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Health Devolution Commission Inquiry - First Evidence Session

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Evidence Session 1: What is the purpose of integrated care systems?

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HEALTH DEVOLUTION COMMISSION INQUIRY INTO THE PURPOSE OF, AND POWER RELATIONS IN, FUTURE INTEGRATED CARE SYSTEMS

HIGH LEVEL ROUNDTABLE CHAIRED BY RT HON NORMAN LAMB

EVIDENCE SESSION ONE: WHAT IS THE PURPOSE OF INTEGRATED CARE SYSTEMS - INTEGRATION OF SOCIAL CARE, HEALTH IN ALL POLICIES, TACKLING HEALTH INEQUALITIES AND A VOICE FOR PATIENTS?

On behalf of Rt Hon Andy Burnham and Rt Hon Norman Lamb, co-chairs of the cross party Health Devolution Commission, we would like to invite you to attend - and/or submit brief evidence to - the first evidence session of the Health Devolution Commission’s new inquiry into the proposed and potential purposes of Integrated Care Systems on Monday 26th April between 15:30 - 17:00.

We are sure you are aware that the Commission issued earlier this month a position statement on the Government’s ‘Integration and Innovation’ White Paper. “A Glass Half Full” welcomed the White Paper as a positive foundation to build strong and accountable place based partnerships focused on improved health and wellbeing outcomes.

However, it raised six specific questions regarding the purpose of Integrated Care Systems - appended below for ease of reference - which the Commission believes need to be addressed before the White Paper becomes a Bill and then law. The fifteen Health Devolution Commissioners will therefore take evidence from, and ask questions of, the following:

  • Professor Michael Marmot - on health inequalities
  • Anita Charlesworth, The Health Foundation - on health in all policies
  • Imelda Redmond from HealthWatch - on patient voice
  • James Bullion, President, ADASS – on the integration of social care
  • Bill McCarthy, Regional Director NW, NHS Improvement - regional perspective

For your information a second roundtable, to be chaired by Rt Hon Andy Burnham, will examine where the power will - and should - really lie following ICS reform. This will take place on Friday 21st May from 14:00 - 15:30. The LGA, DHSC, IfG and Third sector will be invited to address that session. A further invitation will be sent to you for that event in due course.

We do hope that you can join the session on the 26th April. Please register via Eventbrite. I

f you would like to submit written responses to one or more of the six questions – and, if you wish, also the six questions relating to power referenced in “A Glass Half Full” - please do so in no more than two sides of A4 and send to steve@devoconnect.co.uk by noon on the 23rd of April.

Six key questions on the purpose of ICS reform:

  1. If ICSs are to provide a platform for ensuring “health in all policies” and improving the local population’s health and economic wellbeing, what else needs to be built into their design and governance? Is a new duty on ICSs to reduce health inequality and promote wellbeing required?
  2. How will Local Government’s social care and public health roles be integrated and strengthened to address health inequalities and promote wellbeing at the place-based level?
  3. How will the ICSs support the development of social enterprises and voluntary organisations in delivering better health and care services and promoting health and economic wellbeing?
  4. How will the reforms lead to greater innovation through enabling new partnerships to develop with sectors such as universities and technological innovators?
  5. To underpin this, should all Mayoral Combined Authorities have the same statutory public health improvement role as the London Mayor?
  6. The ambition for a stronger voice for patients and genuine co-production is welcome but what is required to make it happen in practice at every level?

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