What’s been happening

The devolution programme is progressing very well and headway has been made in several of our Early Implementation Priorities. We want 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 and have successfully introduced new ways of working in some areas and made significant progress in others.

Further down this bulletin, you will be able to read about an event to discuss the vision for the future of mental health services in Greater Manchester. The launch of the Academic Health Science System has been arranged to coincide with Expo 2015. This is such an exciting project through the alignment of GM research and academic institutions into an integrated system, GM’s Academic Health Science System will lead the country and will address the imbalance in investment and research between the golden triangle (Oxford, Cambridge, London) and the rest of the country.

One of the biggest and most ambitious pieces of work being progressed as part of health and social care devolution programme is the creation of a strategic plan for the whole of Greater Manchester. The plan will describe how GM can become a clinically and financially sustainable system within 5 years. The aim is to work together across all parts of Greater Manchester to produce this plan by the end of the year and it will be built from the 10 locality place-based plans, which are due to be finalised by the end of October. It will also aim to describe and prioritise the transformational opportunities that exist at a GM level that are currently underway or could be done.

By the time you receive the next e-bulletin, Expo 2015 will have taken place and I have every confidence that it will be great success and we’ll have a lot of news to update you on. For those who are attending, please take the time to come and visit our stand, which will be one of the first that you see when you walk in to the main exhibition hall, as we want to hear all your views and it will also be a real opportunity for you to learn more about the work we are doing.

Improving Mental Health Services in Greater Manchester

On Tuesday 4 August 170 leaders and decision makers from across Greater Manchester (GM) attended a vision and action event designed to assess all aspects of mental health in GM.

In GM life expectancy for people with poor mental health is 10 to 15 years below where it should be and costs to the health and care system arising from our current approaches are significant. Poor mental health makes physical illness worse and raises total health care costs by at least 45 per cent for each person with both a long-term physical condition and mental health problem. This suggests that between 12 per cent and 18 per cent of all NHS expenditure on long-term conditions is linked to poor mental health and wellbeing – between £8bn and 13bn in England each year and for GM, between £420m and £1.08bn.

The GM Devo mental health workstream event aimed to:

  • Develop a vision to drive improvements in mental health care, support and outcomes across Greater Manchester;
  • Identify mental health priorities to influence the production of the GM Strategic Plan and Locality Plans;
  • Strengthen and support partnership work across GM;
  • Share knowledge, expertise and best practice from within and beyond GM;
  • Solve shared problems and common challenges to implementation;
  • Agree further support required.

Steven Dalton, Chief Executive of the Mental Health Network for NHS Confederation opened proceedings with a welcome and introduction. This was followed by a speech on GM devolution and the opportunity for mental health improvement by Sir Howard Bernstein, Chief Executive of Manchester City Council, who said that there was a demonstrable appetite to change the way we think and act about mental health and it had emerged as a priority in the earliest days of this devolution process.

Delegates were talked through the national context including emerging themes from the Mental Health Taskforce in a joint presentation by Steven Dalton and NHS England Director for Mental Health, Karen Turner. This was followed by a panel presentation and discussion.

Delegates were invited to take part in interactive workshop sessions. A session on ‘Joint Action, Joint Delivery’ asked delegates to consider what we have in practice now that is evidenced and performing well which could be scaled up and rolled out across GM. And a session on ‘GM priorities’ asked delegates to consider which issues require a GM level of planning/support/accountability.

Among the 170 attendees were representatives from CCGs, local authorities, GM Police, GM Fire & Rescue, NHS providers (NWAS, acute trusts, mental health and community trusts), Strategic Clinical Networks and Senate, patient groups, primary care and the third sector.

Expo 2015

GM Devo will be a core theme at this year’s Health Expo conference taking place on Wednesday 2 and Thursday 3 September at Manchester Central. The GM Devolution team has joined forces with NHS England to deliver a creative and innovative presence at this year’s event which will attract over 5,000 health professionals from across the UK.

