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This paper provides an overview of the national child and adolescent mental health service (CAMHS) mapping exercise, the workforce data reported in the mapping between 2003 and 2006, and how this data relates to current policy. The paper will first outline key issues within current CAMHS workforce policy and provide an introduction to the mapping process itself in order to establish the context in which the findings from the mapping exercises are being presented. The mapping is carried out by Durham University on behalf of the Department of Health. Core trend data is provided on the growth and development of the specialist CAMHS.

The purpose of this article is to explore findings from the children's services mapping (CSM) policy monitoring exercise on the implementation of Children's Trust arrangements in England in 2008 and 2009. It outlines progress made in implementation in the context of debates on Children's Trusts and partnership working, considering where progress was being made and where implementation was less well developed. The future of partnership working in children's services and the role of the data collection in public service policy monitoring are discussed.

Responses are from a sub‐set of 74 local authorities to a self‐completion questionnaire on Children's Trust implementation in 2008 and 2009 as part of the CSM annual policy monitoring exercise.

Findings, presented within the context of Government policy on children's services reform and literature on partnership working, indicate increases in the number of Children's Trusts implementing joint and strategic working. However, not all agencies under a statutory duty were represented on the Board and joint commissioning arrangements had declined.

The findings and discussion consider the limitations of the method of data collection.

This paper presents the most recent information on implementing Children's Trust arrangements, drawing on responses from 49 per cent of local authority areas. Data from two years of the CSM collection alongside earlier research findings indicate progress at the strategic level, but careful reading of the data and literature also suggests an increasingly challenging environment for establishing and maintaining partnership working within children's services.

The role of the primary mental health worker (PMHW) is relatively new within child and adolescent mental health services (CAMHS). Different organisational structures have emerged and it is important to study the advantages and disadvantages associated with different PMHW practice models. The current study uses a large, representative sample of PMHWs and operationalises practice models according to the PMHWs' self‐reported location and team alignment thus identifying three models (namely CAMHS outreach, primary care based, and dedicated PMHW team). Comparisons between the models are made in relation to organisation and management, inter‐agency links, and job satisfaction with the aim of exploring the strengths and weaknesses of each model. The results suggest that each model meets the aims of the role and there is greater similarity than dissimilarity between models. However, it also indicates that attention should be paid to improving the working environments and training and development opportunities for all PMHWs irrespective of model, but with particular consideration given to improving the support available to PMHWs working in primary care based models.

Connected Care, Turning Point's model for involving the community in the design and delivery of integrated health and well‐being services, aims to involve the community in the commissioning process in a way which fundamentally shifts the balance of power in favour of local people. The model has been tested in a number of areas across the country, and previous articles in the Journal of Integrated Care have charted the progress of the original pilot in Hartlepool. Cost‐benefits of the approach are now becoming clearer. Implementation of a new community‐led social enterprise in Hartlepool began in 2007, and today its Connected Care service provides community outreach, information, access to a range of health and social care services, advocacy, co‐ordination and low‐level support to the people of Owton. Key lessons, from Hartlepool and elsewhere, have centred on the value of making the case for service redesign from the ‘bottom up’ and building the capacity of the community to play a role in service delivery, while also promoting strong leadership within commissioning organisations to build ‘top‐down’ support for the implementation of outcomes defined through intensive community engagement. The new Government's ‘localism’ agenda creates new opportunities for community‐led integration, and the Connected Care pilots provide a number of learning points about how this agenda might be successfully progressed.

Persistent and particular health and social care challenges face socially excluded groups and communities in the more deprived areas of the country. Involvement of communities in design and delivery of services, including those whose voices have traditionally not been heard, will help to shape services to meet better their health and well‐being needs. Effective community‐led commissioning can empower individuals and communities by giving them the chance to voice their needs, while local ownership of the process will increase the relevance of services, and improve their uptake and sustainability. For commissioners, the ‘World Class’ commissioning agenda is about connecting development of services with the real requirements of communities, and increasing engagement and satisfaction with services.

This paper aims to examine the role of health and wellbeing boards in the context of the Government's reforms introduced by the Health and Social Act 2012 and the fundamental challenges facing the NHS and local government; it also aims to assess evidence from the early experience of shadow boards and considers what factors will most influence their success.

The paper draws on an analysis of the policy literature and on structured telephone interviews with lead representatives of 50 health and wellbeing boards randomly selected from a representative cross section of English local authorities; it also draws on case study material, some of which has been written up for other articles in this Special Issue.

Early experience of the boards in shadow form indicates there is considerable optimism about their prospects to achieve greater success in achieving integrated services but they face formidable challenges arising from a hostile financial climate and unchanged national policy fault lines that have hindered effective integration to date. Poor engagement with providers will limit progress. Five factors that are likely to determine the effectiveness of boards are identified. Their biggest single challenge arises from the role of local government in delivering strong, credible and shared leadership which engages people in transforming local services.

Current knowledge is based on the operation of shadow boards at a very early stage in their development and in the context of complex organisational change in which there is major uncertainty about emerging roles of new bodies.

There is very little systematic research evidence about the development of health and wellbeing boards other than the work reported in this paper, illustrated by the linked articles which follow it.

Recent UK policies emphasise increased community participation in decision‐making. However, research points to an “implementation gap” whereby policy has not led to genuine community empowerment in practice. This paper aims to investigate community empowerment and influence over service providers brought about by the Communities First programme in Wales, a regeneration programme which aims to empower local communities.

The research analyses nine Communities First partnerships with a mixture of interviews, focus groups and community‐led partnership reviews. The case studies reflect the rural/urban geography of Wales and the varied governance models evident in Communities First.

Through Communities First, residents feel empowered to manage positive change in their communities. However, key public agencies have not responded adequately to this policy agenda. Notably, there has been a failure to “bend” mainstream services.

The findings point to future research with public sector agencies to identify the exact points at which community “voice” is lost and how it could be better assimilated into policy development and service delivery mechanisms.

Community empowerment requires adequate training for development staff and support mechanisms for community participants. Roles of public sector organisations attending community partnerships need to be clearly defined. At an organisational level, incentives, including funding, and sanctions are needed in order to change ways of working.

Communities and public agencies face challenges in delivering the empowerment agenda. The research identifies key issues in achieving empowerment objectives by examining the eight‐year experience of the Communities First programme.

Findings from a 1987 survey of work satisfaction among 193 consultants and junior doctors in psychiatry in Yorkshire are reported. While nearly two‐thirds of doctors report they are generally satisfied, a substantial number of consultants and junior doctors are dissatisfied with their resources, status and autonomy, and professional relationships. Regression analysis suggests that controlling for psychiatrists′ personal and professional characteristics and variables related to district management are important in explaining differences in perceived clinical autonomy and work satisfaction among psychiatrists. Opportunities for district management to help improve psychiatrist satisfaction are proposed, and the relevance of the recent White Paper Working for Patients is examined.