DOCSLIB.ORG

Devolution and Integration

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Devolution and Integration Devolution and Integration General Meeting – 15th October 2015 Background • Devolution and integration are amongst the Government’s flagship policies • Ministerial Taskforce is considering ambition for integration and ways to implement e.g. BCF, Vanguards, pooling of budgets and metrics • More powers devolved to Scotland and Wales • Greater Manchester and beyond - 38 bids were received by the deadline of 4th September • There is speculation that only a handful of applications will be announced with the SR 2 Challenges • Ambivalence about local political control • Delegation, rather than devolution • How much funding will be available? SR 25th November. • Timescales or behaviours mean that systems change does not involve the individuals and communities it intends to serve • Integration becomes an end in itself rather than a means to an end. 3 Challenges • Social model is subjugated to the medical model, that social care becomes ancillary health care and that social work reverts to case management • The role that LAs can and do play in whole system leadership across health and social care - strengthen Health and Wellbeing Boards, with more funding routed via them • A clean settlement for social care, not dependent on transfer from NHS 4 Opportunities • Devolution could front increased local democratic oversight of health and care • It may enable some local shaping of models - flexibility of design • Can help to make changes that are necessary but difficult if overseen centrally. • It could help to enable local areas to influence national policy to provide levers for change 5 Ministerial Integration Implementation Taskforce • Includes Jeremy Hunt, Oliver Letwin, Greg Clark, Alistair Burt • Aim - Monitor and drive delivery, as well as consider the options for future health and social care integration policy • Some of the key issues discussed have been the future of the BCF, workforce and the integration scorecard • Ray James represents ADASS on the Taskforce 6 Scorecard • On 1 July, the Secretary of State for Health announced a new set of unified metrics for the integration of health and social care • All areas should be baselined and benchmarked nationally by December 2015 • Harold Bodmer sits on the Department of Health’s Integration Scorecard Task and Finish Group 7 Draft Scorecard metrics • Currently there are six metrics proposed around outputs, technology and patients’ experiences. – Technological enabler - Do all health and social care organisations have read/write access on care records – Technological enabler 2: Do you share data to drive the coordinated allocation of resources through risk stratification? – Output 1: Total bed days for unplanned admissions of ambulatory care sensitive conditions per 100,000 population – Output 2: Proportion of 65+ who were still at home 91 days after discharge from hospital into reablement and rehabilitation – Patient Experience 1: Proportion of people with both PHB and social care personal budgets who have been able to link the two. – Patient Experience. 2: New survey question focused on experience of integrated care 8 Future of BCF • The Government has announced that BCF will continue beyond April 2016 - unclear how long the financial settlement will be for • Planning guidance will not be published until after the spending review • Early clarification of aims, processes and timelines will help local partners to plan beyond 2016 • Transformation fund - to support the service transformation needed to make the integration of social care and health a reality 9 Vanguards/New Care Models • Organise services that focus on the needs of citizens and look to dismantle the traditional boundaries as to where, when and how care is delivered • 29 areas were selected to pilot new models for localised healthcare in March 2015 • 23rd July, NHS England launched eight new Vanguards relating to urgent and emergency care • 25th September, a further 13 hospital Vanguards were announced which allows some of the best-known and best-run hospitals in Britain, to extend their geographical reach • Currently a lack of detailed national evaluation 10 Priorities in shaping integration and devolution • We want to see a system that is protected, aligned, and re-designed • DVP - ensure that new social and health care delivery models prioritise the need for: – Personalised services which are more joined-up around the individual – Good information and advice to enable us to look after ourselves – Building supportive relationships – Maintain independence • Money to ensure sustainability, capacity and quality - including living wage and workforce 11 Some questions to consider • Comments on: – Devolution – BCF and proposed Scorecard – Vanguards/new care models • What experience do people have of issues that need to be addressed nationally (challenges or opportunities)? • What national activity would support directors and senior colleagues? 12.
