My gut feeling is that the NHS is not structured to take care of elderly folks needing complex care strategies. That's not to say it's not good at it, just that it's getting overwhelmed by increases in demand and reported decreases in resources.
So what I'm getting around to saying is that I think care for the elderly will be first to be dropped to specialist providers. Just how that'll get funded remains to be seen, but surely the ever increased costs of elderly care cannot be serviced from current budgets.
On the other hand, this care of elderly seem to be a recognised opportunity in the Philippines with the increase in so-called retirement villages etc with included medical care facilities.
Food for thought