During an emotional speech to the Labour Conference, Burnham pledged to deliver a ‘person-centred, high-quality care service that starts in the home'.

Burnham said: ‘Broken social care will break the NHS too', promising to deliver a ‘landmark policy as significant as the NHS itself'.

He said previous politicians, including himself, had been ‘cowardly' in avoiding social care, acknowledging he may face political risk.

‘Someone has to go through the pain barrier and rip the plaster off,' he added.

Burham vowed to deliver a system ‘where everyone contributes and everyone is covered, free at the point of use and no care charges paid out of your basic state pension'.

The Prime Minister said the triple lock pensions systems would be changed from 2030 to pay for social care.

Burnham has pledged to put his proposals forward in the next General Election but said he would begin ‘laying the ground now' for the National Care Service with guidance from Baroness Casey on how it is to be delivered.

He has asked Baroness Casey to complete her review by summer 2027.

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Jonathan Cribb, deputy director at IFS, said removing the ‘ratchet' element of the triple lock so that state pensions rise in line with average earnings growth would not be enough to pay for social care reform in the next Parliament.

The Government thinks this could save £15bn a year by 2040 but it has been estimated that an NHS style social care system could cost more than £18bn a year by 2035.

Nuffield Trust deputy director of policy, Natasha Curry, said the amount of funding needed, will depend heavily on ‘exactly what is in and what is out of any public offer', warning the PM to ‘tread carefully' and build consensus before ploughing on.

Sarah Woolnough, chief executive of The King's Fund, said: 'Many genuine questions remain about how these reforms will work in practice and how much it will cost.'

Caroline Abrahams, charity director at Age UK said: ‘Good social care support that you can depend on is certainly critical for older people if they're to live decently in retirement, but so too is financial security. For a generation, the Triple Lock has given older people confidence that the value of their State Pension won't be eroded in an uncertain and volatile world, and now the Government wants to change it from 2030, when their manifesto pledge expires. Pensions policy is notoriously complex so we postpone judgment on the overall impact of their proposed reform until we can scrutinise the detail.' 

Dr Jennifer Dixon, chief executive of The Health Foundation, said: ‘While it's not yet clear what will be included in the state's offer under a new National Care Service, additional public investment will be needed to deliver a fairer and more universal system. But the cost of continued inaction to people and their families is severe and an overwhelming majority of the public support the principle of a greater role for the state in funding social care.'

Chief executive of The NHS Alliance, Sir Ciarán Devane, said: ‘A better funded, universal National Care Service would be a huge improvement on the present situation, but it won't on its own integrate better with the NHS. So as well as looking at the funding model, it will be important to ensure that reforms break down the barriers between health and social care, so both parts of the system are truly working towards shared goals and providing a seamless experience for patients.'

Dr Dora-Olivia Vicol, chief executive of the Work Rights Centre, said: ‘We welcome the Government's ambition to create a National Care Service, and pledge to institute a Fair Pay Agreement. But without further protection for migrant care workers, the National Care Service may not be possible.'

Chris Sweeney, director of Social Care Practice at System C, said: ‘A National Care Service is the right ambition, but it shouldn't start from scratch. In some areas, discharge notices already flow electronically from the hospital record straight into the council's social care system, so support can be arranged before someone leaves the ward.  Making that the norm everywhere is a governance problem long before it is a technical one. National model data sharing agreements would cost a fraction of a new structure, and building on the records health and care already hold will get us to a single view of the person far faster than starting again.

‘Councils have already invested heavily in these foundations, and the people working in the sector are absorbing a huge amount of change, from local government reorganisation to the Families First reforms. The priority now should be making their lives easier, not asking them to start over.'