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Aneurin Bevan, Minister for health in Attlee’s post-war Government, famously said, “When a bed- pan is dropped on a hospital floor, its noise should resound in the Palace of Westminster.” The devolution of health and social care to local councils may mean that the sound of bed-pans will ring no more in the halls of Westminster in the near future. The NHS 2014 Five Year Forward View report advocated for an increase in local involvement in healthcare provision. In November 2014, this devolvement began, with the Government conferring control of local healthcare budgets and decision making to Manchester City Council. In April 2016, Manchester took complete control of its £6 billion healthcare budget, allowing the region to make spending decisions based on local need. Some suggest, however, that devolution of the health service will corrode the NHS, a view that is reflected in the House of Lords amendment to the 2015 Cities and Local Government Devolution Bill.
Join us for Health and Social Care Briefing where high level speakers will present their views on the issue of healthcare devolvement and its role in delivering the Northern Powerhouse. Topics covered will include what can be accomplished by devolving healthcare, what this will mean for Manchester City Council and other northern authorities, the impact on patient care, the limitations of northern healthcare devolution, and the arguments against it.
Course dates coming soon...
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The 2014 NHS Five Year Forward View calls for coherent cooperation between national leadership of the NHS, so that flexible local provisions can be provided, rather than relying on a “factory” model of care. The report argues that patients and communities provide the energy to instigate change and local government and employers can have positive potential health impacts, but these local resources are not being utilised by a centralised NHS. It goes on to recommend that “English mayors and local authorities should also be granted enhanced powers to allow local democratic decisions on public health policy that go further and faster than prevailing national law.”
In November 2014, the Government began to do just that, signing the “Devo Manc” agreement that will allow Manchester City Council to have authority over local health and social care. A shadow Greater Manchester Health and Wellbeing board will be appointed, which will work closely with existing clinical commissioning groups of GPs to take control of the region’s £6 billion health and social care budget. This will enable health and social care decisions to be taken much closer to the populations being served. Dr Kailash Chand, Deputy Chair of the British Medical Association, suggests that, “Devo Manc holds out the promise of meaningful and deep integration within the health service, and between health and social care. This integration has great potential to offer real benefits to patients. In particular, it could help to deliver genuinely patient-centered and genuinely coordinated care”.
There has been some opposition, however, to the devolution of health and social care to individual regions. The House of Lords successfully moved for an amendment to the Cities and Local Government Devolution Bill in 2015, which prevents the transfer of NHS regulatory functions held by national bodies. If the amendment is not reversed in the Commons, this will ensure that any devolved services must adhere to national service standards and are still nationally accountable.
In addition to this national opposition, local government for regions other than Manchester have been reluctant to accept devolved powers on health and social care. The West Yorkshire area council leaders, for example, have proposed joining with Leeds to form the largest city region economy outside of London. The devolution requests that council leaders have proposed for the area include transport, housing, business support and infrastructure investment, but leave out health and social care. Councillor Lisa Mulherin, Leeds City Council’s executive member for health and wellbeing, implied that the region must first focus on other factors, saying “It’s that wider working with partners we need to work on”. This means that the devolvement of health and social care risks having the same issues as many Northern Powerhouse initiatives and becoming Manchester centric, rather than north wide.
Delegates attending Health and Social Care Briefing will learn about the challenges presented by devolving health and social care to local authorities, what devolution aims to achieve, and how concerns around opposition to devolution can be addressed.
Registration, Refreshments and Exhibition
Opening Remarks from Chair
GMCA : Greater Manchester Combined Authority (invited)
The GMCA is made up of the ten Greater Manchester councils who work with other local services to improve the city-region. Greater Manchester is one of the country's most successful city-regions. Our vision is to make it one of the best in the world. We're getting there through a combination of economic growth, and the reform of public services. Our strategy sets out the priorities that will drive sustainable economic growth, and reform the way public services are delivered.
