Single accountable person
The survey suggested a difference of opinion between council chief executives and other senior officers about one of the white paper’s central suggestions: the appointment of a single accountable person in each place.
The document says: “There should be a single person, accountable for shared outcomes in each place or local area, working with local partners (e.g. an individual with a dual role across health and care or an individual who leads a place-based governance arrangement).”
The survey found that overall more respondents supported this proposal than opposed it, with 40% backing the idea, 28% opposing it and 5% saying their area already has such a person.
However, council chief executives appeared much less positive about this aspect of the reforms – albeit on a relatively small sample – with six saying they were against it, compared with just two in favour.
A number of clear themes emerged when respondents were asked about the biggest barriers to their council and its partners successfully integrating health and social care.
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