The Manchester City Council and NHS Locality Plan, A Healthier Manchester, was finalised in April 2016 and sets out the commissioning plan for integrating health and social care services in Manchester. It contains three key pillars which are mutually dependent:
- A single commissioning function - "ensuring the efficient commissioning of health and care services on a city wide basis with a single line of accountability for the delivery of services. This approach will integrate spending across health and social care on high cost/high risk cohort, reducing duplication of service delivery and fragmentation of care". This is now called Manchester Health and Care Commissioning.
- Local Care Organisation - a single organisation or partnership "delivering integrated and accessible out of hospital services through community based health, primary and social care services within neighbourhoods. Through the combining of resources residents will get integrated services, resulting in improved outcomes (holistic needs addressed) at reduced cost"
- Single Manchester Hospital Service - "delivering cost efficiencies and strengthened clinical services, with consistent and complementary arrangements for the delivery of acute services achieving a fully aligned hospital model for the City."
A diagram of this plan can be found below along with the full Locality Plan:
More information can be found on the new Healthier Manchester website - https://healthiermanchester.org/
Regular bulletins are produced to give updates on the Locality Plan and they are now sent directly by email. To subscribe, you can email email@example.com or call 0161 765 4004.
Manchester Health Who's Who
For everyone who would like help with navigating the Manchester health and care system, there is a who's who attached below (updated July 2019). Thanks to MHCC for sharing this with us.
Primary Care Networks
The Primary Care Networks are part of the NHS Long Term Plan and their aim is to connect general practices locally so they can work together. They will cover a local population of around 30,000 to 50,000 patients. This generally already happens in Manchester with the GP Federations and the Neighbourhood Partnerships that work alongside the Integrated Neighbourhood Teams, but Primary Care Networks put a more formal structure around this way of working.
Each Network will have a Clinical Director and they will receive specific funding for social prescribing link workers or community pharmacists. A plan is being written locally to outline how this will work (particularly in Manchester where we already have a Be Well social prescribing scheme that is delivered by Greater Manchester Mental Health in North Manchester and Big Life Group in South and Central Manchester).
The plan requires local partners to look at how the arrival of new social prescribing link workers within the Primary Care Networks will avoid duplication, be embedded in existing schemes, be locally recruited, and provide sufficient commitment and support for local VCSE sector organisations.
In each of the 12 neighbourhoods in Manchester, there is a Health Development Co-ordinator (HDC) whose role is to support statutory health and social care services in joint work with neighbourhood services. Each team of HDCs reported on their work at the recent Prevention Steering Group and they are making excellent progress showing the importance of taking a community development approach. The list of projects they are involved in is far too long to cover here but includes joint planning meetings, workshops, training and consultation forums.
One key piece of work, in some of the neighbourhoods, is supporting the NESTA 100 Day Challenge, a process where some people within the area, including local GPs and neighbourhood leads, come together to identify a key issue that they would like to make some progress on and then they have 100 days to get something done. The next four areas (and issues) where this are happening are:
Ancoats, Clayton and Bradford – refugees and asylum seekers including their mental health needs;
Didsbury, Burnage and Chorlton Park – people with chronic conditions who are not engaging with their GP or social care;
Wythenshawe (Brooklands) and Northenden – new presentations of low mood for all ages of the neighbourhood population;
Gorton and Levenshulme – low mood and wellbeing in the female Asian population.
Updated August 2019