This year's State of Care report shows that, despite increasingly challenging circumstances, much good care is being delivered and encouraging levels of improvement are taking place. However, the sustainability of this position is in doubt. We are also beginning to see some evidence of deterioration in quality, and some providers who are struggling to improve their rating beyond 'requires improvement'.
The fragility of the adult social care market and the pressure on primary care services are now beginning to impact both on the people who rely on these
services and on the performance of secondary care.
The evidence suggests we may be approaching a
tipping point. The combination of a growing and
ageing population, people with more long-term
conditions and a challenging economic climate means
greater demand on services and more problems
for people in accessing care. This is translating to
increased A&E attendances, emergency admissions
and delays to people leaving hospital, which in turn
is affecting the ability of a growing number of trusts
to meet their performance and financial targets.