GM Devo is moving apace

The eyes of the country are on us in Greater Manchester. We have the chance to make the greatest, fastest possible improvement to the health and wellbeing of the 2.8 million people who live and work here.

We want to move from having some of the worst health outcomes to having some of the best. And we want to close the health inequalities gap within GM and between GM and the rest of the UK faster than we have already.

How will we do this? Devolution will help us as we secure increased freedoms and flexibilities to tailor our budget and priorities to our own region’s needs – alongside that we will set out a programme of vigorous collective action based on reforming public services to shift the way we spend towards early, proactive help.

We will use the vast experience and expertise of local people to inform what we do. And we in the authorities – the NHS, local authorities, police, fire, transport, housing and others – will try to put people and place before our organisational priorities so we can tackle some of the major health, work, housing and other issues we face.

We’re moving quickly as well. We’re little more than ten weeks into this and yet colleagues from across the different parts of GM have come together many times to start to develop priorities and plans.

What we are doing now will, if we get this right, fundamentally alter how Greater Manchester people live their lives.

Ian Williamson
Interim Chief Officer

Programme Structure

The Programme structure has been finalised and leads established. There are now five workstreams which sit beneath the Programme Board (which meets for the third time this week):

Strategy
A Leadership Reference Group (chaired by Donna Hall and Ranjit Gill) will be established to co-ordinate the development of the strategy. From the Leadership Reference Group sub-groups will be formed to take responsibility for crafting individual parts of the plan (reporting into the Leadership Reference Group). The strategy will develop with the creation of the 10 Locality Plans and we are going to be issuing a request for volunteers to be a locality SRO (10 localities) to lead locality plans.

Governance
A Governance Group chaired by Liz Treacy now meets weekly and involves leads from councils, CCGs and NHS Trusts. The group’s remit includes: setting up the new boards which will be coming in shadow form this year, making proposals for changes in legislation, clarifying accountability issues, leading development of MoUs with national bodies and supporting the legal transformation.

Devolving responsibilities and resource
This will oversee the establishment and completion of an agreed roadmap setting out the milestones for full devolution of all the relevant funding streams by 1st April 2016.

Early implementation priorities
Greater Manchester wants to use the build up year before full devolution in 2016 to test new ways of tackling, at a large scale, some of the major challenges faced in the region – see the section below on Early Implementation Priorities for more detail.

Partnerships, engagement and communications

To ensure regular communication and engagement with patients, carers and the public during the different stages of devolution.
The work will cover stakeholder communications and engagement, public communications and engagement, events, campaigns, digital, media and public relations. There is a Communications and Engagement Working Group with representation from organisations and partners across GM and with NHS England already in place.

Early Implementation Priorities

In early 2015 people from across the NHS and public sector in GM identified a ‘long list’ of areas they felt were both important and had the potential to make a difference quickly.

All were then scored, based on potential impact, how practical they would be to implement, value for money and whether they cover different areas as well as health, for example: wealth creation, employment and social care.

A short list of seven ‘early implementation priorities’ was then drawn up. These are not meant to reflect the full breadth of change possible, but rather to give us the chance to test new ways of working together while still having significant positive impact on health and wellbeing across GM.

They are as follows:

Seven day access to primary care – lead Rob Bellingham, Director of Commissioning for the Greater Manchester Area Team of NHS England and health and social care devolution team

This builds on the successful track record of increasing access to primary care through Wave 1 of the Prime Minister’s Challenge Fund (PMCF) in Bury, the GM Primary Care Demonstrator programme and the successful Wave 2 PCMF bids in the City of Manchester and Wigan.

Public Health campaign – lead Steve Pleasant, Chief Executive/ Lead Chief for Health, Tameside MBC / AGMA
The greatest and fastest possible health improvement will not just come from integration but also from prevention. This will develop a programme engaging the whole system to deliver increased participation in physical activity and sport. It will be a partnership between Public Health England, GMCA, GM CCGs and other bodies such as GreaterSport, Transport for Greater Manchester and leisure providers, amongst others.

Academic Health Science System (AHSS) – lead Sir Michael Deegan, Chief Executive, Central Manchester University Hospitals NHS Foundation Trust

This will align the work of Manchester Academic Health Science Centre (MAHSC), Greater Manchester Academic Health Science Network (GMAHSN) and Local Clinical Research Network (LCRN) into an integrated system that will lead the country.

Healthier Together decision – lead Ian Williamson, Chief Officer of Central Manchester CCG
All Greater Manchester CCGs will reach a decision on the recommended configuration of the Healthier Together single service model across urgent and emergency care, acute medicine and general surgery.

Dementia Pilot – lead Sir David Dalton, Chief Executive, Salford Royal NHS Foundation Trust
Salford will pilot a a programme for people living with dementia, supporting the development of integrated services to improve the quality of care they receive. There will be the opportunity to use technology in MediaCity and digital advances to support patients to remain at home and be discharged safely from hospital when they do need treatment.

Mental Health and Work – lead Warren Heppolette, Strategic Director Health and Social Care Reform
This project will aim to reach agreement on a new more intensive and integrated delivery model for supporting unemployed people who have a mental health-related barrier to work. The role health services play in helping people find employment and keep it will be examined as a small pilot of 5,000 growing to 50,000.

