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Greater Manchester to control £6bn NHS budget

(48 Posts)
Gracesgran Thu 26-Feb-15 16:07:33

I am actually in favour of a more federal setup but this seems to be being done by stealth. If Manchester get this part of the NHS budget what happens if I, who live in Yorkshire, have an accident while visiting? What if there cancer results are better than ours over the Penines? Will we have centres of excellence that stay national for rare or difficult illnesses?

I am not against it and I do want care and health to be brought together and it seems that this is the intention here but it does seem a bit by the back door and not "national" as in the National Health Service.

www.bbc.co.uk/news/uk-england-manchester-31615218

durhamjen Sun 01-Mar-15 14:19:20

Anya, do you ever look at this website?
It's about freedom of information requests, and possibly has answers to what you want to know.
If not, you could always put in an FOI yourself.

https://www.whatdotheyknow.com/

durhamjen Sun 01-Mar-15 13:54:16

Are you a member of Konp, trisher?
Or the NHA party?
Can you vote for someone who wants to stop the privatisation and breakup of the NHS?
I signed that ages ago. Should have gone collecting signatures yesterday, but I wasn't feeling well, so didn't go.
Has Konp been collecting signatures in your area?

trisher Sun 01-Mar-15 13:25:33

It means they may not have the budget for treatment in your area Anya BUT you can ask to be referred to another hospital/area where treatment is available. If they bring in local budgets I can't see that happening.

Anya Sun 01-Mar-15 13:00:58

Thanks Jen that's a bit clearer.

trisher I'm pretty sure that there all already different 'levels of service' across the country. That's what the 'post code lottery' means.

durhamjen Sun 01-Mar-15 12:54:37

In today's Observer.

www.theguardian.com/society/2015/feb/28/nhs-plea-to-expat-gps-in-australia-come-home

trisher Sun 01-Mar-15 10:15:21

I worry that this is the beginning of the break up of a National Health Service and that this will lead to different levels of service across the country, with the best service (and the most money) being in the South as usual. Yes health and social care needs to be unified but not at the cost of breaking up a national service. I spent yesterday asking for signatures to the 38 degrees "Save the National Health Service" petition and almost everyone I spoke to believed that the service needs to stay a properly funded service free at the point of delivery and that privatisation has to stop. If you think this please sign up- this isn't political it will be sent to all candidates standing in the next election https://secure.38degrees.org.uk/index.php/pages/522/

durhamjen Sun 01-Mar-15 00:18:14

Sorry, NHS England wants the budget reduced to £80 billion.

durhamjen Sun 01-Mar-15 00:17:23

I was just wondering about the finance of it.
The population of Greater Manchester is 2.5 million, so if you add another 0.5 million for the other parts that are going to be included, that makes about 6% of the population of England.
The total NHS budget in 2013/4 was £110 billion.
However, wants to reduce that to £80 billion. So Manchester is going to be massively overfunded if that's the case.
I am sure others will put me right on this.

Anya Sat 28-Feb-15 22:52:43

I don't know Jen that's what I'm trying to find out. Lots of people are making statements and claims, throwing out statistics etc. but unless I have some evidence to back up these assertions how can I know?

I'm not trying to be awkward, as you know. I'm just trying to form an opinion based on fact. Unless someone can show me evidence to the contrary then I'm tending to think allowing decisions on linked up health and social care, taking into consideration local needs, is not necessarily a 'bad' things.

Unless you can convince me otherwise?

durhamjen Sat 28-Feb-15 19:44:14

https://nhaswsurrey.wordpress.com/2015/02/25/dr-louise-irvine-talks-to-the-bbc-about-devomanc/

durhamjen Sat 28-Feb-15 17:36:25

Anya, aren't there far too many groups in control of the budget as it is, so that it is impossible to find out who controls what?

durhamjen Sat 28-Feb-15 17:34:22

That's what I was wondering, anno.
Although they call it Devo manc, they will not let Manchester keep all its business taxes and council taxes to do with what they will. They will probably still have a gap between what they pay to the government and what the government gives back.

