

Food

Activities

The home bakery

Energy and comfort

Connected residents

Ownership

State-run, or family firms run not-for-profit at cost. Owners draw a fair salary and every surplus goes back into the home. No private equity, no offshore owners, no shareholder dividends. This keeps the good small independents, which tend to rate best.

Pillar 3: Four sets of eyes

The CQC inspects the building. These checks are on the person, weekly reports and unannounced checks, so nobody slips through.

1. Weekly reports

A short digital form per resident, same fields every week, sent to whoever the resident (or their attorney) chooses: weight, eating and drinking, mood and sleep, medication changes, falls or incidents, visitors and activities, anything the family should know.

2. Unannounced six-month checks

3. Volunteer visitor service

Volunteer expenses

4. CQC

Still oversees the whole home, now with far better information feeding in.

People with no house to sell

Everyone gets a care account on the same rails. Homeowners fund theirs from the house; renters and council tenants have theirs funded by the state. Same food, same checks, same visitors, same devices. No two-tier care.

Care homes

The family route

The housing dividend

The pitch: it’s not a perk for homeowners. The house only decides where the money comes from, never the standard of care.

The Care Pot: £10 a month for everyone

Every worker is auto-enrolled into a Care Pot in their own name, £10 a month, and can opt out any time, like a workplace pension. Invested by default in a low-cost index fund, run like NEST. Returns aren’t guaranteed; the table assumes 4% a year. It’s not money handed to the government: it stays yours.

Years paying in Paid in Pot at 4%
40 £4,800 ~£11,800
45 £5,400 ~£15,100

That’s about 11 months of home care at £325 a week, or 4¼ months of a care home place.

The numbers

A 30-bed home runs at about £803 per resident per week, or about £893 once the building is included. At real-world occupancy that’s nearer £1,000. Private homes charge £1,200–1,400+ now. That’s under £6 an hour for round-the-clock care, food and a home.

The average care home for older people in England has about 31–33 beds, and sector occupancy is around 89% (CQC data via Care Homes Finance; ONS).

Annual running costs, 30-bed residential home

Item £ per year
Staff, incl. NI, pension, holiday cover 994,000
Food (£10/day) 109,500
Other overheads (insurance, repairs, supplies, IT, training, regulator) 125,000
Energy (with solar, battery, heat pump) 30,000
Activities 15,600
Bread income –21,000
Grid export –1,500
Net ~1,252,000

Staff are nearly 80% of costs. Energy, overheads and export are rough estimates. Property: the average care home bed is valued at about £61,000 (£30,000 for old stock, up to £150,000 for new builds). At the 6% return on capital councils use in fair cost of care exercises, that’s about £70 a week per bed, plus about £20 a week for furniture and equipment wear. A state-owned home borrowing at government rates would pay less.

How long a £250,000 pot lasts at £803 a week

Scenario Pot lasts
Lump sum, no interest ~6 years
Paid monthly, balance earning 4% ~7 years
Paid monthly, 4%, plus state pension toward fees ~10 years

The average care home stay is a couple of years, so in most cases the care is fully paid and the estate gets a good chunk back.

Savings levers: cluster 3–4 small homes under one manager, admin and maintenance team (maybe £40–60 a week per resident), and bulk buy food and supplies across a cluster.

Funding

It pays for itself by redirecting money already spent on care that isn’t working: the money follows the person.

Unclaimed estates: when someone dies with no will and no heirs, their estate currently goes to the Crown as bona vacantia (and in Lancashire and Cornwall, to the Duchies). Under the charter it goes to the central care fund instead, starting with leftover care accounts and Care Pots. Anyone can also leave a gift to the fund in their will, tax-free like a charity legacy.

The £15 wage pays for itself: homes currently pay agencies £20+ an hour for staff who often take home little more than minimum wage. A directly employed carer on £15 costs about £18.75 an hour with NI, pension and holiday. Pay properly, keep staff, and the agency bill disappears.

The Carer’s Allowance rise: from about £87 to £125 a week costs about £2,000 per carer per year (£38.55 a week × 52), recovered through fewer emergency admissions, ambulance call-outs and agency visits. It goes to every carer, including those already caring today, not only families who take someone in under this charter. For carers already caring, the rise buys no new saving: it recognises care that is already happening, and it is part of the start-up cost below.

The start-up gap: savings arrive once people switch, but some costs come first. The Carer’s Allowance rise and the solar, battery and AC kit need upfront money, treated as invest-to-save: the kit pays back on bills, and the rest is recovered as savings build.

Sources


BUILD UK — Elder Care Charter — Working Draft — 2026

builduk.club/policy

Download this charter as a document (.docx) — the paper as written. What follows is the same text, readable.


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