The state of health care and adult social care in England 2024/25

State of Care is our annual assessment of health care 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.

Alternate versions of this report

British Sign Language (BSL):

• Chapter 1: Access and demand for care, workforce and capacity, and people's experiences (BSL)
• Chapter 2: Inequalities, improvement and innovation, Deprivation of Liberty Safeguards, and health and social care system (BSL)

Listen to the audio version:

Contents

Presented to Parliament pursuant to section 83(4)(a) of the Health and Social Care Act 2008.

Ordered by the House of Commons to be printed on 23 October 2025.