Abstract
It is a longstanding commitment of government in the UK that health and social care services be brought together despite the separate legislative and organisational arrangements which were put in place in the 1940s when the welfare state was established. However, frequent government‐generated re‐organisations have disrupted the building of shared health and social care agendas and services. With the General Election in 2010, and a new or revitalised government to be elected, more change is likely. However, there may now be opportunities to concentrate on creating shared health and social care provider organisations and local government leadership of the public health agenda, alongside local council areas as the building blocks for the commissioning of health and social care services.
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