This local case study reviews progress in joint working in adult services in a county which has been developing innovative partnership arrangements for some years. It is a follow‐up to an article in this journal in Issue 10.2 April 2002 (The road to integration in Hertfordshire) and focuses particularly on practical issues which have now arisen from the work of the county‐wide joint commissioning board. This will be of interest to other localities where complex collaborative arrangements are needed because several PCTs are working with one local authority.
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