Elderly and vulnerable people needing care at home are suffering from cuts in NHS spending as councils struggle to take up the slack, a study said today.
As local authorities pick up the shortfall, they are being forced to increase council tax or cut services.
A study, commissioned by the Local Government Association, found nearly seven out of ten local authorities in areas with an NHS deficit have been affected.
NHS cost-cutting measures such as withdrawing from jointly funded projects and referring patients to other carers has placed huge pressure on councils.
In turn, local authorities are increasing the time it takes to carry out social care assessments, withdrawing services from those with low level needs and using up budget reserves.
Paul Masterman, from Shropshire County Council, said dental and chiropody services in the home were just some of the services being affected.
In Wiltshire, the NHS has pulled out of a £5 million jointly funded project.
Councillor David Rogers, social care spokesman for the LGA, said: "This is not a name, blame and shame game. Councils do not want to start a war of words with the NHS, indeed the only way we will overcome these worrying problems is to work more closely together."
The survey questioned 55 of the 78 local authorities in areas where NHS Trusts were suffering from a deficit.