Two-thirds of older and disabled people in England who turn to their local councils for help with care are turned away, figures show.
Nearly 1.85 million requests for support were made last year, but just over 650,000 people received help.
Councils have been warning for a number of years that a shortage of funding is causing problems.
But the Health and Social Care Information Centre figures shows how difficult it is for people to get help.
Only 144,000 of the requests for help resulted in long-term care, which includes places in care homes or help in the home for tasks such as washing and dressing.
Nearly 220,000 got short-term help, such as rehabilitation after discharge from hospital, and another 300,000 got low-level support such as walking aids and telecare.
The rest either received nothing or were advised to seek help from charities, the NHS or from housing services.
Unlike the NHS, social care is not free so everybody will pay something towards the cost of their care with some covering the entire cost.
'Alarming picture'
Meanwhile, a separate survey of nearly 70,000 people who did get help revealed their experiences of care.
Some 65% said they were extremely or very satisfied with their care and 26% were quite satisfied, but one in 10 was not.
One in 20 did not feel clean or presentable and the same proportion said they did not always get enough food and drink.
The care system
- Unlike the NHS, social care provided in an individual's home or in residential care is not free. Only the poorest get help.
- The number of older and disabled people receiving council help fell by 28% between 2009-10 and 2013-14.
- The Local Government Association predicts if extra money is not put in there will be a shortfall of more than £4bn in care services by 2020 - and that is before the implications of the national living wage are taken into account.
- An estimated 1.5 million older people with care needs rely on family and friends for help.
- One in 10 older people faces bills in excess of £100,000 over their lifetime for care.
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