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This article reports the findings of a systematic review of the factors promoting and obstacles hindering joint working at the NHS/social services interface. The review provides robust, research‐based evidence about different models of joint working across the interface at the strategic, commissioning and operational levels and describes the factors known to have an impact on the success of joint working.

This article aims to consider recent changes to policy and practice in relation to joint working by returning to the authors' original article published in 2003 to ask what has happened in the intervening years.

The original article was based on research commissioned by the NHS shortly after New Labour came into office, at a time of increasing interest in the role of joint working in the provision of public services. The authors were commissioned to conduct a systematic review of the existing research literature about joint working in adult services between health and social services in order to identify broad lessons, which could inform future activity in this area. Here, they undertake an informal review of the progress made.

Having reviewed the original research, the authors move on to consider the reforms implemented by New Labour to better support joint working and the recent policies of the Coalition government. They argue that whilst the focus of government policy remains largely the same, some subtle changes have emerged. Finally, they consider more recent reviews of the evidence base which suggest that, whilst some progress may have been made, certain difficulties remain, specifically with regards the evaluation of the outcomes of joint working.

Having been approached by the Editor of JICA, the authors submit this paper for the 20th anniversary issue of the journal because of the impact and continuing relevance of their original article.

The loss of reliability of a PTH soldered joint caused by unnecessary re‐working after wave soldering is considered. Standardised joints are re‐worked under conditions that closely control the temperature of the soldering iron tip, the time of contact of the tip to the joint, the angle and the contact pressure of the soldering iron, the amount of flux and the amount of extra solder applied. The service life of the joints is assessed using accelerated thermal cycling between ‐20°C and +100°C. In all cases, the service life of these test joints is degraded by re‐working. The effect becomes worse when the temperature and time of re‐work are increased. The degradation of fatigue performance is associated with changes in the solder fillet microstructure. The effects on fatigue performance of changing the fillet size by adding extra solder during re‐work are complex, but explainable in general terms. The results obtained from the controlled laboratory rework tests are corroborated by test assemblies re‐worked to companies' in‐house workmanship standards and by field data.

This book is a policy proposal aimed at the democratic left. It is concerned with gradual but radical reform of the socio‐economic system. An integrated policy of industrial and economic democracy, which centres around the establishment of a new sector of employee‐controlled enterprises, is presented. The proposal would retain the mix‐ed economy, but transform it into a much better “mixture”, with increased employee‐power in all sectors. While there is much of enduring value in our liberal western way of life, gross inequalities of wealth and power persist in our society.

This paper explores the partnership between social services and primary care, in one geographical area, in relation to five potential types of obstacle: structural; procedural; financial; professional; and status and legitimacy. It examines the theory of partnership and the Government’s attitude towards it. It uses semi‐structured interviews with a range of stakeholders to study partnership in practice. Finally, it highlights some of the challenges for the future.

This paper aims to present the design and a prototype experiment of a robotic joint module for tokamak in-vessel manipulator-related research; the results will promote the adaptation of current in-vessel inspection manipulator to achieve full tokamak in-vessel environment compatibility.

A flexible metallic bellow-enclosed working chamber is used to protect the main servo drive components, the active cooling method for high temperature protection and the servo control structure simplification for high radiation endurance. A joint module prototype is manufactured and tested under a similar in-vessel environmental condition for extreme condition protection validation and basic servo control ability evaluation.

The joint module prototype successfully survived the similar in-vessel environment tests and proved good mobility via closed-loop servo control. A conceptual design of a serial linkage manipulator with joint module structure is proposed for future in-vessel inspection manipulator development.

The proposed joint module uses common industrial servo components to achieve its full extreme in-vessel environment compatibility. Different from traditional metallic bellow application in a vacuum environment to produce a linear movement result, the proposed joint module aims to achieve rotating movement directly from the metallic bellow structure, thereby reducing the joint structure space requirement, simplifying the vacuum environment movement transmission structure and increasing the vacuum environment compatibility degree.

The aim of this paper is to show what the leaders themselves regard as the working ingredients in their mutual work situation that help to facilitate personal development.

In the paper data were collected through semi‐structured interviews with 14 leaders at low and middle management levels in different lines of business within the private and public sector. The analysis of the learning processes draws on the theory of transformative learning.

The paper revealed that joint leadership, according to the leaders, could provide the leaders themselves with a basis of personal development and learning. This depends on common core values, a supportive relationship and common work processes as well as complementarity, joint sense making and critical reflection.

The implies that joint leadership provides possibilities of transformative learning through examination of different points of view, through explicitly talking about habits of mind, and through stepwise changes of existing frames of reference. The results indicate that joint leadership offers the possibility of a deepened learning process in daily work in a communicative relationship where profound values and ways of acting are openly shared and critically‐reflected upon. Joint leadership should however not be forced on to managers.

The paper provides insights into learning processes for leaders, based on the possibilities, which can be created through joint leadership.

The purpose of this paper is to demonstrate the learning from the multi-agency evaluation of the Leeds Dual Diagnosis Care co-ordination protocol undertaken by the Leeds Dual Diagnosis (DD) Project in 2013. The evaluation aimed to identify the prevalence of people with DD accessing network member services, and to identify the standard of care network members provided for people with DD in relation to the Leeds Care Co-ordination Protocol.

The evaluation adopted a service evaluation methodology and included features of real world research. Two standardised self-completion questionnaires were administered using Survey Monkey™ software.

The majority of service could provide prevalence data however the quality of data provided was significantly impacted by the limitations of client management systems. Completion of specific DD training beyond basic awareness was generally low and many participants were confused about the different levels of training available. Standards of care varied, a substantial amount of joint working was taking place via informal pathways which relied on established relationships and trust between practitioners and services. Jointing working was often informal when people were not under the Care Programme Approach.

Due of the methodological choices the evaluation cannot be considered impartial. The prevalence data gathered lacks robustness and does not reflect the number of people who meet clinical threshold for DD as valid screening tools were not used by all services. The standards of care identified only reflect practitioner's personal views and do not provide a definitive answer to the standard of care being delivered. The response rate in relation to standards of care was low with large amounts of missing data negatively impacting the external validity of data gathered.

The completion of this evaluation demonstrates that it is extremely challenging to undertake a multi-agency evaluation with limited resources. It has highlighted key challenges and areas for future development locally in relation to DD. The themes explored are likely to be of interest to commissioners, service managers, DD consultant nurses and anyone involved in the strategic development of DD.

The evaluation has generated information which is of practical significance to local commissioners and Leeds DD Network Members. The knowledge and learning from this evaluation has subsequently been used by the Leeds DD Strategy Group to inform the new action plan for the DD Project, the re-commissioning of substance misuse services and the new mental health framework being developed for Leeds.

A survey of integrated working between primary care trusts (PCTs) and adult social services across England was undertaken in December 2009 and January 2010. The survey results are presented in the context of the history of integrated working between health and social care, and the recent policy announcements of the Conservative‐Liberal Democrat Coalition Government.