Load more

Recommended publications
  • From Rt Hon Greg Clark MP, Chair
    From Rt Hon Greg Clark MP, Chair Rt Hon Boris Johnson MP Prime Minister (By e-mail) 23 March 2021 Dear Prime Minister, Cuts to scientific research I am writing to you in my capacity as Chair of the House of Commons Science and Technology Committee. My Committee strongly welcomes the Government’s commitments to science as exemplified by the commitment to increase public R&D expenditure to £22bn a year by 2024–25, to invest 2.4% of GDP in R&D by 2027, and last week the clear focus of the UK being a science superpower in the Integrated Review. The last year has demonstrated the vital importance of science and the brilliance of UK scientists. It is deeply concerning that at the very moment when the whole country recognises the importance of scientific research and when a Government has been elected with a promise to double the budget for research, that the science budget should be facing immediate and substantial cuts involving the cancellation of current research. Scientists such as Sir Jeremy Farrar, Director of Wellcome, who has been a leading member of SAGE throughout the pandemic, and our institutions of global repute such as the Royal Society, have expressed their alarm at the consequences of three developments in particular. First, it has been suggested that the UK’s participation in Horizon Europe will be funded (at a cost of £2bn/year) from the BEIS science budget. While the UK was a Member State this formed part of the UK’s overall subscription to the European Union and was always accepted to be additional to the BEIS science/R&D budget.
    [Show full text]
  • A Guide to the Government for BIA Members
    A guide to the Government for BIA members Correct as of 11 January 2018 On 8-9 January 2018, Prime Minister Theresa May conducted a ministerial reshuffle. This guide has been updated to reflect the changes. The Conservative government does not have a parliamentary majority of MPs but has a confidence and supply deal with the Northern Irish Democratic Unionist Party (DUP). The DUP will support the government in key votes, such as on the Queen's Speech and Budgets, as well as Brexit and security matters, which are likely to dominate most of the current Parliament. This gives the government a working majority of 13. This is a briefing for BIA members on the new Government and key ministerial appointments for our sector. Contents Ministerial and policy maker positions in the new Government relevant to the life sciences sector .......................................................................................... 2 Ministerial brief for the Life Sciences.............................................................................................................................................................................................. 6 Theresa May’s team in Number 10 ................................................................................................................................................................................................. 7 Ministerial and policy maker positions in the new Government relevant to the life sciences sector* *Please note that this guide only covers ministers and responsibilities pertinent
    [Show full text]
  • Is the UK's Flagship Industrial Policy a Costly Failure?
    Is the UK’s fagship industrial policy a costly failure? An Independent Reappraisal of the Objectives, Theory, Practice and Impact of the UK’s £7.3 Billion a Year R&D Tax Credits and £1.1 Billion a Year Patent Box Schemes David Connell Senior Research Associate, Centre for Business Research Cambridge Judge Business School Foreword by Greg Clark MP May 2021 Cambridge University Libraries Is the UK’s fagship industrial policy a costly failure? An Independent Reappraisal of the Objectives, Theory, Practice and Impact of the UK’s £7.3 Billion a Year R&D Tax Credits and £1.1 Billion a Year Patent Box Schemes David Connell Senior Research Associate, Centre for Business Research Cambridge Judge Business School Foreword by Greg Clark MP May 2021 Disclaimer: the views expressed are the author’s and not necessarily those of the Centre for Business Research CONTENTS Authors Biography vii About the Centre for Business Research viii Acknowledgements ix Foreword xi Executive Summary xiii Section 1: Introduction 1 Section 2: Some history; why UK industrial policy has become so dependent on tax breaks 3 Section 3: The UK R&D tax credit policy: theory and structure 7 Section 4: Economic impact of UK R&D tax credits 11 Section 5: Weaknesses in HMRC econometric evaluations 21 Section 6: A more realistic model of company behaviour 25 Section 7: The real policy challenge; how to grow and retain the UK’s science technology engineering and mathematics (STEM) based industries in an open economy 29 Section 8: Maximising the economic impact of R&D tax credits and other government policies on the STEM business economy 33 Section 9: Notes and references 39 vi BIOGRAPHIES Greg Clark MP David Connell Greg Clark is Member of Parliament for Tunbridge After a period with the UK’s National Economic Ofce, Wells and Chair of the Science and Technology David Connell joined Deloitte Haskins and Sells where Committee.
