1. In the long history of humankind (and animal kind, too) those who learned to collaborate and improvise most effectively have prevailed. Charles Darwin

2. Challenges and more challenges... Reducing resources Increasing demand Service user involvement / co-production Expectation and pace of change – ORT review Locality working vs centralised decision making Outcome focus Shift the balance of care away from first 6 months Integration NPS Involve family members EU & local procurement regulations Recovery workforce

3. The Collaborative Approach Core Group Residential Alliance Hubs Alliance Counselling Alliance Aftercare Alliance Task Groups Commissioning Collaborative Other Service commissioning  Joint strategic plan  Joint resource allocation  Joint service design / development  Joint service user involvement  Joint care planning  Joint clinical governance???

4. Joint decision making Joint strategic plan Joint resource allocation Joint service design / development Joint care planning Joint clinical governance??? Core Group Residential Alliance Hubs Alliance Counselling Alliance Aftercare Alliance

5. Outcomes

6. Other tools IT Workforce Development (or “trust”) Organisational Quality Framework Joint Line Management

7. Next steps Locality Working Alliance Contracting / Alliance leadership Bringing others into our approach