The £6 billion NHS DevoManc deal has been hailed by NHS England CEO, Simon Stevens, as having ‘the potential to be the greatest act of devolution there has ever been in the history of the NHS’. The proposal builds on the 2014 devolution concordat between the Chancellor and the Greater Manchester (GM) councils to devolve the following … Read more
How devolution deal has the power to improve health, care and lifestyles for people in Greater Manchester Last week’s historic health devolution agreement signed in Greater Manchester puts local people in the driving seat for deciding on health and care services. It is also the biggest act of devolution in England’s NHS since 1948 – … Read more
Devolution has been coming to Greater Manchester (GM) for some time. The recent announcement that the total health and social care budget for GM – £6bn – is to be included as part of the devolution settlement has galvanised interest across NHS organisations, the social care sector and the academic community. So what is coming? … Read more
It has long been SHA policy that greater democratic accountability should be introduced into our health care system. The NHS has never had any form of effective accountability. Since there are already elected and democratically accountable local authorities which deal with most local public services it has been our view that health care should be … Read more
This week’s big news in Manchester is that the devolution of direct responsibility for significant areas public spending to the city-region will now be augmented by the devolution of the entire NHS budget for the city region with a view to integrating this with social care. You can now see more of the detail about … Read more
It’s a wow moment in NHS history. It’s the latest ‘this is the end of the NHS’ moment. Headline grabbing proposals for Manchester (somewhere up North) are either a brave experiment or a pending disaster. An unholy alliance of Tory Central and Labour Local government has not only dared to suggest that some decisions about … Read more
By happy coincidence we organised a dinner last night for leaders in the NHS in Greater Manchester to discuss Devo Manc and the NHS. Those present welcomed the announcement that control of the NHS budget is to be handed to Greater Manchester authorities and look forward to working much more closely with these elected local authorities. … Read more
Health policy in the various parts of the United Kingdom is beginning to diverge, so there are opportunities to learn from the differences. Most of the rest of our site is about England, so this page concentrates on the smaller countries. Isle of Man: The Department of Health and Social Security Guernsey & Alderney: Health and Social … Read more
Are There Four Systems of Social Care in the United Kingdom? Derek Birrell University of Ulster Paper Presented at Social Policy Association Conference University of Birmingham July 2007 The context of devolving social care functions The process of devolution in the United Kingdom in 1999 was not new, with various forms of autonomy existing during the … Read more
Court of Appeal R v NORTH AND EAST DEVON HEALTH AUTHORITY Ex parte PAMELA COUGHLAN July 1999 JUDGMENT INTRODUCTION 1. The critical issue in this appeal is whether nursing care for a chronically ill patient may lawfully be provided by a local authority as a social service (in which case the patient pays according to … Read more
Caring for people with Cancer compared to people with Dementia I am a Manchester SHA member who worked in the NHS as a clinical scientist, and my wife Teresa was a nurse. Teresa consulted a doctor in 2012 to discuss memory problems that we had both noticed some time before. She had had problems with orientation, … Read more
Statement on Wes Streeting’s NHS proposals and acceptance of donations from John Armitage and MPM Connect At the 2022 Labour Party Conference, the Health Composite Motion moved by the Socialist Health Association (“SHA”) stated that Labour would adopt “a position of outright opposition to and commit to vote against any and all forms of privatisation … Read more