Under-provision of long-term care services for people with support needs may have consequences for both them and their unpaid carers. Using in-depth interviews with 23 co-resident carers living in England, our study aimed to explore the impacts of unmet need on unpaid carers and how such impacts occur. Unmet need for services – services not being received or gaps between provision and need – had multidimensional impacts on carers. Key mechanisms were constrained opportunities through limited time or emotional resources, and constrained choices about whether and how to provide care, as well as over multiple other aspects of their lives.
The Care Act 2014 amended legislation relating to government responsibilities for adults with care needs. It set out new statutory responsibilities for the support of family or informal carers. As part of a study investigating the impact of the Care Act 2014 on family carers in England, we undertook a contextual literature review, focusing on parliamentary debates available online from Hansard. We describe the content of debates seeking to amend the law relating to carers and aspirations for the proposed reforms. We highlight the role of parliamentary carer champions, as well as carer-related themes and the lack of controversy over this subject.