This document builds on work carried out by a group of deaf and partially deaf people who were invited to share views and experiences of community care services. It discusses communication, interpreting services, individual needs, social services and health issues relevant to deaf people. Service provision to deaf people from black and minority ethnic communities and deaf people with learning difficulties is considered, with suggestions of action for change. Health services in particular must take a more active role in consulting with the deaf community and working in partnership with users.