Organisational solutions to problems arising in community care were discussed at a debate organised by the King's Fund. The debate took place during a period of continuing organisational upheaval associated with the NHS and Community Care reforms. Calls were nevertheless being made for further radical change in the organisation of health and social services. People from different backgrounds agreed that current arrangements in community care are far from satisfactory. An overwhelming majority believed that improvements could be made by creating a single authority responsible for commissioning local health and social care services.