International Social Care Knowledge Hubs
Explore an expanding international collection of practical social care, long-term care, disability and community-service knowledge from around the world.
The international hubs are published across Impact Guru and Impact Insights Hub, creating one interconnected knowledge network for comparing care systems, sharing best practice and exploring emerging approaches across different countries and regions.
๐ International Knowledge Hubs
Select a geographic region and country to explore specialist guidance, operational insight and evidence-informed resources.
Countries are organised geographically to make it easier to explore care systems within regions, compare neighbouring approaches and move between different international models of ageing, long-term care and community support.
Each country listing shows whether its Knowledge Hub is hosted on Impact Guru UK or the Impact Insights USA companion platform. Country Knowledge Hubs open in a new browser tab.
Sponsor this International Knowledge Hub (only 1 sponsor per site)
๐ Africa
Explore ageing, long-term care and community support across African systems, including family and community caregiving, social protection, home-based care, workforce development, rural and urban inequalities, healthy ageing, digital innovation and the development of sustainable formal and community-based support.
๐ฌ๐ญ Ghana Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Ghana's evolving response to population ageing, long-term care, family and informal caregiving, social protection, disability support, home and community services, residential care, workforce development, healthy ageing, dementia, safeguarding, rural and urban inequalities, quality assurance, digital technology, financing and sustainable care-system development.
Browse the Ghana Knowledge Hub โ
๐ฐ๐ช Kenya Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Kenya's evolving response to population ageing, long-term care, family and unpaid caregiving, social protection, home and community support, county-level delivery, residential care, workforce development, healthy ageing, dementia, safeguarding, digital technology, quality assurance and sustainable care-system development.
Browse the Kenya Knowledge Hub โ
๐ณ๐ฌ Nigeria Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Nigeria's evolving response to population ageing, family caregiving, long-term care financing, social protection, home and community support, residential care, workforce development, dementia, healthy ageing, safeguarding, digital health, quality assurance and sustainable system development.
Browse the Nigeria Knowledge Hub โ
๐ฟ๐ฆ South Africa Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore South Africa's evolving response to population ageing, long-term care, social protection, family and unpaid caregiving, home and community support, residential care, disability, dementia, workforce development, safeguarding, rural and urban inequalities, health and social care integration, quality assurance, digital technology and sustainable care-system development.
๐ Asia
Compare ageing, long-term care and community support across diverse Asian systems, including social insurance, family caregiving, community-based care, healthy ageing, workforce reform, digital health, assistive technology and rapidly evolving responses to demographic and social change.
๐จ๐ณ China Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Chinaโs evolving response to population ageing, long-term care insurance, home and community support, medicalโeldercare integration, family caregiving, rural ageing, workforce development, digital health, assistive technology, quality improvement and sustainable system reform.
Browse the China Knowledge Hub โ
๐ญ๐ฐ Hong Kong Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Hong Kongโs approach to population ageing, ageing in place, home and community care, residential services, dementia support, family caregiving, rehabilitation, workforce development, quality improvement, digital health, assistive technology and hospital-to-community transitions.
Browse the Hong Kong Knowledge Hub โ
๐ฎ๐ณ India Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Indiaโs evolving approach to population ageing, long-term care, home and community support, family caregiving, geriatric healthcare, healthy ageing, rehabilitation, workforce development, digital health, assistive technology and the development of sustainable care systems.
Browse the India Knowledge Hub โ
๐ฎ๐ฉ Indonesia Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Insights USA)
Explore Indonesia's evolving response to population ageing, long-term care, primary and community-based support, family caregiving, health coverage, financing, workforce development, dementia, rehabilitation, rural and island access, safeguarding, digital health, quality assurance and integrated system development.
Browse the Indonesia Knowledge Hub โ
๐ฏ๐ต Japan Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Insights USA)
Explore Japanโs long-term care insurance system, community-based integrated care, ageing in place, dementia support, healthy ageing, workforce sustainability, family caregiving, assistive technology, robotics, digital innovation and approaches to maintaining independence in later life.
Browse the Japan Knowledge Hub โ
๐ฒ๐พ Malaysia Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Insights USA)
Explore Malaysia's evolving response to population ageing, long-term care, home and community support, family caregiving, financing, residential care, workforce development, dementia, rehabilitation, rural access, safeguarding, medication safety, digital health, age-friendly housing, quality assurance and sustainable care-system reform.
