The Covid pandemic has highlighted shortcomings in provision of health and social care throughout the UK. We do not train enough care workers, nor inform the population properly about what services are (or should be) available, and how to access them. Care workers are not held in high esteem, particularly when remuneration is set. Many staff trained in the public sector leave to work for commercial suppliers of care services, or drop out because of the pressures of working in understaffed settings. The high cost of institutional care, and personal preferences, mean that many families undertake informal, unpaid, care at home, often with minimal training.