The current care system in England and Wales is "not fit to provide the kind of care we need and want", the commissioner of a report into an NHS overhaul has said.
Dame Kate Barker said: "We propose radical change, greater than any since 1948, that would bring immense benefit to people who fall between the cracks between means-tested social care and a free NHS.
"This includes people at the end of life and those with dementia or other conditions where too often there is a conflict about who pays at the expense of what people need."
Among the report's proposals were higher taxes for the richest, including those who are retired or of pension age, and increased national insurance contributions for those over 40.
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The Sherlock actor made the comment while he received an award for his humanitarian work.