October 28, 2025

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




In our annual State of Care report, we have warned that the health and social care system remains fragmented and under severe strain as it prepares for a major shift from hospital to community care.


While there is some encouraging evidence of innovation, community services need significant investment in both capacity and capability to deliver the transformation in people’s care called for in the government’s 10 Year Health Plan for England. 


Without more support to help community services deliver the vision of the plan, there is real risk of erosion in care quality, with people struggling to get the care they need. The most vulnerable groups are likely to be hit hardest through longer waits, reduced access, and poorer outcomes.


Read the report


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