State of Care 2017/18 published

Published: 11 October 2018 Page last updated: 12 May 2022
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This year's State of Care finds that most people receive a good quality of care, but that people’s experiences are often determined by how well different parts of local systems work together.

State of Care cover image

State of Care is our annual assessment of health and social care in England. The report looks at the trends, shares examples of good and outstanding care, and highlights where care needs to improve.

This year's report finds that some people can easily access good care, but others cannot access the services they need, experience disjointed care, or only have access to providers with poor services.

By looking at local health and care systems, we found that it was harder for people to access services in the community in places where services failed to work well together. In turn, this can lead to unnecessary admissions to hospital, putting extra pressure on acute and mental health services.

5 factors affecting the sustainability of good care

The challenge for all local health and social care organisations is to understand the needs of local people and to work together to find sustainable solutions that put people first.

We looked at 5 factors that affect the sustainability of good care for people:

  • Access to care and support
  • Quality of care for people
  • Workforce to deliver care
  • Capacity to meet demand
  • Funding and commissioning

Read State of Care 2017/18 to see what we found.

Read the report