This summary report uses data from The Carers NSW 2018 Carer Survey which examines the experiences of family and friend carers to present key insights about the carer population and highlight the successes and challenges they are experiencing in engaging with the service system and with paid employment. Many carers were spending more time organising support for the people they cared for than they reported in the previous survey two years ago. Respondents reported lower wellbeing than in previous surveys, and higher levels of psychological distress than the average carer in New South Wales. More than three quarters of carers with a long-term illness or disability reported that their caring responsibilities had contributed to their condition. One in three wanted more access to respite, counselling or carer support groups and 40% reported difficulty meeting their necessary living expenses.