Carers in Northern Ireland are having to "beg for help" from the health service, according to an umbrella group which represents carers.
In their report the Coalition of Carers Organisations called on Stormont departments, health trusts and public services to deliver a new deal.
The group wants increased support and respite opportunities for carers. About 20 charities said people were not being offered help until they were in crisis.
There are more than 220,000 people providing unpaid care for a sick or disabled family member or friend across Northern Ireland - that represents one in eight people, according to Carers NI.