Sebastian Rees @SebRees1

Head of Health, @ippr Also: @sebrees1.bsky.social All views my own London, United Kingdom Joined August 2019

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Sebastian Rees @SebRees1

5 days ago

@lfc_jazz I remember reading this excellent piece at the time (and how nice it is to read something from the pre-ChatGPT era🤣).

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On this point, I've had a lot of questions in the last few weeks which start with an assumption about Greater Manchester's NHS performance: 'Why has GM done better than the rest of the country in healthcare?' Evidence on superior NHS performance just isn't there...

Sebastian Rees @SebRees1

5 days ago

@rcsloggett I am (very) skeptically pro health devolution, but it does feel a bit like the centre left equivalent of the right's 'change the funding model'. Seen as a panacea to all sorts of issues that I don't think it bears any relation to...

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Sebastian Rees @SebRees1

5 days ago

@lfc_jazz I also don't think that policy making has a coherent theory of what drives hospital power and therefore does not have a coherent strategy to tackle it. Perhaps we should write something together...

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Sebastian Rees @SebRees1

5 days ago

@lfc_jazz Genuine q: do you think that devolution makes it easier to challenge hospital power? I think that for the reasons you describe, it actually might make it harder.

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Sebastian Rees @SebRees1

5 days ago

@lfc_jazz I’m sympathetic to this by the way but I think we need much more clarity on pretty foundational ‘what sits where’ questions…

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Sebastian Rees @SebRees1

5 days ago

@lfc_jazz ‘Real devolution hasn’t been tried’

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Sebastian Rees @SebRees1

5 days ago

BUT we need to be honest about NHS performance and trade offs in resource allocation and priorities in health systems. It's not helpful to hold up GM as a model that gets us everything we want - on NHS performance, there are serious questions to be asked... Ends/

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Sebastian Rees @SebRees1

5 days ago

Lots to like in GM - real recognition that health isn't all about the NHS, that poor population health affects economic performance, and that health services need to get much better at helping people live with long-term illness (see Live Well work).

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Sebastian Rees @SebRees1

5 days ago

@HMAnderson39 Was getting to that... But here's cancer target (Faster Diagnosis Standard). Slightly better here than national average, but not massively.