Localising decision making: a guide to support effective working across neighbourhood, place and system

Key prompts and actions for local leaders to promote strong localised decision making across health and local government.

8 January 2020

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This guide has been produced by the Local Government Association (LGA) and NHS Clinical Commissioners (NHSCC).

Together, we have long advocated the benefit of taking decisions as close to the communities they impact as possible, such as through our shared vision for health and care integration – ‘Shifting the centre of gravity’.

The events of 2020 have highlighted the need further, both in requiring health and care partnerships, to respond in unison and at pace to the COVID-19 pandemic, as well as ongoing implementation of the ambitions in the NHS Long Term Plan around primary care networks (PCNs), place-based partnerships and the ongoing establishment of integrated care systems (ICSs).