This is what our white paper aims to achieve by bringing together the NHS and local government to jointly deliver for local communities. It sets out a new approach with citizens and outcomes at its heart instead of endless form filling, unnavigable processes and a bureaucracy which sees too many people get lost in the system, not receiving the care they need. It is the start, not the end, of a new wave of reform which will both put power and opportunity in the hands of citizens and communities and build a state that is sustainable and just.