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The State of Care report is packed with features and information to give you a complete picture of how care services are performing in England.

Download the report below or visit our accessible website to download alternative formats:

A young female adult patient in hospital.

State of Care reports

The state of health care and adult social care - Full report (PDF, 3271KB, opens in new window)

The state of health care and adult social care - Summary booklet (PDF, 1055KB, opens in new window)

The state of health care and adult social care - Executive summary (PDF, 217KB, opens in new window)

The state of health care and adult social care - Section 1 Giving people choice (PDF, 1308KB, opens in new window)

The state of health care and adult social care - Section 2 Joining up health care and social care (PDF, 563KB, opens in new window)

The state of health care and adult social care - Section 3 Patterns in quality and trends in performance (PDF, 1097KB, opens in new window)

The state of health care and adult social care - Moving forward (PDF, 49KB, opens in new window)

Accessible versions of the State of Care reports

The state of health care and adult social care - Easy Read Summary (PDF, 2744KB, opens in new window)

The state of health care and adult social care - Easy Read Summary Large Print Version (DOC, 644KB, opens in new window)

The state of health care and adult social care - Easy Read Summary BENGALI (PDF, 168KB, opens in new window)

The state of health care and adult social care - Easy Read Summary CANTONESE (PDF, 203KB, opens in new window)

The state of health care and adult social care - Easy Read Summary POLISH (PDF, 188KB, opens in new window)

The state of health care and adult social care - Easy Read Summary PUNJABI (PDF, 179KB, opens in new window)

State of Care downloads

Alternative formats

View this report in easy to read words and pictures, BSL video and audio formats.