Intended for healthcare professionals


Care Quality Commission finds growing inequalities in access to health and social care in England

BMJ 2018; 363 doi: (Published 11 October 2018) Cite this as: BMJ 2018;363:k4300
  1. Matthew Limb
  1. London

People in England face a growing “care injustice,” where many cannot access the care they need or have only poor quality services available, a leading regulator has warned in its annual quality assessment of health and social care.1

The Care Quality Commission (CQC) said that many older people, patients with mental health problems, and people in some parts of the country cannot access good, safe care. It said that access was especially problematic where health and care services were poorly coordinated, while all sectors face rising demand and struggles to recruit and retain staff.

Two years ago the commission warned that adult social care was so fragile that it was approaching a “tipping point” where some services would become unsustainable. “This tipping point has already been reached for some people who are not getting …

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