Browse the Malaysia Knowledge Hub โ
๐ต๐ญ Philippines Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Insights USA)
Explore the Philippines' evolving response to population ageing, long-term care, home and community-based support, family caregiving, local government responsibilities, financing, workforce development, dementia, disability, rural and island access, safeguarding, social protection, digital care, quality assurance and sustainable care-system reform.
Browse the Philippines Knowledge Hub โ
๐ธ๐ฌ Singapore Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Singaporeโs approach to healthy ageing, long-term care, community support, integrated services, preventive care, family carer support, workforce development, financing, digital innovation, assistive technology and sustainable approaches to supporting independence in later life.
Browse the Singapore Knowledge Hub โ
๐ฐ๐ท South Korea Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Insights USA)
Explore South Korea's long-term care insurance system, community care reform, healthy ageing, integrated care, family support, workforce innovation, digital health, artificial intelligence, robotics, assistive technology and sustainable approaches to supporting a rapidly ageing population.
Browse the South Korea Knowledge Hub โ
๐น๐ผ Taiwan Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Taiwan's evolving response to population ageing, Long-Term Care 2.0, home and community-based support, family caregiving, migrant care workers, dementia, disability support, workforce sustainability, integrated health and long-term care, quality assurance, digital technology, smart ageing, artificial intelligence and sustainable system reform.
Browse the Taiwan Knowledge Hub โ
๐น๐ญ Thailand Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Insights USA)
Explore Thailand's evolving response to population ageing, long-term care, universal health coverage, family caregiving, home and community support, local government, community caregivers, workforce development, healthy ageing, quality assurance, integrated care and digital innovation.
Browse the Thailand Knowledge Hub โ
๐ป๐ณ Vietnam Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Insights USA)
Explore Vietnam's evolving response to population ageing, long-term care, family caregiving, home and community-based support, disability, workforce development, financing, dementia, rural and urban access, quality assurance, safeguarding, digital and assistive technology, integrated care and sustainable long-term care reform.
๐ Europe
Compare ageing, long-term care and community support across European systems, including tax-funded and social-insurance models, national and local responsibilities, home-based care, residential services, family caregiving, workforce sustainability, quality regulation, integrated care, technology and financing reform.
Baltic States
Compare ageing, long-term care and community support across the Baltic States, including municipal services, family caregiving, home and community care, deinstitutionalisation, workforce sustainability, health and social care integration, regional access, digital transformation and continuing system reform.
๐ช๐ช Estonia Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Estonia's evolving approach to population ageing, long-term care financing, municipal social services, home and community support, residential care, family caregiving, integrated health and social care, workforce sustainability, quality assurance, regional access, digital public infrastructure, assistive technology, artificial intelligence and system reform.
Browse the Estonia Knowledge Hub โ
๐ฑ๐ป Latvia Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Latvia's evolving approach to population ageing, long-term care financing, municipal social services, home and community care, residential support, family caregiving, disability and independent living, workforce sustainability, quality assurance, regional access, digital care and system reform.
Browse the Latvia Knowledge Hub โ
๐ฑ๐น Lithuania Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Lithuania's evolving approach to population ageing, long-term care financing, municipal social services, home and community support, residential care, family caregiving, integrated care, deinstitutionalisation, workforce development, quality assurance, regional access, digital care and system reform.
Eastern Europe
Compare ageing, long-term care and community support across Eastern European systems, including changing demographic pressures, national and local responsibilities, family caregiving, home and community services, residential care, workforce migration and shortages, health and social care coordination, regional inequalities, digital transformation and continuing system reform.
๐จ๐ฟ Czechia Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Czechia's evolving approach to population ageing, long-term care financing, care allowances, regional and municipal responsibilities, home and community support, residential care, family caregiving, deinstitutionalisation, workforce sustainability, quality assurance, integrated health and social care, digital care, prevention and system reform.
Browse the Czechia Knowledge Hub โ
๐ต๐ฑ Poland Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Poland's evolving approach to population ageing, long-term care financing, municipal social assistance, home and community support, residential care, family caregiving, workforce migration, dementia, rehabilitation, healthy ageing, quality assurance, safeguarding, integrated health and social care, digital care, regional inequalities and system reform.
