Parliamentary briefing: The Cities and Local Government Devolution Bill
09 / 10 / 2015
This briefing informs MPs about the implications of the Cities and Local Government Devolution Bill for health and care.
- The NHS is working in different ways in order to better tackle the rising pressures faced by health services. To do this, leaders need to be supported to look beyond the boundaries of their individual organisations, and work more closely with key partners, not least local authorities, to improve people’s health and wellbeing.
- The importance of local flexibility, genuine partnership and effective joint working between the NHS and local government cannot be overstated, if necessary improvements to local services are to be made. In some areas devolution will play a part in this. There are many lessons that can be taken from the example of Greater Manchester as part of this. This includes the importance of having space, time and stability to build local partnerships.
- There is great potential for the devolved arrangements in Greater Manchester to transform care. Our members are clear that this model should not be used as a blueprint for change in other areas. What is right for Manchester may not be right for Maidenhead – local leaders need the freedom to develop solutions which best fit their communities.
- Devolution will not be a silver bullet to solve the significant financial challenges facing either health or social care. Devolution of health and care will not necessarily improve financial sustainability unless funding issues across the system are addressed in the forthcoming spending review. Until this happens, our members fear that all devolution may be achieving is making a national funding problem, a local funding problem.