MENTAL HEALTH: The reforms introduced by former Health Secretary Andrew Lansley in 2012 - which created a line in the sand between GP-run bodies who make funding decisions and trusts who deliver that care - seem to be on their way out.
Both North and South Cumbria are moving towards a system where there’s one umbrella body for each area overseeing everything.
Part of the move will see the Cumbria Partnership trust hive off its mental health and learning disability services for north and south Cumbria to a trust in the North East and one in Lancashire respectively, although there’s some delay for the south Cumbria plans at the moment.
By October 2019, mental health care for north Cumbria is likely to be run from Newcastle but by the end of the year, it’ll be interesting to see if there’s much of the Cumbria Partnership trust left at all.
UNITARY: In last week’s email, I mentioned how county councillors were considering if they should push ahead with a plan to reorganise how local government works in Cumbria.
If the government agrees (which is very much up in the air), 2019 could mean the end of Cumbria’s two-tier system comprised of six districts and one county council, in favour of one or two unitary authorities.
Unsurprisingly, the six district councils aren’t big fans of this because they say the new bodies would be less democratic and more distant from the Cumbrians they serve.