Shortages in carers have left East Lothian 's most vulnerable residents missing out on thousands of hours of care each week.
A new report on the state of elderly care provision across the county has revealed gaps of hundreds of hours in home care in each ward.
And it found that the biggest shortage of care was in the east, with nearly 300 hours of care unmet every week in North Berwick and Dunbar.
READ MORE: Midlothian health and social care hit with 'last minute' cut in council funding
The report to East Lothian Integration Joint Board called for community consultations to be launched to look at each ward area and the biggest issues they face as part of plans to develop care services locally.
Board members agreed to support the consultation across the wards to identify local challenges in community provision.
They were told that work on re-provisioning services had identified two main issues in East Lothian - firstly that intermediate care provision (including care at home) is not sufficient and secondly an inequity in access to care that needed to be addressed.
The report broke down each ward by the number of people aged over 75, care home beds, care at home hours provided and its shortfall.
It found that there was an over provision of care home beds in the county, despite there being none in Preston, Seton Gosford.
It said: "The board subgroup previously considered the potential solutions to address these issues. However, these cannot be progressed without consultation and engagement with the community who should be given their own opportunity to contribute to the solutions."
The consultation will be carried out over 12 weeks.
The breakdown of elderly provision in East Lothian revealed:
Musselburgh
Population over 75 yrs - 1,700;
Care home beds - 112;
Care at home hours - 2,304hrs (additional unmet 211hrs)
Preston, Seton, Gosford
Population over 75 yrs - 1,671;
Care home beds - 0;
Care at home hours - 1,170 hrs (unmet 202hrs)
Tranent, Wallyford and Macmerry
Population over 75 yrs - 1,597;
Care home beds - 225;
Care at home hours - 1,078 (unmet 191hrs)
North Berwick Coastal
Population over 75 yrs - 2,058;
Care home beds - 275;
Care at home hours - 1,207 (unmet 290hrs)
Dunbar and East Linton
Population over 75 - 1,405;
Care home beds - 59;
Care at home hours - 891hrs (unmet 290hrs)
Haddington and Lammermuir
Population over 75 yrs - 1,974;
Care home beds - 110;
Care at home hours - 1,306 (unmet 275hrs)
READ NEXT:
East Lothian councillors approve £40,000 bail out for leisure operator over closed pool
Former East Lothian bank to become seaside cafe after house plan rejected
East Lothian drive thru car wash set for former petrol station if plans approved
; East Lothian holiday flat forced to close to visitors after councillors 'needed torch'
East Lothian drivers face peak rate fees for charging vehicle