Every year fashionable society's first to provide great care (5)
I believe the answer is:
pains
'great care' is the definition.
(I've seen this before)
'every year fashionable society's first' is the wordplay.
'every year' becomes 'pa' (per annum).
'fashionable' becomes 'in' (in can mean fashionable or trendy).
'society's first' becomes 's' (1st letter of 'society').
'pa'+'in'+'s'='PAINS'
'to provide' acts as a link.
(Other definitions for pains that I've seen before include "Great care taken" , "Symptoms of hurt or disease" , "Aches" , "Labour" , "troubles?" .)