The integration of social care and health services is at considerable risk as progress has been slower than expected. The Better Care Fund has failed to deliver value for money so far and has not met its financial targets over 2015-16. This includes reducing the rates of emergency admissions and the number of days lost to delayed transfers of care. Furthermore, 90% of local areas felt the Fund had not improved joint working. There is no ‘compelling’ evidence to suggest that integration leads to sustainable financial savings or reduced acute hospital activity. The National Audit Office (NAO) is calling for evidence on how best to improve care and save money through integration.