Apprenticeship services are the type of offer most often justified by the application of Section 75 agreements. Councils tend to host these services after the transfer of funds from NHS Trusts. However, there are several examples of integrated local care for the elderly, often in the form of community-based multidisciplinary teams and equipment, under the direction of nurses. Section 75 Partnership agreements, provided for by NHS Act 2006, allow for the pooling of budgets between health planners/providers and social providers, resources and management structures. Most NHS Trusts, care trusts and councils have a kind of bundled funding system, with pooled resources that account for about 3.4% of the total health and social services budget. The specific objectives of the implementation of the section 75 agreements are the objectives: on a practical level, NHS and the city council officials and directors are directly responsible for the launch and development of partnership agreements. This requires an often lengthy process of local negotiations, which results in a new legally binding partnership framework agreement. Agreements can also be complex and require careful consideration to clarify the framework of accountability and the governance framework. Section 75 Partnership agreements under the NHS Act 2006 allow for the pooling of budgets between institutions and local health and social services authorities. Management resources and structures can be integrated and functions redistributed between partners.
The legal mechanisms for pooling budgets (the Partnership Agreement under Section 75) should allow for greater integration between health care and social services and more locally-friendly services. Legal flexibility allows for a strategic and more effective approach to the commissioning of local services in all organizations and a basis for the establishment of new organizational structures integrating health and social services. This practical example examines the function and impact of partnership agreements in accordance with Section 75 and discusses different local approaches to restructuring services. The Ministry of Health`s White Paper (2010) promises both the sustainability of existing partnership agreements and the simplification of the procedures needed to establish partnerships. Many of the efficiency gains and user outcomes mentioned in this example relate to new integrated management structures and services. The establishment of a Section 75 Partnership Agreement is currently the process for the creation of such services.