    [Show full text]
  • Research Note: Former Special Advisers in Cabinet, 1979-2013
    Research Note: Former Special Advisers in Cabinet, 1979-2013 Executive Summary Sixteen special advisers have gone on to become Cabinet Ministers. This means that of the 492 special advisers listed in the Constitution Unit database in the period 1979-2010, only 3% entered Cabinet. Seven Conservative party Cabinet members were formerly special advisers. o Four Conservative special advisers went on to become Cabinet Ministers in the 1979-1997 period of Conservative governments. o Three former Conservative special advisers currently sit in the Coalition Cabinet: David Cameron, George Osborne and Jonathan Hill. Eight Labour Cabinet members between 1997-2010 were former special advisers. o Five of the eight former special advisers brought into the Labour Cabinet between 1997-2010 had been special advisers to Tony Blair or Gordon Brown. o Jack Straw entered Cabinet in 1997 having been a special adviser before 1979. One Liberal Democrat Cabinet member, Vince Cable, was previously a special adviser to a Labour minister. The Coalition Cabinet of January 2013 currently has four members who were once special advisers. o Also attending Cabinet meetings is another former special adviser: Oliver Letwin as Minister of State for Policy. There are traditionally 21 or 22 Ministers who sit in Cabinet. Unsurprisingly, the number and proportion of Cabinet Ministers who were previously special advisers generally increases the longer governments go on. The number of Cabinet Ministers who were formerly special advisers was greatest at the end of the Labour administration (1997-2010) when seven of the Cabinet Ministers were former special advisers. The proportion of Cabinet made up of former special advisers was greatest in Gordon Brown’s Cabinet when almost one-third (30.5%) of the Cabinet were former special advisers.
    [Show full text]
  • THE 422 Mps WHO BACKED the MOTION Conservative 1. Bim
    THE 422 MPs WHO BACKED THE MOTION Conservative 1. Bim Afolami 2. Peter Aldous 3. Edward Argar 4. Victoria Atkins 5. Harriett Baldwin 6. Steve Barclay 7. Henry Bellingham 8. Guto Bebb 9. Richard Benyon 10. Paul Beresford 11. Peter Bottomley 12. Andrew Bowie 13. Karen Bradley 14. Steve Brine 15. James Brokenshire 16. Robert Buckland 17. Alex Burghart 18. Alistair Burt 19. Alun Cairns 20. James Cartlidge 21. Alex Chalk 22. Jo Churchill 23. Greg Clark 24. Colin Clark 25. Ken Clarke 26. James Cleverly 27. Thérèse Coffey 28. Alberto Costa 29. Glyn Davies 30. Jonathan Djanogly 31. Leo Docherty 32. Oliver Dowden 33. David Duguid 34. Alan Duncan 35. Philip Dunne 36. Michael Ellis 37. Tobias Ellwood 38. Mark Field 39. Vicky Ford 40. Kevin Foster 41. Lucy Frazer 42. George Freeman 43. Mike Freer 44. Mark Garnier 45. David Gauke 46. Nick Gibb 47. John Glen 48. Robert Goodwill 49. Michael Gove 50. Luke Graham 51. Richard Graham 52. Bill Grant 53. Helen Grant 54. Damian Green 55. Justine Greening 56. Dominic Grieve 57. Sam Gyimah 58. Kirstene Hair 59. Luke Hall 60. Philip Hammond 61. Stephen Hammond 62. Matt Hancock 63. Richard Harrington 64. Simon Hart 65. Oliver Heald 66. Peter Heaton-Jones 67. Damian Hinds 68. Simon Hoare 69. George Hollingbery 70. Kevin Hollinrake 71. Nigel Huddleston 72. Jeremy Hunt 73. Nick Hurd 74. Alister Jack (Teller) 75. Margot James 76. Sajid Javid 77. Robert Jenrick 78. Jo Johnson 79. Andrew Jones 80. Gillian Keegan 81. Seema Kennedy 82. Stephen Kerr 83. Mark Lancaster 84.
