One of the things that always strikes me when we actually sit down to discuss integrated care is how little health and social care know about each other. It seems we do not even understand each other's language. In Scotland we are trialling what we see as the first integration tool and have gone as far as to extend to Third and Independent sectors. Even more, we involve the patient/service user and their family. We intend to develop a spine on which is hung all aspects of an individual's needs, providing an objective overview from individual to starategic planning and public health levels.