The Greater Manchester Health and Social Care Partnership was established in 2015 as one of the first Sustainability and transformation plans in England as a key part of devolution in the United Kingdom. It was then transformed into an integrated care system. It covers 2.8 million people living in ten boroughs.[1] It is made up of the 37 NHS organisations and councils in the city region.[2]

It sprang from the settlement agreed on November 3, 2014 by George Osborne and was the first agreement to give council leaders a say in the health and social care budget, which in Greater Manchester was about £6 billion a year. [3] It was linked to the establishment of the new, directly elected mayor of Greater Manchester, although the mayor's powers over health and social care are very limited.[4] The deal doesn’t include the power to raise local taxes to control the size of the budget.

A joint commissioning board was established including Clinical Commissioning Groups, local authorities and NHS England - but not general practitioners.[5] Lord Peter Smith, leader of Wigan Metropolitan Borough Council was the first chair of the board. Social care was identified as a major problem very early on, and there was a target to reduce expenditure by £2 billion over five years. The ambition was to cut spending on hospitals and invest more in early public health, with a significant reallocation of the resources that go into crisis care to preventative care.[6]

Initiatives included offering pregnant women smokers a £10 voucher for every week they remain smoke-free, with a further £60 if they stay off cigarettes three months after birth.[7] In August 2021 the Partnerships’ Smokefree Pregnancy programme, set up in 2018, announced that Smoking at the Time of Delivery rates had fallen by around a quarter in four years – down from 12.6% new mothers in 2017-18 to 9.8% in 2020-21.[8]

Prof Sir Michael Marmot in a report commissioned by the partnership in 2019 found that the COVID-19 pandemic in England had exposed and amplified health inequalities in Greater Manchester, where the death rate had been 25% higher than the rest of England. He said his recommendations were not just about health care or just about public health. "They're about housing and transport and community development and jobs and schools." - areas where the powers of the partnership were very limited.[9]

The partnership is closely associated with Health Innovation Manchester.[10]

Mark Fisher was appointed chief executive in March 2022.[11]

The GP Community Pharmacist Consultation Service was established in April 2022. By November 2022 97% of GP practices were signed up and almost 14,000 appointments had been referred. 20% of referrals were for children under the age of 10, mostly with skin complaints.[12]

References

  1. ↑ "About Devolution". Greater Manchester Health and Social Care Partnership. 2021. Retrieved 4 July 2021.
  2. ↑ "Pharmacy playing part in devolved Manchester health and care structure". Pharmaceutical Journal. 21 December 2017. Retrieved 4 July 2021.
  3. ↑ "Devolution: One year on from the historic deal". Manchester Evening News. 3 November 2015. Retrieved 4 July 2021.
  4. ↑ "Whitehall devolves power to GMCA as part of 'Northern Powerhouse' scheme". Civil Service World. 3 November 2014. Retrieved 4 July 2021.
  5. ↑ "GPs not consulted on Manchester health and social care deal, says LMC". GP Online. 2 March 2015. Retrieved 4 July 2021.
  6. ↑ "UK prescribes local politicians to cure the NHS". Politico. 5 October 2016. Retrieved 4 July 2021.
  7. ↑ "Mums offered £300 in shopping vouchers to quit smoking". BBC. 28 July 2017. Retrieved 4 July 2021.
  8. ↑ "New figures reveal smoking in pregnancy rates at all-time low in Greater Manchester". Health Innovation Manchester. Retrieved 14 September 2021.
  9. ↑ "Covid death rate 25% higher in Greater Manchester - report". BBC. 1 July 2021. Retrieved 4 July 2021.
  10. ↑ "US MED-TECH TRADE MISSION TO SHOWCASE GREATER MANCHESTER". Insider Media. 18 September 2017. Retrieved 4 July 2021.
  11. ↑ "Grenfell Tower inquiry chief to lead major ICS". Health Service Journal. 4 March 2022. Retrieved 4 March 2022.
  12. ↑ "GP CPCS delivers 'unexpected' insights across Greater Manchester". Pharmacy Business. 15 November 2022. Retrieved 15 November 2022.
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