Ever since I can remember there have been different world views over what is important between the NHS and Local Government.  This article exemplifies this and reflects both political legitimacy ( one based on General Elections and one based on Local Elections) as well as the separate funding silos.  In any democratic society if these two factors are distinctly different and remain so, there is very little organisational drive or purpose in them joining up, even if that is clearly in the interest of the public. 

Ultimately organisationally hierarchies will always make sure that their organisation benefits/is not disadvantaged too much, by any change.  There are in my view only really two solutions to this. Either a) Local Government takes over responsibility for all health and social care commissioning or b) we develop a national care service with its own funding stream.  Nearly 70 years since the NHS was founded- there is little to suggest that collaboration will work in a way that meets public demands or political expectations, whatever the empirical evidence about its benefits.