Sir - In the 1960s over two thousand children and adults in Worcestershire dwelt in institutions provided by health and welfare authorities.

The reasons included mental and physical illness and disability, overwhelming personal problems linked with unemployability or money problems, addictions, or simply needing to be looked after.

Generations of politicians told us that it would be better for all of these institutions were closed down and all the money ploughed into comprehensive community care. Who could argue?

We now know that only a fraction of the money was used for that purpose and your postcode still dictates what help you get if things go wrong.

People with those kinds of difficulties today are often in a joyless game of pass the parcel between the DWP, cash-strapped health and social care services, charities, housing providers, courts, and all too often, police cells and prisons.

This is not to suggest the return of institutions, but to caution against politician promises, especially when they affect the powerless.

Also a reminder to readers and their families who may be doing OK at the moment and 'tut-tut' at those struggling with life, but who knows what is around the corner for any of us.

Derek Fearnside