Browse the Poland Knowledge Hub โ
๐ธ๐ฎ Slovenia Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Slovenia's evolving approach to population ageing, long-term care reform and insurance, eligibility and assessment, home and community support, institutional care, family caregiving, workforce sustainability, health and social care integration, quality assurance, rehabilitation, dementia support, e-care, digital transformation, rural access, prevention and long-term system sustainability.
Nordic Countries
Compare ageing, long-term care and community support across Nordic systems, including municipal responsibility, universal welfare provision, home-based care, reablement, family support, workforce sustainability, welfare technology, integrated services and approaches to maintaining independence in later life.
๐ฉ๐ฐ Denmark Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Denmark's approach to municipal long-term care, home care, reablement, healthy ageing, integrated services, family support, workforce development, welfare technology, digital innovation, prevention and sustainable community-based support for older people.
Browse the Denmark Knowledge Hub โ
๐ซ๐ฎ Finland Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Finland's approach to healthy ageing, integrated health and social care, home care, reablement, rehabilitation, family support, workforce development, digital health, assistive technology, regional service organisation and sustainable community-based long-term care.
Browse the Finland Knowledge Hub โ
๐ฎ๐ธ Iceland Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Iceland's approach to population ageing, long-term care financing, municipal social services, home and community support, nursing homes, rehabilitation, dementia care, disability services, independent living, workforce sustainability, rural and remote access, quality assurance, integrated health and social care, digital health and welfare technology.
Browse the Iceland Knowledge Hub โ
๐ณ๐ด Norway Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Norway's publicly funded approach to municipal long-term care, home-based services, ageing in place, nursing homes, rehabilitation, dementia support, family caregiving, workforce sustainability, welfare technology, integrated care, rural access and Sรกmi older people.
Browse the Norway Knowledge Hub โ
๐ธ๐ช Sweden Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Sweden's universal welfare approach to municipal long-term care, home help, special housing, ageing in place, dementia support, rehabilitation, family carers, workforce sustainability, welfare technology, digital health, quality improvement and integrated community care.
Western & Central Europe
Compare ageing, long-term care and community support across Western and Central Europe, including social insurance, tax-funded provision, national and local responsibilities, home and residential care, family caregiving, workforce reform, quality regulation, integrated services and long-term financing.
๐ฆ๐น Austria Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Austria's approach to population ageing, Pflegegeld and long-term care financing, provincial responsibilities, home and community care, 24-hour live-in support, family caregiving, residential care, workforce sustainability, quality assurance, integrated care and digital innovation.
Browse the Austria Knowledge Hub โ
๐ง๐ช Belgium Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Belgium's decentralised approach to population ageing, regional long-term care responsibilities, social protection, home and community care, residential services, family caregiving, workforce sustainability, BelRAI assessment, quality regulation, integrated care, digital technology and financing reform.
Browse the Belgium Knowledge Hub โ
๐ซ๐ท France Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore France's approach to population ageing, loss of autonomy, APA and GIR assessment, home care, EHPADs, family carers, dementia support, prevention, workforce development, quality regulation, integrated care, housing adaptation, digital technology and financing reform.
Browse the France Knowledge Hub โ
๐ฉ๐ช Germany Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Germany's social long-term care insurance system, home and community care, family caregiving, residential services, workforce development, quality regulation, rehabilitation, integrated care, digital health, assistive technology, artificial intelligence and long-term system sustainability.
Browse the Germany Knowledge Hub โ
๐ฌ๐ท Greece Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Greece's evolving approach to population ageing, long-term care reform and financing, home and community support, family caregiving, municipal services, residential care, workforce development, regional and island access, health and social care integration, dementia support, quality assurance, digital care, prevention and long-term system sustainability.
Browse the Greece Knowledge Hub โ
๐ฎ๐ช Ireland Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Ireland's approach to population ageing, HSE services, home support, community care, nursing homes, the Fair Deal scheme, family carers, dementia support, workforce sustainability, HIQA regulation, safeguarding, integrated care, digital health and future reform.
