There cannot be many top-tier authorities across the country that aren't struggling with the challenges of developing integration in the face of severe financial pressure. And, of course, this comes at the same time as these councils are having to shape up to legislative changes in children's and adult services. Most authorities are seeking to build new relationships between users and providers as they seek to create more resilient and sustainable communities and providers. Across the country, the engagement of local people varies, and with few exceptions, councils have not maximised their relationships with local partners. In many authorities, some partnerships are well formed and strong, others are weaker and there is often no coherent structure of partnership working.
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