Our roundup of Monday’s essential health policy news and analysis
- Today’s must know: The areas which have seen the biggest social care spending cuts
- Today’s talking point: HSJ100 2015 revealed
- Today’s friendly reminder: What to look out for in the spending review
Where the social care cuts are deepest
Two of England’s biggest clinical commissioning groups have called for NHS England to account for the huge cuts to some councils’ adult social care spending in deciding NHS allocations for the coming years.
Liverpool and Newcastle Gateshead CCGs told HSJ – for a story published on Monday – that the severe reductions in recent years, which are widely expected to continue, were driving increased demands on the NHS.
In tandem, HSJ has done some analysis of official information on change in adult social care spending. Figures from councils’ accounts – corroborated by a collection by the Health and Social Care Information Centre – indicate that, of NHS England’s 13 sub-regions, Cumbria and the North East, and Lancashire and Greater Manchester have seen the biggest cuts in recent years. Parts of the Midlands, London and Yorkshire also appear to have seen large cuts, but this is less clear. Much of the South and some of the Midlands has fared better, with some sub-regions showing small real terms growth – albeit probably not enough to keep pace with demand.
HSJ100 shaken up
HSJ editor Alastair McLellan has declared the changes in this year’s HSJ100 compared to the HSJ100 2014 as “seismic”.
This year’s list, which seeks to predict who will be the most powerful people in the English NHS for the next 12 months, includes a record 39 new entires. Most notable is the Department of Health’s new finance director David Williams at number six. He also continues the 100’s tradition of having at least two Davids in the top 10.
The editor added: “The year after an election is often a period of significant upheaval – but taken together with some high profile retirements – this HSJ100 does seem to mark a changing of the guard.”
Simon Stevens’ prediction at the start of 2015 that a “new cadre” of NHS leaders would come to the fore looks to be correct, with provider chief executives more prominent than ever, though the NHS England boss is still top of the pile.
Despite the more than a third of the 100 being new or returning faces, what the list reveals “is often not what the NHS – as an institution which should represent the country it serves – would aspire to”.
Mr McLellan observed in his leader column: “The chairs and chief executives of the NHS England, NHS Improvement, the CQC, NICE, Public Health England and Health Education England are all white men.”
The top of the NHS will require an even bigger shake-up to prevent HSJ100 being “pale, male and stale” in 2016.
Matters of national importance
Does the NHS mandate consultation matter? Join the Twitter debate with National Voices, Alastair McLellan and Dave West.
Or perhaps it doesn’t matter.