What’s been happening

It continues to be a busy time for the Greater Manchester Health and Social Care Devolution Programme.

We have now held the first meeting of the new shadow Strategic Partnership Board (more in the body of this ebulletin) under the Chairmanship of Lord Peter Smith, GMCA lead for Health and Wellbeing. This is the ‘cornerstone’ of the new shadow Governance structure that brings decision making into the hands of local representatives in both the NHS and local authorities. The meeting took place in Bury, which was an important reminder that the work we are all undertaking is for the benefit of the whole of the Greater Manchester city region and its 2.8million residents.

Work still continues at pace to prepare for the impending announcement of Government’s Comprehensive Spending Review towards the end of November and the completion of the first draft of the GM HSC strategic plan in December. Many of you who receive this ebulletin may have been working with our team to help shape these important pieces of work. Thank you for all your collective efforts.

All our collective work is ultimately to help create the environment that will lead to radical improvements to Health and Social Care in GM. That is why I am delighted to see some significant announcements being made at four well attended events in GM just last week. A three year vision that outlines plans to increase community-based care with a family focus for people with learning disabilities was one such announcement that had national implications. A primary care summit that encouraged primary care providers to join forces collectively was another. Mental health and cancer summits that brought together the leading experts across GM and beyond also took place.

A recent event in Salford to showcase our collective visions for improvements to dementia care is another significant milestone and I will report back on this in more detail in the next ebulletin.

I can say without exaggeration that GM is right in the national spotlight at present for its Health and Social Care plans and we should all be proud of the hard work that we are all doing to make these plans an increasing reality.

Please enjoy reading the rest of this e-bulletin, and we would welcome your feedback on any of the items. Please email gm.devo@nhs.net.

New Shadow Strategic Partnership Board meets in Bury

On Friday October 30th the new shadow Strategic Partnership Board met in Bury.

Made up of representatives from the 12 CCGs, 15 NHS Trusts, 10 local authorities and other significant organisations, the Board is the ‘cornerstone’ of the new decision making structure for Health and Social Care in GM.

This first meeting began to tackle what a devolved health and social care system will look like when it comes into full force in April 2016.

Update reports were given by Ian Williamson (Chief Officer GM Health and Social Care Devolution), Warren Heppolette (Strategic Director – GM Health & Social Care Devolution), Liz Treacy (Manchester City Council Solicitor) and Wendy Meredith (Director of Population Health Transformation.

Strategic Plan

The Strategic Plan will set out how the NHS and local authorities in GM think we may be able to bring the fastest and biggest improvement in health and wellbeing to the people of GM over the next five years.

The plan is not just a ‘new’ document. It is the culmination of many years of conversations between the organisations and public of GM – and builds on many successful pieces of work to improve health, wellbeing and services. It will mark the start of many more conversations about the role of the people and the organisations in GM – from the individual to the family, the community, neighbourhoods, the voluntary sector and the public bodies.

Devolution gives us the opportunity to bring all this ambition together and the freedom to take charge, together, of the long term future of our city region.

The plan will set out how we’re going to work together, the chance to be more involved and some of the pieces of work to take place over the next two years. Details of this first draft are being finalised and there will be some ambitious new ways of working proposed.

Between January and March we will begin an important ‘listening’ exercise with all those who will have an interest in this plan, including stakeholders, staff and the general public before our region is given direct, local control over an estimated budget of £6 billion each year from April 2016.

New vision to improve independence for people with learning disabilities

People with a learning disability will be supported to lead more independent lives and have a greater say about the support they receive under a plan to radically improve learning disability services across Greater Manchester.

Central to the three-year plan will be new, high-quality, community-based services allowing people with a learning disability and/or autism to benefit from new, better care options.

Greater Manchester currently has 2,500 patients with learning disabilities who require full-time care or high-levels of support. Some of these people are in secure placements while others are not. The reshaping of services will ensure that more community based support is provided to individuals, where appropriate, continuing the long-term shift away from institutional care. Services will also better address the wider needs of people with learning disabilities, implementing processes to support issues such as physical health, social care and employment.

The programme sits within plans to devolve powers of health and social care to Greater Manchester authorities, and will utilise new and existing funding to transform the models of care across the region with a combined budget of £6million coming from national and regional funding streams. It was announced that a total of £3million will be provided to Greater Manchester via NHS England’s Fast Track Transformation Fund.

The funding will support the delivery of the vision, which will be measured against four primary objectives.

  • An improvement in training of staff and keyworkers to accelerate community based support
  • An expansion of community based accommodation available across Greater Manchester
  • A halving in the need for non-secure accommodation across Greater Manchester by 2019
  • A minimum of 30 beds will be kept available, allowing for stays of between 6 to 24 months for severe patients needing continuing care or rehab
  • A reduction in the number of low secure accommodation by a third by 2019, with improved out-reach support helping to prevent avoidable admissions

Fifth Primary Care Summit

Dr Tracey Vell, Chair of the Association of Greater Manchester Local Medical Committees, was one of the guest speakers at the recent 5th Primary Care Summit, which was held at the AJ Bell Stadium in Salford.

The event was hosted by Dr Raj Patel, Medical Director for NHS England (Greater Manchester and Lancashire), and other speakers included Mike Burrows, Managing Director for GM Academic Health Science Network, Ravi Sharma, Lead GP Practice Pharmacist at a London based medical centre, as well as Ian Williamson.

Following a number of interesting and engaging topics including ‘new models of care’ and ‘opportunities for wider primary care’, the speakers were joined by Rob Bellingham, Director of Commissioning, NHS England GM, for a very engaging Q&A session where the topic of devolution came up a number of times.

The Greater Manchester Devolution team were also represented during the events’ Market Stalls session with colleagues from the devolution communications team speaking to the attended guests and answering any questions and queries that they had about the programme.

Greater Manchester Mental Health and Wellbeing Workshop

We recently hosted a workshop for leaders and decision makers from across Greater Manchester to make the case for change and define the compelling future vision.

The workshop built on previous sessions and aimed to help to develop a Greater Manchester wide Mental Health and Wellbeing strategy which will set out how we can deliver better outcomes for the people of Greater Manchester.

Deputy Police and Crime Commissioner Jim Battle opened the event saying: “I am pretty sure that we can develop the best mental health services, not only in Manchester, but in the world.” He stressed that organisations needed to work together to ensure that those affected by mental health issues were treated in the best possible way in the most appropriate setting.

There were several discussions focusing on potential solutions to improve the service and how outcomes and quality can be measured. As part of this work, KPMG will also be speaking with stakeholders individually across Greater Manchester to gain input into the work.

Among the 100 attendees were representatives from CCGs, local authorities, GM Police, GM Fire & Rescue, NHS providers (NWAS, acute trusts, mental health and community trusts), GM, Lancs and South Cumbria Strategic Clinical Networks and Clinical Senate, patient groups, primary care and the third sector.


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