Five-year vision for better health and social care

On Friday 18 December, ambitious five-year plans for health and social care in Greater Manchester was welcomed by all 37 organisations involved in the devolution partnership, the Department for Health and NHS England.

That announcement followed confirmation on Thursday 17 December that Greater Manchester is to receive £450m transformation funding from NHS England to help towards creating a sustainable and successful health and social care system by 2021.

A final draft of the strategic plan: Taking charge of health and social care in Greater Manchester has been developed in preparation for the region taking full responsibility for its devolved £6bn health and social care budget from April 1 next year.

As a vision it represents the culmination of years of work between the people of Greater Manchester and the organisations which run public services to improve health, wealth and wellbeing.

The five-year vision focuses on four key areas:

  • A fundamental change in the way people and our communities take charge of — and responsibility for — their own health and wellbeing.
  • The development of local care organisations, which will see GPs, hospital doctors, nurses and other health professionals come together with social care teams, other public services, the voluntary sector and managers to plan and deliver care. This means that when people do need support from public services it will be mainly in their community, with hospitals only needed for specialist care.
  • More collaboration between hospitals across Greater Manchester, to make sure that expertise, experience and efficiencies can be shared across the whole area in a consistent way.
  • Other changes to ensure that standards are consistent and high across Greater Manchester, as well as saving money, include exploring sharing some clinical and non-clinical support functions; investing in workforce development across Greater Manchester; sharing and consolidating public sector buildings; investing in new technology, research and development, innovation and ideas.

The five-year vision also sets out in detail the necessary governance, regulatory and implementation processes that will be embedded across Greater Manchester’s public sector to deliver key health outcomes by 2021, including:

  • 1,300 fewer people dying from cancer
  • 600 fewer people dying from cardiovascular disease
  • 580 fewer people dying from respiratory disease
  • 270 more babies being over 2,500g which makes a significant difference to their long term health
  • More children reaching a good level of social and emotional development with 3,250 more children ready for the start of school aged five
  • Supporting people to stay well and live at home for as long as possible, with 2,750 fewer people suffering serious falls

It is an ambitious document, and Friday’s endorsement via the Greater Manchester Health and Social Care Partnership Board now marks the start of a three-month period from January, when people across all of Greater Manchester will be able to find out more, as well as giving their own views on health and wellbeing — before a final version is published for April.

To read a full copy of the document, or a shorter summary version, please go to the downloads section of our website

Boardroom updates

Prevention and Early Intervention Board (PEI Board)

Taking Charge – Healthy Lives was one of the key themes discussed as the Prevention and Early Intervention Board met on Wednesday 16 December.

The meeting discussed how the message was important in the GM health and social care arena, not just in terms of what local authorities (LAs) and NHS bodies could do for individuals, but what they could do for themselves in terms of self-care leading to better health outcomes and cost savings.

The meeting heard a project team (made up of representatives from the LAs and NHS) has been put together to design the overall framework of how to progress with Taking Charge – Healthy Lives and to ensure that partnership working and non-duplication of messages were key aims.

GM Health and Social Care Programme Board

There are only 103 days before full health and social care devolution goes live in GM on April 1 2016 – a fact made clear at the latest GM Health and Social Care Programme Board meeting on Wednesday December 16.

During a presentation on how the Strategic Plan (mentioned previously in this e-bulletin) would be implemented between January and March 2016 the Board recognised this was a challenging timescale but one that was achievable owing to the groundwork and increased partnership working that had already been achieved.

A number of speakers were extremely positive about the plan including Ann Barnes (Chief Executive Stockport NHS Trust) and Dr Hamish Stedman (Chair of the Association of Greater Manchester Clinical Commissioning Groups).

The shadow Joint Commissioning Board 

A key part of ensuring Greater Manchester is ready for full health and social care devolution powers in April 2016 is developing the necessary Governance framework.

One important strand, The shadow Joint Commissioning Board, met for the first time on Tuesday December 15 under the joint chairmanship of Steven Pleasant (Chief Executive — Tameside Council) and Dr Hamish Stedman (Chair of the Association of Greater Manchester Clinical Commissioning Groups).

Made up of membership of the 12 CCGs, NHS England and 10 Local Authorities, it will aim to ensure that we can commission services without fragmentation. It sits alongside the recently established Strategic Partnership Board to make key decisions for the benefit of the health and wellbeing of the 2.8million people here.

Mental health and work

A region-wide expansion of Greater Manchester’s Working Well programme, which was launched in 2014, will bring improved support for a further 15,000 out-of-work residents who face multiple barriers to work, including mental ill-health. This first stage of expansion will pave the way for broader reform and integration of health and employment support across Greater Manchester, ultimately supporting at least 50,000 people who face health related barriers to employment.

The creation of an integrated employment, health and skills system is the first example of its kind at this scale. It is a key area of shared strategic interest between NHS England and Greater Manchester. The relationship between health and employment sits as a priority in both NHS England Five Year Forward View and as a centrepiece of our growth and reform strategy.

It is anticipated that the programme will be launched early in 2016.

Early Years – Starting Well

Greater Manchester has consistently recognised the importance of Early Years in achieving its long term ambition for growth and reform and aims to ensure services are focused on improving ‘school readiness’ and enabling parents to give their children the best possible start in life.

The region’s Early Years Delivery Model is recognised nationally as an example of good practice and we have had several early successes including improving the reach and quality of health visiting, increasing the Family Nurse Partnership (a scheme which supports young parents) coverage to all 10 boroughs, and continuing a high standard of childhood screening and immunisations.

We are now looking at further developing the model to enhance the quality of other areas including working with CCGs to develop more public health orientated maternity services and focus on developing areas of perinatal mental health and physical health.