Dr Tracy Vell, Honorary Secretary Manchester. Local Medical Committee (LMC)
Manchester LMC is the statutory representative body for GPs and practices across the city of Manchester, representing around 360 GPs in 90 practices.
Refreshments and Networking Break
Professor Jo Smith, Chartered Clinical Psychologist and Professor of Early Intervention (EI) and Psychosis & Professor Paul French, Mental Health Clinical Lead.
Jo Smith is Professor of Early Intervention (EI) and Psychosis in the Institute of Health & Society, University of Worcester, Worcester, UK.
The Project Lead for the SHAPE (Supporting Health And Promoting Exercise) Programme for young people with Psychosis and Bipolar Disorder based at the McClelland Centre for Health and Wellbeing and run in partnership with Worcestershire Health and Care NHS Trust EI Service.
Project Lead of a multiagency 'Suicide Safer' suicide prevention project at the University of Worcester which is trying to develop and support initiatives that can collectively contribute to a 'Suicide Safer' University, City and County.
Jo is a Chartered Clinical Psychologist and was the Early Intervention in Psychosis (EIP) Lead and Lead Clinical Psychologist for EIP and Recovery Speciality, Worcestershire Health and Care NHS Trust, Worcester, UK (1999-2015).
Jo was formerly a Joint National EIP Programme Lead for England with NIMHE/NMHDU (2004-2010)
Dr Zahid Chauhan, GP, Medlock Medical Practice
Dr Chauhan is passionate about improving health, education and social care services by driving innovation, improving efficiency and creating opportunities for the local communities. Dr Chauhan is a general practitioner and elected councillor in North West. He has served as a deputy chair of Health and wellbeing board in Oldham.
Lunch and Networking
Councillor Lisa Mulherin, Executive Member For Health And Wellbeing, Leeds City Council (Invited)
Councillor Lisa Mulherin (Labour) is the Leeds City Council Executive Board Member for Health, Wellbeing and Adults. GPs, Clinical Commissioning Groups, Council directors, Councillors and third sector organisations sit on the board to ensure investment decisions and ideas for change positively impact health and wellbeing for Leeds.
Lord Smith of Leigh, Lead On Health, GMCA (Invited)
Lord Smith of Leigh (Labour) was elected to Wigan Council in 1978, and became leader in 1991. His responsibility for GMCA is Health and wellbeing.
Adam Fineberg, Leading advisor on public services. Director. Growth Coalitions Ltd.
Adam Fineberg has extensive experience in supporting public service reform and government financing by opening up new and changing opportunities for service provision. This comes on the back of the significant development and growth of regional health economies, now as a result of the recent devolution, city region, combined authorities and growth agenda which is leading to larger, multi-service markets.
Closing Remarks from Chair
No dates are available.
Who should attend?
This event is relevant to Chairs, Chief Executives, Chief Medical Officers, Clinical/Medical Directors, Community / Domiciliary Care leads, Councillors, Directors / Managers of Care Homes, Directors of Care Services, Directors of Commissioning/Procurement, Directors of Strategic Development, Directors/Heads of Adult Social Services, Directors/Heads of Children and Young People’s Services, Directors/Heads of Integrated Care, Directors/Heads of Policy, Directors/Heads of Public Health, Heads of Charities/Third Sector Organisations, Heads of Housing Team, Heads of Integrated Service Delivery Team, Heads of Mental Health and Learning Disability Teams, Heads of Patient Services/Patient Experience, Heads/Leads Clinical Commissioning Groups, Health and Wellbeing Board members, Performance/Service Improvement Leads, Social Workers from across, NHS Foundation Trusts, Central Government Departments including Department of Health, Community Health Provider Organisations, CCGs, Acute Trusts, Screening Services, Emergency Services, Acute Trusts, Local Authorities, Community practices, Trade Unions, Charities and Third sector organisations and all those with an interest in the Future of Health and Social Care.
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