Carers have a pressing need to be directed to good sources of information, help and support. NHS organisations appear to be consulting with carers much less than the level envisaged in the National Strategy for Carers. There is still too much poor or indifferent consultation practice and service providers appear not to be following known good practice guidelines. Over eight out of ten carers said that caring had a negative impact on their own health. Almost nine out of ten reported that they feel stress, anxiety, depression or loss of sleep, due to being a carer. Carers also saw the sheer relentlessness of caring and its effects on their mental and physical well-being as being their biggest problems.