CONTENTS
Part 1: New approach to the health and social care economy Advancing the health and social care economy, Limited vision of the health and social care economy, Context and objectives, Methodology, The language of health and social care economy.
Part 2: Economic and social benefits of health and social care investment Relationship between quality of employment and quality of services, Advantage of a health and social care economy approach, Key changes in the health and social care economy in the last decade.
Part 3: Public spending in health and social care Health care expenditure in North West region, UK public spending plans, Impact of austerity policies, Financial health of North West Trusts, Further large cuts in local authority expenditure, Chronic underfunding of social care.
Part 4: Health and social care employment in the North West Direct employment in public sector health and social care, Direct employment in private and voluntary sector health and social care, Indirect employment in the supply chain, Total direct, indirect and induced employment.
Part 5: Changing provision: the marketisation and privatisation of health and social care Transformation of health and social care, National context – outsourcing NHS services, Outsourcing in North West England, Outsourcing local authority care, Private finance in the North West, New private finance – social impact bonds in health and social care, Commercialisation of voluntary services groups, Public cost of marketisation and privatisation, Increasing corporate role in the health and social care economy, Impact on health and social care economy.
Part 6: Impact on jobs Pay and conditions in the care sector, Public subsidy of low pay employers, Causes of the care crisis, Unsustainable strategy.
Part 7: Social justice and inequalities in the health and social care economy Health inequalities, Coalition government adjustments for health inequalities, Increased inequality, Decline in labour share of national wealth, Social justice in the North West.
Part 8: Regional industries, research and health provision Healthcare industries in the North West, Liverpool and Manchester biomedical research centres, North West NHS innovation.
Part 9: Demographic change and demand forecasts Demographic change in the North West, Scenarios for the future adult social workforce in England.
Part 10: Reconfiguring the North West health and social care economy Integrating health and social care, Digital health and social care, Planning and growth in the North West, Democratising the health and social care economy, Maximising the regional benefits of a growing health and social care economy.
Part 11: Recommendations to strengthen the health and social care economy Reconfiguring health and social care, Improvement and innovation, Public ownership and investment, Improving wages and benefits, Assessing, costs, benefits and impacts, Tackling inequalities, Democratising health and social care.
Appendix 1 Methodology for health and social care economy analysis Appendix 2 Tables Outsourced NHS facilities management contracts in North West 2013-2014, Directly employed staff employed in NHS facilities management services, Sale of equity in PFI healthcare projects in the North West.
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