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Adult social care in Britain has been at the centre of much media and public attention in recent years. Revelations of horrific abuse in learning disability settings, the collapse of major private care home providers, abject failures of inspection and regulation, and uncertainty over how long-term care of older people should be funded have all given rise to serious public concern. Here, Iain Ferguson and Michael Lavalette give an historical overview of adult social care and locate the roots of the current crisis in the under-valuing of older people and adults with disabilities and in the marketisation of social care over the past two decades. They examine recent developments in social work with adults, including the personalisation agenda, and critically examine the prospects for adult social care and social work in a context of seemingly never-ending austerity.