The Oldham Ambition: Engagement Event 21 st October 2015
Why today’s event? 1. To set out the Greater Manchester ambitions and the Oldham ambitions within this. 2. Have your say on the Greater Manchester agenda and emerging health and social care devolution in- particular. 3. To inform and influence the Locality Plan for health and social care devolution for Oldham. 4. To agree next steps and clarify how we might engage with residents, staff and stakeholders on devolution over the next two years – the beginning not the end 2
The Greater Manchester and the Oldham Ambition Member of GMC Authority
GM is now “Officially the Most Exciting Place in the UK !” The Guardian – 25 th Feb 2015 4
GM: a strong history of co-operation Publication GMCA and LEP of the MIER established Prosperity for All Greater Manchester Growth and Transport for GM Strategy Reform Plan AGMA, GMITA and Airport Community Community Budget Pilot Budget Pilot Business Thematic Growth Leadership Metrolink 2002 Comissions Deal Council Manchester New GM Established Established City Deal Strategy From 2008 2009 2010 2011 2012 2013 2014 1986 5
GM : How has it helped Oldham. • Extension of superfast fibre broadband which will extend to 99.6% of all premises in Oldham by the end of 2017. • Regional Growth Fund – Over £10m secured by business and 600 jobs created with Council support. • Metrolink and Transport for Greater Manchester • £330m Skills and Business support (via ERDF and ESF) – new programme to support growth for local companies December 2015 • GM support for Invest in Oldham including the Old Town Hall, Princes Gate scheme and Transport Interchange. • Increased reputation on the international stage. 6
Why devolution? • Signed up to by all the Leaders of the local authorities in Greater Manchester including us. • ‘Northern powerhouse’ • Already strong Greater Manchester – devolution driven from the bottom up • Evidence that cities with greater independence from central government perform better economically . • Austerity means there is an economic necessity to reform public services • Manchester devolution has twin objectives – faster economic growth with more flexibility to reform public services. The 2 can only be achieved together. • Opportunity to re-engage residents who are disengaged from central politics and systems. 7
The GM Devolution Agreement • New powers and functions from central government. The existing powers of local authorities will be unaffected. • Mostly in areas of spatial planning, housing, skills, transport, children’s and health and social care • Other powers include the potential for other public bodies to deliver services – service transformation in its widest sense • Estimated to be over £9 billion (£6 billion being health and social care) • Mayoral model will be part of the Agreement but as the Chair of a Cabinet of the Greater Manchester Combined Authority with the Leaders of each authority forming the Cabinet. • Cities and Local Devolution Bill: provides the legislative framework for the devolution of additional powers to the GMCA and the directly elected Mayor 8
Oldham Ambition: Co-operative Devolution The Oldham Triple objectives – Growth and Reform through Co- operation. • Not just ‘trickle’ down. • The vehicle to do things differently, focus on issues that will result in the greatest change and reduce inequality faster. • Not new money but ability to shape our own destiny. 9
Co-operative devolution – making it happen Three elements • New Economy / New Society - Transforming the relationship between citizen, state and society • Co-operative deal - Everyone doing their bit • New model of Leadership - People of place, not of professions or organisations 10
We are already working together to make a difference… 11
Greater Manchester Health and Social Care Devolution, Warren Heppolette, Strategic Director, Health and Social Care Reform Greater Manchester
Greater Manchester: a snapshot picture GVA – Gross Value Added 13 LEP – Local Enterprise Partnership
The background to GM Devolution • 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. • Commitment in July 2015 budget to align the Spending Review process for health and social care to our Strategic Sustainability Plan
What will – and won’t - this mean for the NHS and social care • Greater Manchester will remain within the NHS and social care systems and continue to uphold standards in national guidance and statutory duties in NHS Constitution and Mandate – and for delivery of social care and public health services • Decisions will continue to be made at the most appropriate level to the benefit of people in GM – sometimes locally and sometimes at a GM level • Organisations will work together to take decisions based on prioritising their people and their place • From 1 April 2015 ‘all decisions about GM nationally are taken with GM’
Why do devolution? • Devolving powers to GM will enable us to have a bigger impact, more quickly, on the health, wealth and wellbeing of GM people • It will allow us to respond to the needs of local people by using their experience to help change the way we spend the money • It will allow us to better co-ordinate services to tackle some of the major challenges supporting physical, mental and social wellbeing How will we do this? • By integrating our governance: being binding on all the partners, decisive and bold • By integrating planning: working across CCGs, local authorities and trusts in our 10 areas to create aligned local plans feeding one GM strategic plan • By integrating delivery: by doing best practice at pace and scale
What have we said we’ll do in the MoU? • Improve the health and wellbeing of all Greater Manchester people – of all ages • Close the health inequalities gap faster within GM, and between GM and the rest of the UK • Integrate physical health, mental health and social care services across GM • Build on the Healthier Together programme • Continue to shift the focus of care closer to homes and communities where possible • Strengthen the focus on wellbeing, including a greater focus on prevention and public health • Contribute to growth and connect people to growth, eg helping people get in to and stay in work • Forge a partnership between the NHS, social care, universities and science and knowledge industries for the benefit of the population • Make significant progress on closing the financial gap
The vision for GM Devolution To ensure the greatest and fastest possible improvement to the health and wellbeing of the 2.8 million citizens of Greater Manchester
The Plan will support integration at all levels across all public services… With individuals, their families 1 and their communities - All parts of the public service, civic School & Community & society and business committed workplace Family to improving the health of the Activated population as part of a New Deal Person • Outcomes Framework 2 Local integrated care “Health • Technology enabled, Benefit Trusts” looking after proactive care co- Integrated Care ordination the day to day care and • Capitated Budget & Organisation support of a defined bundled payments population. Incentivised & accountable for keeping people well. 3 Binding Provider governance • Centres of that will deliver accelerated Excellence • Hospital Groups/ improvements in patient service chains outcomes and productivity. • Specialist Treatment
Oldham CCG: Keeping our promises, delivering our plan Denis Gizzi, Managing Director NHS Oldham Clinical Commissioning Group
What we said we’d do… • Develop our “Wider Primary Care at Scale’ strategy • Invest significantly in primary care, geared towards enhancing capacity and access to GP Practice services in Oldham • Reduce localised health inequalities through devolved, cluster- based budgeting • Develop a GM-aligned Primary Care Market Development strategy • Drive the innovation agenda forward, looking for new solutions • Support the Multi-speciality Community Provider model as part of NHS England’s five year plan
Recommend
More recommend
