We're live from the third seminar in the @christs_college climate seminar series! We're joined by @Jeanelleuk, @profchrisham and @michaelkenny_ for a discussion about how local decision-making can achieve greater change.

There’s a lot of system leadership going on at local level to bring together coherence to policies, says @Jeanelleuk. She stressed the need to respect what happens locally, and to recognizing the importance of a place. "Local communities matter."

How can local policymaking achieve greater change? @Jeanelleuk suggests we need to respect and recognize the local; local people need to organize, advocate, engage and influence; and we need to strengthen local leadership (including through sustainable funding).

Why is there a focus on place-based systems of care? They are the basis for improving health and wellbeing and care. To achieve their goals, they need partnerships, says @profchrisham.

Place-based systems are about geography, sociology, economics, and epidemiology, says @profchrisham. Places are communities of people with assets and relationships which have different patterns of health and wellbeing.

Working as a system in places is not easy. There is a tradition of centralized control and a hierarchical system in the NHS in terms of funding, accountability, and performance management. Meanwhile, place-based systems are about horizontal partnerships, says @profchrisham.