English devolution

Getting it right

The new health duty on strategic authorities

This article originally appeared in the Municipal Journal.

The Government’s White Paper on devolution in England introduces a commitment to create a bespoke duty related to health improvement and health inequalities for strategic authorities (SAs).

The Centre for Local Economic Strategies (CLES) and The King’s Fund are working jointly on a programme of work, commissioned by The Health Foundation, to understand the potential for strategic authorities to have an impact on health inequalities. As part of this we have thought through how this new duty needs to be designed and implemented to be successful, taking into account learning from existing duties.
“a narrow focus could actually exacerbate health inequalities”
In our earlier briefing we recognised that English devolution could have a positive impact on health inequalities, but that it is viewed as a primarily economic policy lever, to generate economic growth in lagging regions.  Our evidence review showed that a narrow focus could actually exacerbate health inequalities if the distribution of growth benefits is not considered; and even in other countries where regional policy has narrowed economic inequalities, it does not necessarily follow that health inequalities narrow too.  The inference is that health inequalities will not narrow simply as a result of the fact of more devolution, it needs to be accompanied by strong and consistent intent. This has been the case in Greater Manchester which has had clear success, and in other areas such as the West Midlands where health has been a core area for action of the Combined Authority.

Devolution white paper risks growing nowhere

This article orignally appeared in the Local Government Chronicle.

The growth of England’s economy is at the heart of the government’s vision for devolution. But this is a missed opportunity for Labour to widen the remit of devolution: to see it as not only a chance to rebuild trust in democracy but take a more radical approach to economic change – change that rewires our economic system so that we are less focused on simply increasing the rate of GDP for UK plc and more on increasing the flow, circulation and ownership of wealth in our places.

Whilst more organized than the previous government’s approach, the essential subtext of English devolution remains intact: Westminster will hand over power and resources to mayors – as long as they enlist their regions in the battle to ‘relight the fire’ of GDP growth for UK plc.

What’s on the table at the council of nations and regions?

This article originally appeared in Labour List

With Keir Starmer due to host his first “council of the nations and regions” later today, and with salary comparisons very firmly off the table, you can’t help but wonder, what will be up for discussion?

Starmer has made no bones about the centrality of mayors and devolved leaders to his programme for government, signalling his intent early doors by visiting them all within five days of being handed the keys of number 10. He’s also clearly set out a remit for the regions, in the form of Local Growth Plans, on which headline thinking is due to be submitted later this month. No doubt these Plans will be in sharp focus today, given that securing investment will be the main theme of the agenda.