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

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

From HSJ Health Check by HSJ

March 6, 2026 · 37 min

About this episode

This episode discusses the evolving relationships between local government and the NHS amidst significant structural changes and pressures.

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".

People in this episode

Guests: Rob Webster, Robin Tuddenham

Topics covered

  • local government
  • NHS
  • integrated care
  • public services reform

Keywords

  • local state
  • reorganisation
  • funding pressures
  • joint working

Mentioned in this episode

Places: west Yorkshire

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