Shaping healthy cities and economies: The role of clinical commissioning

shapingciities_clipThis report shows the positive contribution that clinical commissioners are making to their local economies. With the November 2016 Autumn Statement making it clear that neither health nor social care will receive additional funding to alleviate pressure on their increasingly overstretched services, the question of how the NHS can drive prosperity in local areas is an increasingly important one.

Shaping healthy cities and economies: The role of clinical commissioning showcases how clinical leaders in England’s core cities – the eight largest cities outside of London – are looking at how the services they commission can improve not only the health but social and economic wellbeing of their populations.

Across the core cities, clinical commissioners are working with a wide range of partners to go beyond traditional boundaries to combat health inequalities and social exclusion, increase skills and employment and to attract inward investment to help realise the potential of their local economies. This includes activities to support people with jobs, as unemployment itself is a health risk, associated with higher rates of mortality, psychological distress, and hospital admissions.

Shaping healthy cities and economies: The role of clinical commissioning’ highlights programmes from across the core cities, including:

  • Sheffield Clinical Commissioning Group (CCG) is leading the work to tackle physical inactivity – which drives higher health expenditure, productivity loss, absenteeism and disability and has an overall annual cost to society of £8.2bn
  • Across Manchester a CCG led programme is supporting people to address underlying issues contributing to unemployment and help people find and maintain jobs that best suit their individual needs
  • Liverpool where the CCG is using its commissioning and procurement levers to  support the economic, social, and environmental wellbeing of its population
  • Newcastle CCG is helping to drive workforce transformation and find new ways to attract and retain new staff, particularly younger people, a key need for the local economy.
  • Leeds is home to one of Europe’s largest teaching hospitals and a number of biotechnology companies, and has positioned itself as an Innovation Health Hub to accelerate innovation in public and private sector – through this Leeds CCGs are supporting plans to drive £1bn in investment and create 10,000 new jobs and training opportunities.

There are recommendations in the report for both national and local organisations on maximising the health sector’s role in driving economic prosperity, which include:

  • Ensuring the next round of devolution plans emphasise public sector reform and explicitly consider the role the health sector makes to local economies.
  • Developing suitable metrics to recognise, encourage, and measure the contribution the health sector makes to local economic growth and development.
  • A more active role in their local area’s strategic economic plan  being played by clinical commissioners
  • That clinical leaders understand and proactively build on the full breadth of relationships underpinning local economic growth – newly elected metropolitan mayors in particular present an important opportunity to jumpstart conversations.

This document builds on some of the themes in The future of commissioning (published in October 2016) which sets out how clinical commissioning is evolving and looking to flex its strategic functions to further meet the needs of the local patients and populations, and the positive impact it can have on communities.

You can download the report below, read our press release and find out more about our Core Cities Network.

14 December 2016

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