We have long known that the health of people living in deprived areas is worse than the national average. But this raises important questions, such as how big is the gap? Is it narrowing or growing over time? Are some deprived places worse off than others? And how do health inequalities affect economic performance? In […]
Savings, services and silver bullets – is integration all it’s cracked up to be?
Manchester will have its work cut out plugging the funding gap in the current economic climate and greater integration of health and social care, while essential, may not deliver savings or reduced hospital admissions, argues Frances O’Grady. A new architecture With the Cities and Local Government Devolution Act receiving royal assent at the beginning of […]
The Times They Are A Changin’ – but will we see the difference?
The Devolution of health and social care to Greater Manchester this Friday (1 April) is being heralded as the dawn of a new era – one that can deliver the fastest and greatest improvement to the health and wellbeing of 2.8 million people. But, asks Ruth Boaden, will any real change be seen? This time […]
Is Devo Manc an experiment, a template or a trailblazer?
The emergence of the Greater Manchester Combined Authority (GMCA) to deliver ‘Devo Manc’ builds on a long history of effective cooperation between ten local authorities. Not all English cities and regions share such a history. Has Manchester become the template for English sub-national governance, and if so, should we be worried, ask Kevin Ward and […]
Who will lead the Manchester Powerhouse?
How significant will the elected mayoral role be for Greater Manchester – asks Iain Deas – and who will be that mayor? Simon Jenkins recently treated readers of the Guardian to an account of the rebuilding of city-regional governance in Greater Manchester. The story was of heroic struggle by Manchester’s civic leaders, guided by the […]
Police and Crime Commissioners – Lessons for devolution?
As Chancellor George Osborne finalises arrangements for devolved funding in the run-up to the Autumn Statement, Francesca Gains and Vivien Lowndes ask what can be learnt from the experience of Police and Crime Commissioners in their first two years. Two years ago, 41 directly elected Police and Crime Commissioners for England and Wales took office, […]