Greater Manchester Health and Social Care Devolution Programme Programme Summary May/June 2015

1. Greater Manchester Health and Social Care Devolution ProgrammeProgramme Summary May/June 2015 NW Finance DirectorsFriday 15 May 2015NW Finance DirectorsFriday 15 May 2015 Ian Williamson Chief Officer Greater Manchester Health and Social Care Devolution

2. Purpose of paper • This paper provides a high-level overview of the Devolution Programme structure and plan including the following: • An overview of the vision, objective and benefits of the programme • A summary of the programme approach including key areas, sub-work streams and nominated reps from the GM H&SC community • A slide describing each programme area, its aims and objectives, a progress update and proposed next steps 2

3. GM Devolution – the background Greater Manchester Devolution Agreement settled with Government in November 2014, building on GM Strategy development. Powers over areas such as transport, planning and housing– and a new elected mayor. Ambition for £22 billion handed to GM. MoU Health and Social Care devolution signed February 2015: NHS England plus the 10 GM councils, 12 Clinical Commissioning Groups and NHS and Foundation Trusts MoU covers acute care, primary care, community services, mental health services, social care and public health. To take control of estimated budget of £6 billion each year from April 2016.

4. Vision To ensure the greatest and fastest possible improvement to the health and wellbeing of the 2.8 million citizens of Greater Manchester

5. Objectives • To improve the health and wellbeing of all of the residents of Greater Manchester (GM) from early age to the elderly, recognising that this will only be achieved with a focus on prevention of ill health and the promotion of wellbeing. We want to move from having some of the worst health outcomes to having some of the best; • To close the health inequalities gap within GM and between GM and the rest of the UK faster; • To deliver effective integrated health and social care across GM; • To continue to redress the balance of care to move it closer to home where possible; • To strengthen the focus on wellbeing, including greater focus on prevention and public health; • To contribute to growth and to connect people to growth, e.g. supporting employment and early years services; and • To forge a partnership between the NHS, social care, universities and science and knowledge industries for the benefit of the population.

6. High Level Programme Plan Critical milestones Internal deadlines 23rd 19th 10th 18th 20th TBC TBC 1st draft Outline Plan to Programme Board End Aug: 1st draft Outline Plan to Treasury Programme Board review Finalised Strategic Plan (inc. locality plans) Shadow GM Joint Commissioning Board set up GM Health & Social Care Provider Forum set up GM business case for CSU services Shadow arrangements start 7 Day Access AHSS Healthier Together decision Public Health Mental Health Workforce policy alignment

7. Programme Approach Health & Social Care Devolution Programme DMT contact: Alex Heritage Strategic Plan (Clinical & Financial Sustainability) DMT contact: Liz Treacy Establishing Leadership, Governance & Accountability DMT contact: Sarah Senior Devolving Responsibilities and Resources DMT contact: Warren Heppolette Partnerships, Engagement and Communications DMT contact: Leila Williams Early Implementation Priorities Programme Area Resources and Finance 7 Day Access to Primary Care The GM plan contains the following chapters: • Strategic Plan • Locality and Sector Plans • GM Transformation Proposals and • Financial Plan and Enablers It is recognised that a large proportion of the other programme areas will feed in to the Strategic Plan at the appropriate point, highlighted to the right Governance Patient, Carer & Public Engagement Primary Care Transfer Decision Making Mechanisms Public Health Place based agreement Communications and Stakeholder Engagement Specialised Services Transfer Legislative and Accountability Framework Change Movement Academic Health Science System Prevention, Self Care and Public Health (Single Unified Public Health System) OD and Leadership Development Healthier Together Decision Workstreams Enablers (Workforce Training, Development and transformation, Capital and Estates) Dementia Pilot Mental Health and Work Support Services Strategy Key chapters of the strategic plan Workforce Policy Alignment Support to Challenged Trusts Additional work that feeds the strategic plan CAMHS 7 Other areas of work

8. Strategic Plan (Clinical & Financial Sustainability) 8

9. Establishing Leadership, Governance and Accountability 9

10. Devolving Responsibilities and Resources 10

11. Partnerships, Engagement and Communications 11

12. Early Implementation Projects 12

13. Spring 2015 Summer 2015 Autumn 2015 Winter 2015 Spring 2016 Summer 2016 Autumn 2016 Winter 2016 Spring 2017 Timeline to Devolution APRIL: Process for establishment Of Shadow Governance Arrangements Agreed and initiated DECEMBER: 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. DECEMBER: Production of the final agreed GM Strategic Sustainability Plan and individual Locality Plans ready for the start of the 2016/17 financial year OCTOBER: Governance structures fully established and operating in shadow form MAY-DECEMBER: Announcement of Early implementation Priorities AUGUST: Production of an Outline Plan to support the CSR process which willInclude 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. APRIL: Full devolution of agreed budgets, with the preferred governance arrangements and underpinning GM and locality S75 agreements in place.