The State of Health Care and Adult Social Care in England 2018/19

People should be able to get high-quality health and social care when and where they need it. When people can’t access the services they need, the risk is that they are pushed into inappropriate care settings – ending up in emergency departments if they can’t access GP care, or in crisis because they can’t access mental health services quickly enough in the community.Generally, when people can access care, the quality is good. In most health and care services, the hard work and dedication of staff has helped to maintain quality. But people’s experience of care is seriously affected when it is hard to get the care they need. People have told us about the day-to-day difficulties they, and those who care for them face in accessing services.




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