About the state of care

This report looks at the quality of health care and social care in 2009.

It is the first time we can give a complete picture of health care and adult social care in England.

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About this report

A part of our role as regulator is to take an in-depth look at the state of care nationwide and produce a report for Parliament on what we find.

This year's report is the first time that we can give a complete picture of health care and adult social care in England – including how well the two sectors work together.  

We’ve highlighted some of the findings from this report, published February 2010, to show you:

Key points

Here are the key points from our report at a glance about the state of health care and social care in England in 2009:

Care that meets each person’s individual needs

  • More people who use care services should have choice and control about their care.
  • Care should be designed around a person's needs and preferences, rather than around systems and processes. 
  • It's important that people are given the right kind of information, at the right time, so that they can make informed decisions about their care.

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Joining up different types of care

  • Many people who use health care also use social care. 
  • We want to see different types of services working together in a more coordinated way.
  • When people use more than one type of service,  the care they receive should feel ‘joined-up’. 

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The quality of care nationwide

  • Overall, health care and social care services continued to improve in 2009.
  • A small minority of services fell below minimum standards of quality and safety.
  • The quality of care sometimes varied considerably between different services and different areas of the country.
  • Good practice in safety, safeguarding people and staff training was not being followed widely enough.

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More people who use care services should have choice and control about their care.

We want to see different types of services working together in a more coordinated way.

State of Care downloads