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Devolved powers for Greater Manchester led to some health improvements, study shows

BMJ 2024; 384 doi: https://doi.org/10.1136/bmj.q767 (Published 28 March 2024) Cite this as: BMJ 2024;384:q767
  1. Jacqui Wise
  1. Kent

The deal that granted Greater Manchester more control over a range of public services—known as Devo Manc—has led to some improvements in health services, social determinants of health, and health outcomes, an analysis has found.1

There were improvements in life expectancy and life satisfaction and fewer alcohol related hospital admissions, but also increases in adult obesity and higher waiting times for treatment in emergency departments.

Experts say that the devolution picture is complex and it is difficult to ascertain which aspects of the approach taken in Greater Manchester have helped.

The study, funded by the Health Foundation and supported by the National Institute for Health and Care Research Applied Research Collaboration Greater Manchester, analysed 98 measures of performance.

Between 2016 and 2020 life expectancy increased by 0.233 years, or about 12 weeks, in Greater Manchester compared with a control …

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