This publication looks at how older people can benefit when joint commissioning of services takes place. It outlines the state of joint commissioning around the country, then looks in more detail at the five development sites: Oxfordshire, the Victoria area of London, Easington in County Durham, Hillingdon, and Wiltshire. The conclusions reached are that the key ingredients required for the successful development of joint commissioning are creating partnerships, having vision and leadership, undertaking effective commissioning, achieving pace and volume of change, and using resources effectively.