One of the highlights will be a plenary session titled ‘Personal Perspectives on Greater Manchester’s Health and Social Care Devolution’ which will take place on the first morning. Speakers will include:

  • Sir Howard Bernstein, Chief Executive, Manchester City Council;
  • Ian Williamson, Interim Chief Officer, Greater Manchester Health and Social Care Devolution;
  • Sir David Dalton, Chief Executive, Salford Royal NHS Foundation Trust;
  • Professor Ian Greer, Director, Manchester Academic Health Science Centre (MAHSC);
  • Ann Barnes, Chief Executive, Stockport NHS Foundation Trust;
  • Dr Ranjit Gill, Chief Clinical Officer, Stockport CCG.

A range of other events including ‘pop-up university’ workshops and presentations centred around key devolution themes will take place over the two days and all attending the event are urged to come and have a chat with the team to learn more.

Complimentary tickets are available to CCG and NHS provider staff, so register online today to secure your free-of-charge ticket. If you haven’t received your promotional code, please email Camilla.sutcliffe1@nhs.net.

Devolution session for Graduates

Members of the programme team and Oldham Council Chief Executive Carolyn Wilkins recently hosted a national experiential learning session on devolution for NHS Graduate Management Training Scheme trainees as part of their final experiential learning module, hosted by the NHS Leadership Academy.

The purpose of the session was to introduce trainees to the concept of place based leadership and the skills and qualities they would need to develop to be a system leader of the future. Trainees also had the opportunity to undertake “The Devolution Challenge” where they considered the priorities and processes they would undertake if given the opportunity to design their own devolved health and social care systems.

Healthier Together – Decision Making Phase

Under the Healthier Together proposals, ‘single services’ will be formed – networks of linked hospitals working in partnership. This means care will be provided by a team of medical staff who will work together across a number of hospital sites within the single service.

All hospitals will improve to ensure they meet the quality and safety standards. The new standards will mean an additional 35 consultants recruited across A&E and general surgery, a minimum of 12 hours of consultant cover in every A&E seven days a week, and a consultant surgeon and anaesthetist present for all high risk general surgical operations. The case for change describes how 300 lives per year could be saved through these improvements.

All hospitals specialise in providing certain types of care, for example some hospitals specialise in stroke care, others in cancer care. Similarly, one of the hospitals within each of the single services will specialise in emergency medicine and abdominal surgery, for patients with life threatening conditions affecting their stomach.

Under Healthier Together, all hospitals will keep their other existing specialisms and will continue to provide care to their local populations as they do now.

Healthier Together is a key building block for a fully devolved health and social care system in Greater Manchester. Greater Manchester has an opportunity to transform health and care services to become some of the best in the country. Improvements to primary care and joined up care, combined with hospitals working in partnership, in shared single services, will enable Greater Manchester to provide patients with the high quality care they deserve every time.

The process of introducing single services across hospitals is expected to take two to three years to complete. The programme will continue to work with providers during this phase to develop the single services as quickly as possible with the least disruption.

For regular updates, follow Healthier Together on Twitter @healthierGM or ‘like’ us on Facebook. You can also sign up for e-bulletins from Healthier Together and follow the updates in our news section and meetings section.

How are we engaging with you?

We are looking to engage with as many of you as possible including Greater Manchester residents, staff and other stakeholders. The first phase of this is to raise awareness of what devolution is and what it isn’t, and the second phase is to produce a toolkit to enable you to be able to provide information. Most importantly, engagement across all GM localities to inform the Strategic Plan will build significantly in the coming months.

Devolution briefing on new powers

Plans to extend devolution to other cities and regions seem set to fundamentally alter the way in which the United Kingdom is governed. With further devolution also planned for Scotland, Wales and Northern Ireland many areas of public policy will no longer be centrally decided or funded by Westminster. Dods Monitoring has produced a briefing which provides you with a clear overview of legislation currently in Parliament and its impact on the constitutional make-up of the United Kingdom, including the Scotland Bill, and the Cities and Local Government Devolution Bill.

Communications and Briefing Pack

We have updated our briefing document about both wider GM devolution and health and social care devolution which was initially distributed in May. We have included new information about what steps we are taking to engage with the Greater Manchester conurbation and what progress we have made.

We have recently launched our Twitter account @GMHSC_Devo so follow us to read all our latest updates.

If you would like more information about any particular areas, would like a more detailed discussion or would like support for any events or speaking opportunities you have coming up, contact details for key people are included, or you can email gm.devo@nhs.net. This is a rapidly evolving programme so we will keep you updated should there be any changes.