A survey by the Nuffield Trust and the King’s Fund found that only one person in seven is satisfied with social care services. Social care efficiency has been falling, but this record low reflects the failure of successive governments to prioritise this service and an unwillingness to tackle deep-rooted problems in our social care system. The public are seeing a large number of people whose care and support needs are not being met, and there is a perceived lack of appropriate reward, recognition, and support for social care staff. Against this background, it is disappointing that the Government’s planned social care reforms have been watered down or delayed. This will result in dissatisfaction rising further if social care provision continues to decline. People who draw on care and support, their carers, and those working in the sector will feel the pain of this.