Workforce policy alignment – lead Darren Banks, Director of Strategy, Central Manchester University Hospitals, NHS Foundation Trust

This piece of work will aim to reach agreement between providers on: common standards on pre-employment checks, statutory and mandatory training and common rates for specific targeted locum and agency staff.

Devolution Transition Management Team

The team responsible for the early stages of devolution currently includes colleagues on attachment or secondment from a range of organisations in Greater Manchester, as well as those providing their time from within their current roles. They are:

  • Ian Williamson, Interim Chief Officer, GM Health and Social Care Devolution
  • Sir Howard Bernstein, Chief Executive, Head of Paid Service, MCC, GMCA
  • Steve Pleasant, Chief Executive, Tameside MBC
  • Rob Bellingham, Director of Commissioning, Greater Manchester Area, NHS England and Greater Manchester Health and Social Care Devolution
  • Su Long, Chief Officer, Bolton CCG
  • Alex Heritage, Assistant Chief Officer and Deputy Director of Service Transformation, Service Transformation for NHS Commissioners in GM
  • Leila Williams, Programme Delivery and Director of Service Transformation, Service Transformation for NHS Commissioners in GM
  • Warren Heppolette, Director of Health and Social Care Reform, Greater Manchester
  • Darren Banks, Director of Strategic Development, Central Manchester University Hospitals, NHS Foundation Trust
  • Sarah Senior, Chief Financial Officer (currently director of Finance, Cumbria Partnership NHS Foundation Trust, coming into new post on 1 June 2015)
  • Carol Culley, Deputy City Treasurer, Manchester City Council
  • Liz Treacy, City Solicitor, MCC, GMCA
  • Will Blandamer, Programme Director of Care and Health Integration, Wigan Council
  • Andrew Lightfoot, Strategic Director, Public Service Reform, GMCA
  • Katy Calvin-Thomas, Director of Planning, Performance and Information, Pennine Care NHS Foundation Trust
  • Claire Norman, Head of Communications, Engagement and Marketing, North West Commissioning Support Unit

GM Devo event attendance

We’re being asked – and are keen to – have a presence at many forthcoming events and conferences, culminating in the Health and Social Care Expo in Manchester in early September. We’re also aware that a number of you are being invited to discuss devolution and its implications.

We’ll be circulating a briefing pack shortly which will set out the facts and key messages about devolution, along with a presentation doing the same. Please feel free to use this as widely as you can. That way we can ensure we tell a consistent and accurate story to which you can add your own messages.

And if you would like some support with an event, in terms of speakers or collateral, we’d be more than happy to try and help. We are at a very early stage but we know it’s important to bust some of the myths and explain what impact this groundbreaking move will have for the people here.

If you want to know more about GM Health and Social Care Devo email: gm.devo@nhs.net

Key milestones:

April 2015: Process for establishment of Shadow Governance arrangements agreed and initiated.

May-December 2015: Early Implementation Priorities come on line

August 2015: Production of an Outline Plan to support the Comprehensive Spending Review process which will Include a specific investment fund proposal to further support primary and community care and will be the first stage of the development of the full Strategic Plan.

October 2015: Shadow arrangements in place and start for budgets, governance and accountability.

December 2015: Production of the final agreed GM Strategic Plan and individual Locality Plans ready for the start of the 2016/17 financial year.

In preparation for devolution, GM and NHSE will have approved the details on the funds to be devolved and supporting governance, and local authorities and CCGs will have formally agreed the integrated health and social care arrangements.

April 2016: Full devolution of agreed budgets, with the preferred governance arrangements and underpinning GM and locality S75 agreements in place.

Web presence

We’re considering how best to develop an external web presence to keep you informed (watch this space) and also creating a system for sharing information between the organisations internally.

Communications update

We now have a weekly Communications and Engagement Working Group in place with members who represent every sector (Trust, CCG, Council and NHS England) and locality of GM, with membership largely drawn from those organisations with representatives on the Programme Board. It is tasked with overseeing, delivering and forming the communications and engagement plans.

Locality meetings with communications and engagement colleagues are taking place regularly and each member is responsible for liaising with both their sector and the parts of GM their organisation covers. This has ensured every organisation and every borough has a link in to the programme.

The members are:

  • Warren Heppolette, Director of Health and Social Care Reform, GM
  • Claire Norman, NHS North West CSU
  • Alicia Custis, Stockport NHS Foundation Trust
  • Andrew Lynn, Pennine Acute Hospitals NHS Trust
  • Laura Rooney, Pennine Care NHS Foundation Trust
  • Chris Dunbar, Wigan MBC and GMCA
  • Penny Shannon, Manchester City Council
  • Sarah Dobson, Tameside MBC
  • Nick Gomm, NHS North, Central, South Manchester CCG
  • Nicola Onley, NHS Bolton CCG
  • Lindsay Kirby, NHS Salford CCG
  • Neil Skitt, NHS England
  • Amanda Stocks, NHS England

The team are collating stories from round the region to illustrate the sort of work which we hope the freedoms coming from devolution will allow us to spread further and faster.

They have also worked with the NHS England brand team to agree the logo to represent the health and social care devolution work. They felt it should show the NHS in GM working together, rather than being suggestive of a new entity. Alongside the GMCA logo this is the identity which will be used for the health and social care devolution work at present and which you will see on documents from now on.

Want to know more? Get in touch gm.devo@nhs.net

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