Local government key to challenges facing Government, says policy advisor

Local government will need to be at the centre of fixing the biggest challenges facing the incoming Government, the new second permanent secretary at the Department of Health and Social Care, has said.

Tom Riordan (c) The MJ

Tom Riordan (c) The MJ

Leeds City Council chief executive Tom Riordan, who took up his post this week, said: ‘If you look at their big challenges around growth, around health and care, around public services more generally, you've got to have local government as part of that.

‘It's a key player in the big things facing the country.'

Speaking exclusively to our sister title, The MJ, he said he was confident the new Government understood the issues facing local authorities, both financially and the increasing pressure on councils to act as a ‘local welfare state'.

He said: ‘That whole relationship between the centre and local government, welfare and those vulnerable people who need support, needs to be rethought. That can't happen straight away.

‘These are big, big issues where we've got to rethink who does what to support people, and what can the state afford.  Local government is right at the heart of that big equation and question. We've got to get to a point where that becomes clearer and more stable again.'

It is ‘exactly the same set of issues' in health, he suggested, but it will take a decade to untangle the problems as a ‘collective endeavour' across central and local government, and the health service.

‘I think the reason I've been appointed is because they want more knowledge and connection with local government' he added.

THE BIG INTERVIEW: Speaking with one voice

THE BIG INTERVIEW: Speaking with one voice

By Lee Peart 17 July 2026

With this year’s passage of the Health Bill and ongoing implementation of the 10-Year Health Plan, chair of The NHS Alliance, Lord Adebowale, says there has ...

How the humble appraisal could unlock NHS-wide transformation

16 July 2026

Dr Patrick Doyle, consultant anaesthetist at Imperial College Healthcare NHS Foundation Trust and Founder of L2P (acquired by Patchwork Health), says the ann...

Private lessons

16 July 2026

John Fairhurst, chief clinical officer, Signature Clinic, explains what the private sector has learned about patient experience that the NHS cannot afford to...


Popular articles by Lee Peart