‘Duty and obligation’ – the invisible glue in services and support

The Department of Health’s consultation paper, The case for change, has opened a debate on the long-term future of England’s care and support system. In this Viewpoint, Kalyani Gandhi and Helen Bowers argue that if social care services are to transform people’s lives, they must be based on a deeper understanding of human relationships and the nature of duty and obligation inherent within them.