    [Show full text]
  • FDN-274688 Disclosure
    FDN-274688 Disclosure MP Total Adam Afriyie 5 Adam Holloway 4 Adrian Bailey 7 Alan Campbell 3 Alan Duncan 2 Alan Haselhurst 5 Alan Johnson 5 Alan Meale 2 Alan Whitehead 1 Alasdair McDonnell 1 Albert Owen 5 Alberto Costa 7 Alec Shelbrooke 3 Alex Chalk 6 Alex Cunningham 1 Alex Salmond 2 Alison McGovern 2 Alison Thewliss 1 Alistair Burt 6 Alistair Carmichael 1 Alok Sharma 4 Alun Cairns 3 Amanda Solloway 1 Amber Rudd 10 Andrea Jenkyns 9 Andrea Leadsom 3 Andrew Bingham 6 Andrew Bridgen 1 Andrew Griffiths 4 Andrew Gwynne 2 Andrew Jones 1 Andrew Mitchell 9 Andrew Murrison 4 Andrew Percy 4 Andrew Rosindell 4 Andrew Selous 10 Andrew Smith 5 Andrew Stephenson 4 Andrew Turner 3 Andrew Tyrie 8 Andy Burnham 1 Andy McDonald 2 Andy Slaughter 8 FDN-274688 Disclosure Angela Crawley 3 Angela Eagle 3 Angela Rayner 7 Angela Smith 3 Angela Watkinson 1 Angus MacNeil 1 Ann Clwyd 3 Ann Coffey 5 Anna Soubry 1 Anna Turley 6 Anne Main 4 Anne McLaughlin 3 Anne Milton 4 Anne-Marie Morris 1 Anne-Marie Trevelyan 3 Antoinette Sandbach 1 Barry Gardiner 9 Barry Sheerman 3 Ben Bradshaw 6 Ben Gummer 3 Ben Howlett 2 Ben Wallace 8 Bernard Jenkin 45 Bill Wiggin 4 Bob Blackman 3 Bob Stewart 4 Boris Johnson 5 Brandon Lewis 1 Brendan O'Hara 5 Bridget Phillipson 2 Byron Davies 1 Callum McCaig 6 Calum Kerr 3 Carol Monaghan 6 Caroline Ansell 4 Caroline Dinenage 4 Caroline Flint 2 Caroline Johnson 4 Caroline Lucas 7 Caroline Nokes 2 Caroline Spelman 3 Carolyn Harris 3 Cat Smith 4 Catherine McKinnell 1 FDN-274688 Disclosure Catherine West 7 Charles Walker 8 Charlie Elphicke 7 Charlotte
    [Show full text]
  • Membership on the 28Th February 2019
    Membership on the 28th February 2019 was: Parliamentarians Philip Hollobone MP House of Commons John Howell MP Nigel Adams MP The Rt Hon Sir Lindsay Hoyle MP Adam Afriyie MP Stephen Kerr MP Peter Aldous MP Peter Kyle MP The Rt Hon Kevin Barron MP Chris Leslie MP Margaret Beckett MP Ian Lavery MP Luciana Berger MP Andrea Leadsom MP Clive Betts MP Dr Phillip Lee MP Roberta Blackman-Woods MP Jeremy Lefroy MP Alan Brown MP Brandon Lewis MP Gregory Campbell MP Clive Lewis MP Ronnie Campbell MP Ian Liddell-Grainger MP Sir Christopher Chope MP Ian Lucas MP The Rt Hon Greg Clark MP Rachel Maclean MP Colin Clark MP Khalid Mahmood MP Dr Therese Coffey MP John McNally MP Stephen Crabb MP Mark Menzies MP Jon Cruddas MP David Morris MP Martyn Day MP Albert Owen MP David Drew MP Neil Parish MP James Duddridge MP Mark Pawsey MP David Duguid MP John Penrose MP Angela Eagle MP Chris Pincher MP Clive Efford MP Rebecca Pow MP Julie Elliott MP Christina Rees MP Paul Farrelly MP Antoinette Sandbach MP Caroline Flint MP Tommy Sheppard MP Vicky Ford MP Mark Spencer MP George Freeman MP Mark Tami MP Mark Garnier MP Jon Trickett MP Claire Gibson Anna Turley MP Robert Goodwill MP Derek Twigg MP Richard Graham MP Martin Vickers MP John Grogan MP Tom Watson MP Trudy Harrison MP Matt Western MP Sue Hayman MP Dr Alan Whitehead MP James Heappey MP Sammy Wilson MP Drew Hendry MP European Parliament Stephen Hepburn MP Linda McAvan MEP William Hobhouse Dr Charles Tannock MEP Wera Hobhouse MP Wera Hobhouse MP Parliamentarians Lord Stoddart of Swindon House of Lords The Lord Teverson Lord Berkeley Lord Truscott The Lord Best OBE DL Lord Turnbull Lord Boswell The Rt Hon.
