Europe and local government

The Care in the Community initiative has resulted in a renewed interest in collaboration between local and health authorities. The focus of such collaboration is commonly on the transfer of long‐stay patients from psychiatric and mental handicap hospitals that are due to close, though the extent of local authority involvement in closure programmes varies considerably.

Joint planning typically involves a number of local authority departments: social services, housing, chief executives’ offices and legal services. It sometimes also involves education, recreation and leisure departments. Joint planning can be very time‐consuming and can call for considerable effort. It frequently gives rise to a good deal of conflict between the participating agencies. The pay‐offs, on the other hand, often appear to be small. Such plans as are finally implemented tend to be small‐scale: attempts at broader strategic planning almost invariably come to grief. The question then has to be asked, whether joint planning is worth all the effort. In the end, the primary justification for such planning has to lie in its ability to produce more appropriate services for service‐users.

This paper examines one local authority's experience of joint planning in relation to the closure of a large psychiatric hospital. Despite several setbacks, joint plans were eventually agreed and a number of former long‐stay patients were able to move into the community. The paper considers both the achievements and the shortcomings of the authority's collaboration with the health service.