This case study describes how two of the Government's key initiatives have been brought together to drive the integration agenda locally. Practice‐based commissioning is being used in one English county to integrate health and social care practice, and so promote independent living in the community. A model of anticipatory case management is being developed at local level, focusing on individuals identified by use of a standard tool (PARR) as at risk of re‐admission to hospital. Historical barriers to this sort of initiative are being overcome.

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