Policy gaps and solutions: Strengthening community-based geriatric care in the U.K

The United Kingdom is undergoing a rapid demographic shift, with projections indicating that individuals aged 65 and over will comprise nearly a quarter of the population by 2045. This aging trend places increasing pressure on health and social care systems, particularly in the context of community-based geriatric care an approach widely recognized for its cost-effectiveness, person-centered philosophy, and alignment with older adults' preference to age in place. Despite policy efforts such as the Care Act 2014 and the NHS Long Term Plan, significant gaps persist in delivering coordinated, accessible, and sustainable community-based services for older adults. This study critically examines the current policy landscape, identifies key structural and operational deficiencies, and explores international best practices to inform reform. Employing a qualitative policy analysis approach, the research draws on government reports, academic literature, and comparative models from countries such as Sweden and Japan. Findings reveal fragmented governance between health and social care, underfunding of local services, workforce shortages, and inadequate caregiver support as central challenges undermining effective care delivery. The study advocates for a nationally coordinated strategy that integrates funding mechanisms, standardizes geriatric training, and strengthens support for informal caregivers. These recommendations aim to enhance service delivery, improve the quality of life for older adults, and prepare the U.K. for future demographic demands. Bridging these policy gaps is not only a strategic imperative but also a moral obligation to ensure dignity, autonomy, and well-being for the aging population.