England’s NHS does not have an adequate workforce strategy. Staffing shortages in health and adult social care are limiting the delivery of services. Adult social care, which is more organisationally heterogeneous than the NHS, also has a staffing crisis. There are over 250 000 vacant posts across both sectors.1,2 The two systems are symbiotic, and their staffing issues must be addressed together. As the main gateway for patient access to the rest of the NHS, general practice teams hold responsibility for providing care for patients in the community. General practice is hit by the staffing deficit twice over, soaking up additional demand caused by shortfalls in secondary care and social care while grappling with its own staffing crisis. What is the relationship between staff levels, financial cost, and staff and patient welfare across the NHS and social care, and what are the potential solutions?