The remaking - or breaking - of the ‘local state’

Leading ICB and council CEOs join HSJ Health Check to talk about the earthquake shaking relationships between local government and the NHS.

Tectonic plates are moving with major structural reorganisation in the NHS and local government. Funding and demand pressures, alongside national attempts to reform other public services, are also straining relationships and integration.

Amid these tensions, Rob Webster, West Yorkshire Integrated Care Board CEO, argues local leaders can choose to protect relationships and joint working at the level of place, despite organisational mergers.

And Robin Tuddenham, a council CEO in west Yorkshire and president of the Society of Local Authority Chief Executives, says: "What we're seeing is the need to adjust to a reshaping of the local state".