In 2014 Quality Watch, which is an independent research organisation set up by the Nuffield Trust and the Health Foundation, said “Home and day care spending by councils has fallen by almost a third, equating to £618 million (real terms, net current expenditure, comparing 2013/14 to 2009/10). The result is that 82,000 fewer older adults receive home care (an 18% reduction) and the number receiving day care has almost halved (around 46,000 people).” (1)