understanding devolution: john de pury
TRANSCRIPT
20 October 2015
Understanding devolution:Health & social care devolutions
John de Pury
20 October 2015
Health:HEPolicy narratives
20 October 2015
HEALTH:HE = High value
HEALTH RESEARCH£8bn TOTAL of which £2.2bn to HEIsHEALTH PROFESSIONAL EDUCATION>10% business for 80% members
HEALTH
STRATEGICDemographyDemandTechnology
CONTINGENTFinancingReformCulture
20 October 2015
20 October 2015
Health:HEPolicy narratives
20 October 2015
Health in devolutions
2/4 deals ‘Universal service’DevoManc £6bn (5% NHS annual budget)GM Health & Social Care MoU 27 February 2015Health Innovation Manchester MoU 2 September 2015DevoCorn £2bn (excluding specialised services 14%)Integration business plan 16 July 2015
20 October 2015
Health in devolutions12+/38 seek to devolve budgets for health and social care‘Ruling nothing out…’• Cumbria• Devon, Somerset, Plymouth and Torbay• Gloucestershire• Greater London• Greater Manchester• Hampshire• Lincolnshire• Liverpool City Region• Norfolk• North Yorkshire, York and East Riding• Oxfordshire• Suffolk• Surrey and Sussex
20 October 2015
National frameCities and Local Government Devolution Bill 2015-16The wider policy priorities of both the Government and local areas extend beyond the Bill itself, which is largely technical in nature.HoC Library Briefing Paper No. CBP07322, 8 October 2015
Announcement of bids: dual narrative11 September PM Office, HMT, DCLG‘It is also a proven reality that money spent closer to people is often money spent wiser – so we can really deliver more for less.’https://www.gov.uk/government/news/landmark-devolution-bids-submitted-from-right-across-the-country
20 October 2015
National vs localNHS England Board 24 SeptemberHealth devolutions would need to have the support of local health organisations and “clarity of vision” about the benefits of devolution for the health and social care of local people. Further criteria include “leadership capability and track record of collaboration between NHS bodies and local government” and a “demonstrable track record of collaboration and engagement with patients and local communities”.
Health Education EnglandNational Institute for Health Research
20 October 2015
Local
20 October 2015
‘To those whom much is given, much is expected.’