What future for care?

Care is at a time of fundamental change. Social, cultural, economic and demographic pressures all highlight the need to re-examine it. Service users have developed an influential discourse which challenges it. Government is committed to reforming it. There is no agreement about the form it should take, the conceptual basis on which it should rest or how it is to be funded. Service users’ experience of care, as they report it, is at best mixed, at worst poor.