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Concerns have been raised at the “confusing” structure of the new body formed to lead prevention work against future health threats, the UK Health Security Agency, which is facing pressure to engage not just with public health directors but other local government figures too.
The UKHSA, an executive agency of the Department of Health & Social Care that was launched in shadow form in April and is intended to be fully running by October, is headed by chief executive Jenny Harries. She recently gave her “absolute commitment” to the Association of Directors of Adult Social Services spring seminar, that no matter “what the line structure is”, the newly formed body will keep “directly aligned” with regional directors of public health.
Health and wellbeing boards’ role remains uncertain amid NHS reforms
Plans in the health and care white paper to abolish clinical commissioning groups and match the footprint of integrated care systems to local authority boundaries are already gathering pace, but some in the local government sector have expressed concerns over key elements of the reforms.
Health secretary Matt Hancock told the Local Government Association’s councillors forum on Thursday that his white paper is “a reform whose time has come”, saying it “meets reforms that are happening anyway and essentially supports the direction and travel we know we all believe in”.
Hancock: Health reform will be ‘difficult to pull off’
The health secretary Matt Hancock has admitted that his plans to integrate health and care services will be a “difficult thing to pull off”, and revealed that he feels “very acutely” the tension between social care responsibilities residing at a local level while there is also national accountability.
At a Local Government Association councillors’ forum session yesterday, Mr Hancock discussed the thinking behind plans published in the future of health and care white paper last month.
The government s proposals include devolving some decision making to place-based partnerships between the NHS and local government. But Mr Hancock told councillors that the “fundamental challenge” for his department is that “some services ultimately are legitimately accountable to local taxpayers through you, and others are legitimately accountable to national taxpayers through me”.
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