Systems 'rub against each other like fractured bones'

The current systems rub up against each other like bones in an open fracture.

The lack of alignment between them leads to serious problems of co-ordination, with the NHS and local authorities battling over who should pay for what, and patients, service users and their families left confused and bewildered. This is not sustainable - we need a new settlement fit for the 21st century.

This necessitates making choices about how to pay for a better system - hard choices that we must look squarely in the eye.