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This article draws on consultations with older people produced for a Joseph Rowntree Foundation (JRF) study on the unmet need for low‐level services among older people in England. This was published in 2007 (Clough et al, 2007). Since it was published there have been significant changes to the social care scene. The Government has given further emphasis to individual budgets (now termed personal budgets), many local authorities have further restricted the criteria for eligibility to social care services, and publications such as Time to Care (CSCI, 2007) have highlighted the shortcomings of home care services, as well as their strengths and importance. We also know more about older people's views of health and social care services (Health Care Commission, Audit Commission and Commission for Social Care Inspection, 2006). In this article we set out to relate findings from our research to current realities.

In this paper, we draw on ethnographic research which tracked older people's journeys through the health and social care system, highlighting some of the key issues which will need to be addressed if the new single assessment process is to become user‐ and carer‐friendly. We argue that the concept of the ‘whole system’ is a misnomer, and a more accurate picture is that of a world at war, with territorial disputes rife and border controls tighter than ever. We suggest that too much emphasis has been placed on IT systems and paperwork and that the real challenge is to cut through the jargon of modernisation and to see things from a wholly different perspective.

This article considers the potential for single assessment to overcome longstanding difficulties with care management, looks at initial progress in one SHA area and identifies some key priorities for the next stages of local implementation. We conclude that, not only is much more work required in localities, but additional national guidance and resources may also be required.

At a time of increasing interest in mental health in later life, the role of public health approaches is potentially heightened. This paper draws on interview data with older people living in London to consider the interplay between personal and public approaches to health and well‐being. The interviews were under taken as part of the midpoint review of the UK government's 10‐year strategy for older people (Healthcare Commission et al, 2006) and the social characteristics of London are considered.

In this article we consider community well‐being and new approaches to reinvigorating partnership working for older people's services. In particular, we focus on improving transport for older people. We draw on findings from a series of public consultations, group discussions and interviews with older people in 10 purposively selected localities in England. Although there was great diversity in the issues raised by older people on the subject of transport, both across and between the sites, we point to a number of core analytical themes which could assist commissioners in developing a citizens' framework designed to address this traditionally ‘wicked’ issue.

This article reports on the findings of the inspections and consultations undertaken as part of the evaluation of the National Service Framework for Older People. It focuses on what was found about the implementation of adult protection systems, by synthesising the inspectors' findings, drawing on older people's comments in meetings and interviews concerning care in hospitals, as an illustration, and by reporting the results from a survey. Together these sources of information revealed that adult protection systems are in place, and that the majority of older people say that they know to whom they can report concerns, but that older people and their families weigh up the decision to make complaints carefully. Questions are raised about the interface between adult protection and concerns about dignity and quality of hospital care.

In Scotland residential units for children remain largely in the hands of local authorities. A reluctance to plan for and use such services as a positive choice results in many children being placed as a last resort. Two research studies gathered data over a six‐month period and considered seven local authorities' admissions to children's units, allowing for in‐depth exploration of the manner in which children are being placed in residential care. The studies revealed a significant number of children aged under 12 being admitted to residential care, many placements of a very short duration, poor evidence of placement planning, substantial numbers of sibling groups being separated and admitted to different residential care settings and many instances of residential placements being used when not the preferred option. The implications of the findings are discussed and possible solutions offered as to how the residential sector can be developed to achieve the wide range of roles it is currently expected to fulfil.