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Blackburn with Darwen Borough Council faces significant demographic challenges including above average numbers of people with long-term conditions and mental health issues and high admissions to residential care. The Council needed to address these issues in order to manage current and future demand, and improve outcomes for local people. At the same time, budget efficiencies meant considerable savings needed to be made from the social care budget. Having reviewed a range of options, thedoi:10.5334/ijic.1442 fatcat:kcewhwclxrcufcqygqyby67fya