ABSTRACT
This chapter examines the issues that need to be confronted in changing the way in which services are delivered and looks at some of the lessons that can be learnt from Manchester's experience. Major changes in service delivery require partnership with all the people affected. Many staff who are unqualified and have dependent families cannot afford to travel long distances to work in the new community services. Service users can have greater flexibility to move on or reconfigure if they rent their own property. Calderstones was a large institution built in rural Lancashire during the First World War. It was originally commissioned to care for wounded soldiers but subsequently became a county learning disability hospital. The hospital site had its own church where religious services were held for all denominations. The early acceptance of the shared vision of the Model District Services ordinary life principles forced authorities to shift their thinking away from institutional and towards community-based services.
