Devolving NHS budget to Greater Manchester will create a “two-tier health service”, says Burnham

Andy Burnham, Shadow Health Secretary and the MP for Leigh, has criticised devolution plans that will see Greater Manchester gain control over its NHS budget.


The plans mean that by April 2016 local leaders, eventually in partnership with a directly elected mayor for the region (a position George Osborne created, the first election for which is expected in 2017), would have total power over the region’s £6bn health budget.

Burnham has said that although he recognises the hard work of those who have managed to arrange this deal with Osborne, he believes the devolution plans will create a ‘two-tier service and challenge the notion of a National Health Service’.

He told the Manchester Evening News: “If I was health secretary I wouldn’t be offering this deal. My worry is having a ‘swiss cheese’ effect in the NHS whereby cities are opting out.”

Burnham said he thought the current system in some parts of Greater Manchester, where local authorities and GP commissions bodies was a far better approach.  He explained:

 “My policy is based on working through the organisations I inherit, not further reorganisation, driving integration at a local level by local Clinical Commissioning Groups and councils coming together to build services.” 

These comments are likely to put him at odds with some local Labour politicians who pushed for this devolution agenda.

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