A Collection is a selection of features, articles, comments and opinions on any given theme or topic. It allows you to stay up‑to‑date with what interests you most.
Login here to access your saved articles and followed authors.
We have sent you an email so you can reset your password.
Sorry, we had a problem.
Tags related to this article
Published 10 June 2015
The Devolve Manchester announcement is a bold and ambitious step.
The move involves all 10 local authorities and clinical commissioning groups (CCGs) joining forces to commission health and social care. Dubbed Devolve Manchester, the planned devolution will see the Greater Manchester area’s entire £6bn budget dispersed through a single partnership body, the Greater Manchester Joint Commissioning Body.
If this can be done anywhere, it can be done in Manchester. The city enjoys a long record of public bodies working well together. Ian Williamson, the Interim Head of the Greater Manchester Joint Commissioning Body, is the Chief Officer of Central Manchester CCG, which reflects the investment of the health side in the enterprise.
However, legislation must change to allow such a body to have executive decision-making powers. And for Devolve Manchester to be a success, all those involved must be prepared to participate in a true partnership – and to take risks. Section 75 agreements for pooled budgets between health and social care often set out saying they will share risk and a truly pooled budget. But in reality the participants later pull back and say it’s too risky for them, or say that it will be a pooled budget in theory but in practice take their own funding out.
Legislation changes aside, the proposal also faces considerable pressures from the financial pressures faced by local authorities and health bodies alike. Colleagues and I are concerned about the light touch displayed by providers so far regarding Devolve Manchester. What will happen, for example, if a private or third-sector provider from outside the patch wants to tender for services?
This move will also have to deliver initial promises to a tight timescale. To launch such a scheme by April 2016 is a big ask. But if the will is there and the legislation can be achieved, it will be one to watch.
To discuss the issues raised in this article, please contact Charlotte Burnett on +44(0)113 251 4785 or email email@example.com or Hamza Drabu on +44(0)20 7894 6411 or email firstname.lastname@example.org.
London - Walbrook
+44 (0)20 7894 6411
+44 (0)113 251 4785
Charlotte Burnett, Anne Crofts, Hamza Drabu, Louise Watson-Jones, Alistair Robertson, Mary Mundy, Chris Waite
Hamza Drabu, Anne Crofts
Hamza Drabu, Charlotte Burnett, Alistair Robertson
Hilary Larter, Zoe Thomas, Udara Ranasinghe
Charlotte Burnett, Hamza Drabu
Anne Crofts, Sophie Devlin
Dr Alexandra von Westernhagen
Anne Crofts, Mary Mundy, Hamza Drabu