This tests your understanding of Cabinet's recommendations

It follows on from 'Councillors! Test your understanding of Calderdale Accountable Care System - Parts A& B' but you can do this one first if you like.

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* 1. What, in practical terms, would follow on from endorsing the principle of enabling neighbourhoods to develop a place-based health and social care system, at their own pace?

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* 2. What, in this context, counts as a neighbourhood?

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* 3. What elements of NHS and social care budgets do you think should be in-scope?

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* 4. Do you think these in-scope NHS and social care budgets should be pooled?

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* 5. What are the current inequalities of access and outcomes?

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* 6. What are their main causes?

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* 7. How is this alternative place-based health and social care system going to reduce these inequalities?

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* 8. Are the features you have outlined above the same as or different from the features of an Accountable Care System? Please explain.

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* 9. How would this new health and social care system maintain boundaries between NHS and social care so that health care remains free at the point of need - when the 5 Year Forward View and 5 Year Forward View Next Steps that this place-based system is designed to implement, blur boundaries between NHS and social care services and their funding in ways that seem likely to introduce stealth co-payments for NHS services such as continuing care and maternity care?

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* 10. Since £100m NHS and social care cuts are required in Calderdale by 2020,  will the Memorandum of Understanding spell out how this alternative place based health and social care system is going to decide what to cut, when? And will it commit the signatories to full public consultation on such a significant change?

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