David Brindle is a social care commentator and former public services editor of the Guardian. In this feature, he looks at the shortfalls of the government’s integration white paper and what lessons can be learned from local care trusts.

Mike Williams, managing director at Tagtronics – a software company working to improve care quality for homecare businesses – discusses how the sector has reached crisis point and explores the internal shifts necessary to support modern carers in improving overall quality of care.