英国工党领导人安迪·伯纳姆在工党大会上提出了一项社会护理改革方案，计划建立以英国国家医疗服务体系（NHS）为模式的全民免费社会护理制度，在使用时点免费提供服务1。伯纳姆承诺将这一计划纳入下一届大选宣言，但表示改革不会在2029年前实施1。
伯纳姆指出，英国现有社会护理制度"与美国医疗一样不公平"，"最脆弱的人可能失去一切"1。他提出的改革方案遵循"每个人都贡献，每个人都被覆盖"的原则，但强调资金方式"不一定完全相同"于现有NHS支付方式1。他声称实施NHS模式社会护理的年度成本"不如建议的180亿英镑那么高"1。
伯纳姆将这一改革动力部分源于个人经历——他的父亲两周前去世，患有阿尔茨海默病1。这并非伯纳姆首次提出类似提案；他在2009年担任卫生大臣时曾提出过相似方案，但当时被保守党称为"死亡税"而遭放弃1。
Andy Burnham has announced an ambitious vision to overhaul Britain's social care system by establishing universal free provision modeled on the National Health Service.1 Speaking at the Labour Party conference, Burnham described the current system as fundamentally inequitable, stating that it is "as unfair as American healthcare" and leaves "the most vulnerable people at risk of losing everything."1 He pledged to include this transformative proposal in Labour's next election manifesto, though implementation is not expected before 2029.1
The plan would operate on a point-of-use free basis, similar to NHS healthcare delivery.1 Burnham acknowledged that the reform carries both risks and costs, but argued that Britain must address the structural injustices embedded in its social care arrangements.1 On funding mechanisms, he stated that "everyone contributes, everyone is covered," though he suggested the financing model "won't necessarily be identical" to current NHS funding arrangements.1 He also contested suggestions that the annual cost would reach £18 billion, indicating the actual figure would be lower.1
The proposal comes shortly after his father's death from Alzheimer's disease two weeks ago, which Burnham credited as a catalyst for his reform commitment.1 This is not Burnham's first attempt at reimagining social care; he previously advanced a similar proposal during his tenure as Health Secretary in 2009, but it was abandoned after Conservative opponents dubbed it a "death tax."1
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