Dr. Jean Long:

The question was about Scotland. Scotland has introduced what it calls reshaping care for older people. It is a new policy. It promises to increase the spend on home care from 6.7% of the health care budget to 13.5% of the health care budget by 2021. It is not focused on residential care but on preventing hospital admissions. Money is being moved from the hospitals to the home care service. It is about providing more complex care for people. Big losers in this process, from what we read, were the people who required a small number of hours of home care. We might not want to follow this. Those people's hours are being moved to care in cases more typically found in a hospital or nursing home. We need to be careful not to just do everything everybody else does but to think about what we will do. We could, by not providing the small number of hours, actually make people's situation worse and increase hospital admissions that we would want to decrease later. It is important to understand the context Scotland is providing that policy in.