The Care Quality Commission’s yearly look of the quality of health and social care in England warns of growing ‘care injustice’, with access to good care becoming more dependent on how well local systems work together.

‘The state of health care and adult social care in England 2017/18’ shows that most people are still getting good care – when they are able to get to it.

Overall, quality has been mostly the same as last year, and in some cases, even better.

This is in the face of the ongoing challenges around demand and funding, together with big workforce pressures as all sectors struggle to recruit and keep staff.

The hard work of staff, leaders and carers to make sure that people continue to get good, safe care despite these challenges must be recognised and celebrated.

But quality is not reliable, and access to good care is becoming more about where in the country you live and the type of help you need.

Some people can get to good care easily. Others cannot access what they need, they experience disorganised care, or only have access to providers with poor services.

People’s experiences are often determined by how well different parts of local systems work together.

Click here to view the report.