Browse the Ireland Knowledge Hub โ
๐ฎ๐น Italy Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Italy's approach to population ageing, the SSN, regional and municipal responsibilities, long-term care financing, home and residential care, family caregiving, the badante workforce, dementia, workforce sustainability, integrated care, digital health and regional inequality.
Browse the Italy Knowledge Hub โ
๐ฑ๐บ Luxembourg Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Luxembourg's approach to population ageing, long-term care insurance, assessment and eligibility, home and community support, residential care, family caregiving, workforce sustainability, cross-border employment, quality governance, integrated care, rehabilitation, digital technology, assistive technology and long-term system sustainability.
Browse the Luxembourg Knowledge Hub โ
๐ณ๐ฑ Netherlands Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore the Netherlands' approach to long-term care, district nursing, municipal support, neighbourhood-based services, integrated care, ageing in place, family caregiving, workforce development, healthy ageing, digital innovation, quality improvement and sustainable community support.
Browse the Netherlands Knowledge Hub โ
๐ต๐น Portugal Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Portugal's approach to population ageing, the RNCCI, long-term care financing, home and community support, residential care, family caregiving, the social solidarity sector, workforce sustainability, dementia support, integrated care, hospital transitions, telecare and future reform.
Browse the Portugal Knowledge Hub โ
๐ช๐ธ Spain Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Spain's approach to population ageing, SAAD and the Dependency Law, regional responsibilities, financing and assessment, home care, telecare, residential services, personal assistance, family caregiving, workforce sustainability, deinstitutionalisation, integrated care and digital transformation.
Browse the Spain Knowledge Hub โ
๐จ๐ญ Switzerland Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Guru UK)
Explore Switzerland's decentralised approach to population ageing, long-term care financing, cantonal and municipal responsibilities, compulsory health insurance, Spitex home care, nursing homes, family caregiving, workforce sustainability, quality assurance, integrated care, digital health and assistive technology.
๐ Middle East
Compare ageing, long-term care and community support across Middle Eastern systems, including family caregiving, home healthcare, healthy ageing, workforce development, public and private provision, integrated care, digital health, artificial intelligence and evolving models of support for older populations.
๐ฎ๐ฑ Israel Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Insights USA)
Explore Israel's approach to long-term care, home and community support, healthy ageing, family caregiving, geriatric healthcare, workforce sustainability, quality improvement, integrated care, digital health, assistive technology and artificial intelligence in supporting older people.
Browse the Israel Knowledge Hub โ
๐ถ๐ฆ Qatar Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Insights USA)
Explore Qatar's evolving approach to healthy ageing, long-term care, home healthcare, geriatric services, family caregiving, rehabilitation, workforce development, quality improvement, integrated care, digital health, assistive technology and sustainable support for an ageing population.
Browse the Qatar Knowledge Hub โ
๐ธ๐ฆ Saudi Arabia Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Insights USA)
Explore Saudi Arabia's approach to population ageing, long-term care, home healthcare, family caregiving, healthy ageing, rehabilitation, workforce development, Saudization, private-sector participation, quality regulation, integrated care, digital health, virtual care and Vision 2030 reform.
Browse the Saudi Arabia Knowledge Hub โ
๐น๐ท Tรผrkiye Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Insights USA)
Explore Tรผrkiye's evolving response to population ageing, long-term care, home and community-based support, family caregiving, disability services, residential care, workforce development, healthy ageing, dementia, integrated health and social care, regional inequalities, quality assurance, digital technology, emergency preparedness, financing and sustainable care-system reform.
Browse the Tรผrkiye Knowledge Hub โ
๐ฆ๐ช United Arab Emirates (UAE) Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Insights USA)
Explore the United Arab Emirates' evolving approach to healthy ageing, long-term care, home healthcare, ageing in place, family caregiving, rehabilitation, workforce development, quality and safety, integrated services, digital health, assistive technology and artificial intelligence.
๐ North America
Compare ageing, long-term care, community-based care and disability support across North America, including national, provincial, state and local responsibilities, funding, family caregiving, workforce sustainability, quality improvement, integrated services, digital innovation and continuing service-system reform.
