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Successive governments have been "asleep at the wheel" on adult social care, says the head of the independent commission looking into the sector in England.
Baroness Louise Casey said care services for older people and adults with disabilities had been developed in a largely uncontrolled and unintended way, unlike the deliberate design of the NHS in 1948.
As a result, she suggested a postcode lottery had developed with different levels of services available depending on where people live.
