Exposes the effects of attempts to reduce and remould key parts of the welfare state and a Victorian version of ‘community care’. It identifies unmet needs, the impact of spending cuts, and the increasing use of volunteers. The growth of the private homes business is described as ‘tender loving neglect’ and shows the increasing use of private contractors. The report charts the impact on workers in social services and how the crisis in care and the welfare state is deepening. It concludes with alternative policies and action strategies (36 pages).