Within North West London, most localities already have joint commissioning arrangements, sometimes with pooled budgets. These arrangements have been used in particular to support:
- Learning disabilities (almost £50m of joint commissioning across North West London in 2013/14)
- Older people’s services (£36m)
- Mental-health services (£20m)
- Physical disabilities (£13m)
A detailed summary of this research is available in Supporting Material I: Research and existing joint commissioning arrangements.
Nationally, pooled budgets have been used, for example, to improve coordination on finding appropriate solutions to care homes in Oxfordshire, or integrating health services into adult social-care visits to improve quality of care while increasing efficiency in Herefordshire. See case studies in Supporting Material A: Discussion Paper Compendium for more details.