County Durham has been a unitary authority for a long time and has just done a County Durham plan, spending five years on it. The plan has been thrown out by an independent judge, so Pickles is now going to get his say on it.
So much for a northern powerhouse.

Soutra Sat 28-Feb-15 17:30:38

hmm

annodomini Sat 28-Feb-15 17:13:28

durhamjen, Osborne's constituency is Tatton, just over the Cheshire border, so not in Greater Manchester. As when has pointed out, there is evidently some confusion between Manchester and Greater Manchester. There was a Greater Manchester Council until about 30 years ago when all the constituent boroughs became Metropolitan Boroughs and responsible for all their own services apart from waste disposal. I do have a few misgivings about Health and Social Care being in the hands of local politicians, but then I could say the same about Westminster politicians. Until there is genuine devolution on a federal basis, local control of these services will be an illusion, because the purse strings will still be held centrally.

Anya Sat 28-Feb-15 16:59:45

Again Jen I'd like to see the figures for the NHS and Social Care Budget for the last few financial years and the predicted budget for the coming year so I could check the veracity of these statements.

If know you at least will see the logic in that.

durhamjen Sat 28-Feb-15 16:54:33

"Ignored over and over again is the issue of control of the funding pot. No new money is going to the new Manchester authority, yet it will have full access to the NHS funds which can be redirected into Social care. This is basically removing the ring fence around health care budgets (at a time when health funding is under immense pressure) and potentially allowing it to be redirected into the chronically underfunded social care system. NHS funds will be available to inexperienced local politicians and could be sucked into the Social Care funding black hole.

All of this power is to be in the hands of an untested layer of government; one that does not even exist yet and hasn't been given a mandate to take these powers by the local electorate. Instead immense power has been gifted down to Manchester without even asking the local people whether they want this type of devolution. I am very worried by the proposals - it seems rushed, very risky and actually pretty undemocratic.

As a Manchester voter when exactly do I get my say whether I want control of my area's NHS funding to be given to, effectively, the successor to the Greater Manchester Public Transport Executive?"

This is the view of another person who lives in Manchester.

Anya Sat 28-Feb-15 16:53:18

Or impulsive.

Anya Sat 28-Feb-15 16:52:30

No Soutra I asked a direct question for statistical information. Your question was asking for a repy to something which hadn't been provided yet.

So your post was either illogical or confrontational.

Soutra Sat 28-Feb-15 16:44:20

Mine was a simple question, as I imagine was yours.

Anya Sat 28-Feb-15 16:41:53

How can I know that Soutra until I've have a chance to study them? Are they already posted somewhere on this thread? I've followed the links but not seen a budget sheet/forecast anywhere.

All I'm asking is where these statistics are. I'm sure you didn't mean your post to sound so confrontational, did you?

Soutra Sat 28-Feb-15 16:20:57

Are these statistics disputed?

Anya Sat 28-Feb-15 15:52:09

Where do you get these statistics from when?

whenim64 Sat 28-Feb-15 15:45:59

Great to have north-west control of Integrated Health and Social Care. Not so great to have insufficient budget, based on current population, not projected numbers which are predicted to rise steadily and by tens of thousands by 2017, when the project will have been tried for one year. The budget already has £250 million shortfall.

Anya Sat 28-Feb-15 15:38:07

When a counci's treasurer is not the same as its officers. The former is a member of the public elected to office, the latter salaried, qualified and exierienced individuals.

There will be Finance Officers in place. After all they have managed huge projects before such as rebuilding much of the city centre after the 1996 bombing.

Anya Sat 28-Feb-15 15:30:34

'If you always do what you've always done, you'll always get what you've always got'

Attributed to various people, but it's meaning is clear.

Good luck to those who want to try a new localised approach. I too wish you well Manchester, and if it doesn't work out (though I don't see why it shouldn't succeed) well at least you tried.