During the last five years, we have seen a raft of initiatives which seek to address the current fragmentation and the resultant reductions in quality, experience and efficiency. Most of these initiatives are worthwhile in principle, and if implemented successfully should address some of the barriers that currently prevent successful joint working and so people receiving the integrated care that they deserve and require. However, anyone who is reasonably long in the tooth will know that many similar initiatives have been attempted in the past. Two components that have survived the test of time are the centrality of general practice and adult social care teams as the gatekeepers of the two public systems. Robin Miller, Senior Fellow and Director of Consultancy at the Health Services Management Centre at the University of Birmingham, discusses the challenges in bringing these closer together and the work supported by the WMAHSN to create development resources that could support better interprofessional working between these two services.