Substance Misuse has been the focus of public and political concern for much of the second half of the twentieth century and the beginning of the twenty first. It has been seen as the reason for family and community breakdown, increased criminal activity, increasing drain on NHS resources and international tensions. Prevention or control of this problem is not the primary purpose of many of the public organisations that are faced with the consequences of drug and alcohol abuse, and as such this area is a classic example of the ‘wicked’ issues that require collaborative leadership in order to resolve (Grint, 2005; O’Toole and Meier, 2004, page 682). This is an area where the need for collaborative working has been dictated by government, and despite the number of initiatives to structure this collaboration since the 1990s, Blaenau Gwent has demonstrated a lack of clarity in its commissioning arrangements. The purpose of this project is to begin to rectify that deficit.