    [Show full text]
  • Conservative Party Leaders and Officials Since 1975
    BRIEFING PAPER Number 07154, 6 February 2020 Conservative Party and Compiled by officials since 1975 Sarah Dobson This List notes Conservative Party leaders and officials since 1975. Further reading Conservative Party website Conservative Party structure and organisation [pdf] Constitution of the Conservative Party: includes leadership election rules and procedures for selecting candidates. Oliver Letwin, Hearts and Minds: The Battle for the Conservative Party from Thatcher to the Present, Biteback, 2017 Tim Bale, The Conservative Party: From Thatcher to Cameron, Polity Press, 2016 Robert Blake, The Conservative Party from Peel to Major, Faber & Faber, 2011 Leadership elections The Commons Library briefing Leadership Elections: Conservative Party, 11 July 2016, looks at the current and previous rules for the election of the leader of the Conservative Party. Current state of the parties The current composition of the House of Commons and links to the websites of all the parties represented in the Commons can be found on the Parliament website: current state of the parties. www.parliament.uk/commons-library | intranet.parliament.uk/commons-library | [email protected] | @commonslibrary Conservative Party leaders and officials since 1975 Leader start end Margaret Thatcher Feb 1975 Nov 1990 John Major Nov 1990 Jun 1997 William Hague Jun 1997 Sep 2001 Iain Duncan Smith Sep 2001 Nov 2003 Michael Howard Nov 2003 Dec 2005 David Cameron Dec 2005 Jul 2016 Theresa May Jul 2016 Jun 2019 Boris Johnson Jul 2019 present Deputy Leader # start end William Whitelaw Feb 1975 Aug 1991 Peter Lilley Jun 1998 Jun 1999 Michael Ancram Sep 2001 Dec 2005 George Osborne * Dec 2005 July 2016 William Hague * Dec 2009 May 2015 # There has not always been a deputy leader and it is often an official title of a senior Conservative politician.
    [Show full text]
  • Web of Power
    Media Briefing MAIN HEADING PARAGRAPH STYLE IS main head Web of power SUB TITLE PARAGRAPH STYLE IS main sub head The UK government and the energy- DATE PARAGRAPH STYLE IS date of document finance complex fuelling climate change March 2013 Research by the World Development Movement has Government figures embroiled in the nexus of money and revealed that one third of ministers in the UK government power fuelling climate change include William Hague, are linked to the finance and energy companies driving George Osborne, Michael Gove, Oliver Letwin, Vince Cable climate change. and even David Cameron himself. This energy-finance complex at the heart of government If we are to move away from a high carbon economy, is allowing fossil fuel companies to push the planet to the government must break this nexus and regulate the the brink of climate catastrophe, risking millions of lives, finance sector’s investment in fossil fuel energy. especially in the world’s poorest countries. SUBHEAD PARAGRAPH STYLE IS head A Introduction The world is approaching the point of no return in the Energy-finance complex in figures climate crisis. Unless emissions are massively reduced now, BODY PARAGRAPH STYLE IS body text Value of fossil fuel shares on the London Stock vast areas of the world will see increased drought, whole Exchange: £900 billion1 – higher than the GDP of the countries will be submerged and falling crop yields could whole of sub-Saharan Africa.2 mean millions dying of hunger. But finance is continuing to flow to multinational fossil fuel companies that are Top five UK banks’ underwrote £170 billion in bonds ploughing billions into new oil, gas and coal energy.
