Outside of the Eastern region, five other LAs spoken to reported having some difficulties in their relationships with care providers in recent years. Some specifically noted things had become more strained in the past two years due to the financial challenges facing the sector and the increased demand for services. Those who reported the most positive relationships said that talking and listening was key to maintaining effective working, whatever the challenges.

Four out of five LAs spoken to said directors led all significant discussions with providers and for  some  authorities it was seen as the responsibility of at least one senior officer  (normally at director or assistant director level) to maintain regular  formal and informal contact with providers.

Most of the LAs in the Eastern Region reported that they felt able to have 'difficult conversations' with providers but that these were often challenging.

Whilst not completely off the pace, in comparison to other LAs, Essex is probably behind in terms of having a mature structure to engage with care providers, and with regard to clarity as to where the responsibility lies to develop and maintain an infrastructure to work effectively with providers.