I know you’ve all been waiting for my thread on today’s @DHSCgovuk White Paper https://t.co/lrNsuFoCum
and the accompanying recommendations from @NHSEngland https://t.co/810SaS9euc Wait no longer 😀 1/9

2/9 I’m not trying to cover everything in the documents but here are some thoughts on things others might not focus on so much. Good to see consistent messages about the strategic roles of the voluntary sector and local government. Detailed work needed to bring that alive.
3/9 Very pleased to see issues core to @RichmondGroup14 priorities at the centre of the challenges the White Paper aims to address: namely the growing needs of people with long-term and multiple conditions, the role of mental health in that mix and the impact of Covid on that.
4/9 White Paper rightly acknowledges that a new legal framework is a necessary but not a sufficient condition for integration and improvement. Culture, behaviour, relationships and leadership will be what make the most difference, though a better governance platform will help.
5/9 Important clarity in both the White Paper and @NHSEngland FAQs document that voluntary sector provision retains a key role as part of the planned changes to competition and procurement.
6/9 Provision for joint committees intends to include scope for voluntary sector and local authority membership.
7/9 Lots of stakeholder concerns expressed about scrutiny in relation to transfer of functions/closure of Arms’ Length Bodies. It’ll be interesting to see what people - especially Noble ones - think about the proposed approach.
8/9 Having spent a few years working with @jacoblant to develop @HealthwatchE role in relation to the Mandate into an effective transmission mechanism for people’s views and experiences, I’m glad that’s entrenched in the White Paper proposals, even if only @Davewwest notices 😀
9/9 Also well worth reading @NHSEngland document for more flavour about implementation and a good overview of how other organisations responded to their consultation. Reflects the nuances of consultees’ positions, including that of @RichmondGroup14.
https://t.co/810SaS9euc
.@threadreaderapp unroll please

More from Government

This article by Jim Spellar for @LabourList misses the point about why Labour needs to think seriously about constitutional reform - and have a programme for it ready for government.


The state of our constitution is a bit like the state of the neglected electric wiring in an old house. If you are moving into the house, sorting it out is a bit tedious. Couldn’t you spend the time and money on a new sound system?

But if you ignore the wiring, you’ll find that you can’t safely install the new sound system. And your house may well catch fire.

Any programme for social democratic government requires a state with capacity, and a state that has clear mechanisms of accountability, for all the big and all the small decisions that in takes, in which people have confidence.

That is not a description of the modern UK state.

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