This development creates extra pressure, more anxiety and less holiday for the informal carer, according to the National Informal Care Panel of MantelzorgNL. “Care institutions and nursing homes where the pressure is high, ask for extra help from informal carers. Then you have to think about cooking, washing and dressing, cleaning and helping with activities,” says Kusters. “We notice that it puts extra pressure on the informal carers. It also creates more anxiety; is my neighbor still well?”