    [Show full text]
  • Resources/Contacts for Older People's Action Groups on Housing And
    Resources/contacts for Older People’s Action Groups on housing and ageing for the next General Election It is not long before the next general election. Politicians, policy makers and others are developing their manifestos for the next election and beyond. The Older People’s Housing Champion’s network (http://housingactionblog.wordpress.com/) has been developing its own manifesto on housing and will be looking at how to influence the agenda locally and nationally in the months ahead. Its manifesto is at http://housingactionblog.wordpress.com/2014/08/07/our-manifesto-for-housing-safe-warm-decent-homes-for-older-people/ To help Older People’s Action Groups, Care & Repair England has produced this contact list of key people to influence in the run up to the next election. We have also included some ideas of the sort of questions you might like to ask politicians and policy makers when it comes to housing. While each party is still writing their manifesto in anticipation of the Party Conference season in the autumn, there are opportunities to contribute on-line at the party websites included. National Contacts – Politicians, Parties and Policy websites Name Constituency Email/Website Twitter www.conservatives.com/ Conservative Party @conservatives www.conservativepolicyforum.com/1 [email protected] Leader Rt Hon David Cameron MP Witney, Oxfordshire @David_Cameron www.davidcameron.com/ Secretary of State for Brentwood and Ongar, [email protected] Communities and Local Rt Hon Eric Pickles MP @EricPickles Essex www.ericpickles.com
    [Show full text]
  • Cabinet Committees
    Published on The Institute for Government (https://www.instituteforgovernment.org.uk) Home > Whitehall Explained > Cabinet committees Cabinet committees What are cabinet committees? Cabinet committees are groups of ministers that can “take collective decisions that are binding across government”.[1] They are partly designed to reduce the burden on the full cabinet by allowing smaller groups of ministers to take decisions on specific policy areas. These committees have been around in some form since the early 20th century. The government can also create other types of ministerial committees. In June 2015, David Cameron introduced implementation taskforces, designed “to monitor and drive delivery of the government’s most important cross-cutting priorities”[2], although these were discontinued when Boris Johnson became prime minister in July 2019. In March 2020, Boris Johnson announced the creation of four new ‘implementation committees’[3] in response to the coronavirus (Covid-19) pandemic. These four committees focused on healthcare, the general public sector, economic and business, and international response. The four committees were chaired by Health Secretary Matt Hancock, Chancellor of the Duchy of Lancaster Michael Gove, Chancellor of the Exchequer Rishi Sunak and Foreign Secretary Dominic Raab respectively. Each committee chair fed into a daily ‘C-19 meeting’ of the prime minister, key ministers and senior officials, to discuss Covid-19. These ‘implementation committees’ were replaced by two new Covid-19 related cabinet committees in June 2020 – ‘COVID-19 Strategy’ and ‘COVID-19 Operations’. On 13 May 2020, the Cabinet Office also announced the creation of five new ‘roadmap taskforces’[4] – committees intended to help guide certain sectors of the UK economy out of the Covid-19 induced lockdown.
    [Show full text]
  • Rt Hon Greg Clark MP
    Rt Hon Greg Clark MP Minister of State for Cities, Cabinet Office and Minister of State for Universities and Science, Department for Business, Innovation and Skills Constituency: Tunbridge Wells, South East Majority: 15,576 Party: Conservative Westminster Rt Hon Greg Clark MP House of Commons London SW1A 0AA Tel: 020 7219 6977 E-mail: Create email Web: Visit website Relevant contributions In 2007, Clark signed a pro-homeopathic hospitals EDM As cities minister, Clark announced a £1bn investment strategy for Cambridgeshire. The 2014 investment sought to help Cambridge and the surrounding area become the UK’s silicon valley, helping it build on its “world class research facilities” In 2008, he took part in a debate on the Human Fertilisation and Embryology Bill and expressed concern over the invasiveness of regenerative tissue techniques, especially if performed on children A summary of his relevant Parliamentary contributions can be found here. Responsibilities As Minister of State for Cities, Cabinet Office Leads local growth and cities policy, and works with the Deputy Prime Minister on constitutional affairs. As Minister of State for Universities and Science, Department for Business, Innovation and Skills Looking across all departmental business at strategic priorities; higher education (including Higher Education Funding Council for England and Student Loans Company); science and research (including Research Councils); life sciences; innovation; Technology Strategy Board; Energy Technologies Institute; the National Measurement Office;
    [Show full text]