๐จ๐ฆ Canada Social Care & Community Services Knowledge Hub (Hosted on Impact Insights USA)
Explore Canadian long-term care, home and community support, disability services, mental health, family caregiving, workforce sustainability, provincial responsibilities, integrated care, safeguarding, quality improvement, digital transformation and changing approaches to community-based services.
Browse the Canada Knowledge Hub โ
๐จ๐ท Costa Rica Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Insights USA)
Explore Costa Rica's evolving response to population ageing, long-term care, universal healthcare, CCSS, ageing at home, family caregiving, disability support, community-based services, workforce development, dementia, rehabilitation, rural access, quality assurance, integrated care, digital technology and sustainable care-system reform.
Browse the Costa Rica Knowledge Hub โ
๐ฒ๐ฝ Mexico Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Insights USA)
Explore Mexico's evolving approach to population ageing, long-term care, the National and Progressive Care System, family caregiving, ageing at home, disability support, workforce development, federal and state responsibilities, quality improvement, digital health and sustainable system reform.
Browse the Mexico Knowledge Hub โ
๐บ๐ธ USA Community-Based Care Knowledge Hub (Hosted on Impact Insights USA)
Explore extensive USA guidance covering home and community-based services, long-term services and supports, intellectual and developmental disability services, behavioral health, workforce systems, governance, safeguarding, quality improvement, funding, commissioning, integrated care and digital transformation.
๐ South America
Compare ageing, long-term care, disability and community support across South American systems, including family caregiving, public and private provision, social protection, home and community services, workforce development, financing, healthy ageing, quality assurance, digital health and emerging care-system reform.
๐ฆ๐ท Argentina Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Insights USA)
Explore Argentina's evolving response to population ageing, long-term care, PAMI, ageing at home, family caregiving, workforce development, residential care, integrated health and social support, dementia, disability, regional inequality, quality and rights, digital technology, artificial intelligence and future care-system reform.
Browse the Argentina Knowledge Hub โ
๐ง๐ท Brazil Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Insights USA)
Explore Brazil's evolving response to population ageing, the National Care Policy, Brasil que Cuida, SUS and SUAS, family caregiving, ageing at home, long-term care financing, workforce development, residential care, inequality, quality regulation, digital health and integrated system reform.
Browse the Brazil Knowledge Hub โ
๐จ๐ฑ Chile Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Insights USA)
Explore Chile's evolving response to population ageing, Chile Cuida, the national care system, family caregiving, ageing at home, long-term care financing, ELEAM residential care, disability support, workforce development, rural access, digital health, quality assurance and future reform.
Browse the Chile Knowledge Hub โ
๐จ๐ด Colombia Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Insights USA)
Explore Colombia's evolving response to population ageing, the National Care System, family and unpaid caregiving, Centros Vida, ageing at home, long-term care financing, residential care, workforce development, dementia, rural and territorial inequality, quality regulation, digital health and sustainable care-system reform.
Browse the Colombia Knowledge Hub โ
๐บ๐พ Uruguay Ageing, Long-Term Care & Community Support Knowledge Hub (Hosted on Impact Insights USA)
Explore Uruguay's evolving approach to population ageing, the Integrated National Care System, the National Care Plan 2026โ2030, long-term care, personal assistance, ageing at home, family caregiving, workforce development, quality assurance, integrated care, digital technology, financing, governance and sustainable care-system reform.
๐ Oceania
Explore ageing, aged care, disability and community-service reform across Oceania, including home and community support, family caregiving, workforce sustainability, safeguarding, provider governance, quality improvement, funding reform, integrated services and digital transformation.
๐ฆ๐บ Australia Social Care & Community Services Knowledge Hub (Hosted on Impact Guru UK)
Explore Australian aged care, home and community support, disability services, the National Disability Insurance Scheme, family support, workforce sustainability, safeguarding, provider governance, quality improvement, funding reform, integrated care and digital transformation.
Browse the Australia Knowledge Hub โ
๐ณ๐ฟ New Zealand Social Care & Community Services Knowledge Hub (Hosted on Impact Guru UK)
Explore New Zealand's approach to aged care, home and community support, disability services, ageing in place, Mฤori and Pacific perspectives, family and whฤnau caregiving, workforce sustainability, quality and regulation, integrated care, digital transformation and future social care reform.