Health and council chiefs have supported the findings of a review of services for some of the most vulnerable people living in Brighton and Hove.
The aims include integrating education, health and care services for people with learning disabilities.
And there was a pledge to keep families at the heart of the process.
Another element was an agreement to combine education and support services for children with special educational needs (SEN).
And that the new “communication and support service” would be “co-located” with the relevant health professionals.
Jason Kitcat, the leader of Brighton and Hove City Council, said that the proposals were about embedding a cultural change in the way services were provided.
Councillor Kitcat said: “Our resources are declining as a council and demand is growing.”
He told a joint meeting of the council’s Children and Young People Committee and the Health and Wellbeing Board that this was the reality facing public services.
He said: “We owe it to everyone who needs our services to find ways of doing things differently.
“We’re bringing everyone who’s still in the game around this table for this meeting.
“Together we will have to own this now and for the future and hold each other to account for what we can do now and in the future.”
Councillor Vanessa Brown said: “The aim of moving from a service with only average outcomes at a higher than average cost to excellent outcomes at best value is obviously what we would all like to achieve.
“I don’t want to sound negative but what worries me about this review is that many of the concerns raised in the 2009 and 2011 reports are still being raised here which means that they have still not been completely addressed.
“For example, for years we have talked about having a more integrated service.
“This would be more efficient, stop duplication and be less stressful for parents and children. But we are obviously still not there.
“It also says in the report that there is a need to improve the response to mental health needs particularly outside of normal working hours.
