It had a rapidly ageing population, families were buckling under the pressure of caring for loved ones, older and vulnerable people were being unnecessarily left in hospital beds, and instances of abuse in care were commonplace. This what care in Japan looked like 15 years ago and what the UK could be heading towards. But in 2000 a new, and revolutionary insurance system was put into place. It had to – Japan has the oldest population in the world with 23% aged over 65. This is set to rise to 40% by 2050 compared to 30% in the UK by 2051.