Looking at partnerships which have made progress, one success factor is trusted relationships and often these have been built up over many years. It is encouraging to see a partnership recognise the need to build effective relationships and to be taking action aimed at creating the culture needed to support change. 

The importance of culture is often underplayed and every organisation will have differing ways of doing the same thing. Setting out agreed behaviours is a great foundation for the partnership to build on.

There will be those who feel this type of list and agreement should be unnecessary particularly when those in the room are experienced professionals. If STPs are to be effective, all parties will need to engage in difficult conversations constructively and that is never straightforward.