T A K IN G C H A R G E – L O O K IN G G re a te r M a n ch e ste r H e a lth B A C K , L O O K IN G A H E A D an d S o cia l C a re P a rtn e rsh ip T aking charge lo o kin g ba ck, lo o kin g a h e a d Our 2018-19 Annual Report and our Business Plan 2019-20 Warren Heppolette Executive Lead – Strategy & System Development
T A K IN G C H A R G E – L O O K IN G G re a te r M a n ch e ste r H e a lth B A C K , L O O K IN G A H E A D an d S o cia l C a re P a rtn e rsh ip A nnual R eport 2018/19 Our third Annual Rep ort looks back at th e ste ps we took in 2018/19 to ac hieve our • vision of d elivering the fastest a n d greatest improveme nt of the h e alth a n d wellbe in g of th e pe o p le of G re a te r M a n ch e ste r; 2018/19 saw us publish our Prosp e ctus. It sets out where we wa nt to go n ext a s a • P artn ership - in th e co ntext of key G M a n d n ation al strategies, including: th e G M Unified M o d el of Public S e rvices; th e Loc al Industrial Strategy an d N H S Long Term P la n ; We mad e a lot of progress: co ntinued to clos e th e gap o n sc h o ol re a din e ss; • met acc ess rate s for mental he alth c are (became first are a to publish waiting time d ata for children a n d young p e o ple’s mental h e alth s ervices); cut smoking rates; incre as e d rates of ph ysical activity; a n d c o ntinued strong fina ncial re sults; We are upfront about the ch a llenges we still fac e: our p erformanc e in so me • are as – for example o n Urgent & Emergency C are – n e e d s to improve; we still fac e key workforce sh ortages; a n d still await a long-term fina ncial s ettlement for | 2 so cia l ca re .
T A K IN G C H A R G E – L O O K IN G B UIL D IN G A SUST A IN A B L E G re a te r M a n ch e ste r H e a lth B A C K , L O O K IN G A H E A D an d S o cia l C a re P a rtn e rsh ip H E A L T H & C A R E SYST E M IN 2018/19 WE … Making Smoking H istory - officia l figure s sh o w th a t th e pe rce n ta ge of our po p ula tio n • who smo ke ha s dro p p e d to 16.2% in 2018; it ha d be e n 18.4% whe n de vo lutio n sta rte d . This equa te s to 46,500 fewe r smo ke rs in G M th a n two ye a rs ago . . 394 G M prima ry sch o o ls no w sign e d up to th e D aily Mile (whe re ch ild re n run or jog a t • th e ir own pa ce for 15 min ute s e a ch da y) re a ch in g a n e stima te d 110,000 prima ry sch o o l ch ild re n . More children starting school ready to learn - be twe e n 2016 a n d 2018, we na rro we d th e ‘goo d • le ve l of de ve lo p me n t’ gap with th e Engla n d ave ra ge for th e most disa d va n ta ge d ch ild re n from 3.4% to 1.4%. G M Mentally H ealthy Schools Pilot – sta rte d in M a rch 2018 a s a pilo t a cro ss 31 sch o o ls in • G M a n d ha s no w exte n d e d to 64 sch o o ls a n d co lle ge s
T A K IN G C H A R G E – L O O K IN G B UIL D IN G A SUST A IN A B L E G re a te r M a n ch e ste r H e a lth B A C K , L O O K IN G A H E A D an d S o cia l C a re P a rtn e rsh ip H E A L T H & C A R E SYST E M IN 2018/19 WE … Over 96% of G M G P pra ctice s are rated good or outstanding by th e C a re Quality • C o mmissio n (C QC ) - we ll abo ve th e na tio n a l ave ra ge ; In 2018-19 a ll lo ca litie s in G M co n tin ue d to de live r 7-da y a d d itio n a l a cce ss to primary • care pro vid in g 100% po p ula tio n co ve ra ge . This equa te s to circa 1,500 a d d itio n a l ho urs be in g de live re d e a ch wee k. The se are pre -bo o ka ble a p p o in tme n ts with th e G P , P ra ctice Nurse , H e a lth C a re Assista n t or oth e r he a lth pro fe ssio n a ls. The op e n in g a n d first tre a tme n ts in th e £120 millio n Proton B eam C entre at the C hristie in • De ce mbe r 2018, th e first such NH S ce n tre in th e UK; Mental H ealth – we are one of the best performers in E ngland on a cce ss for C h ild re n a n d • Youn g P e o p le (a lth o ugh a lo t more to do ), e a tin g diso rd e rs a n d ph ysica l he a lth ch e cks. We are a lso mee tin g th e Early Inte rve n tio n a n d P re ve n tio n na tio n a l sta n d a rd .
T A K IN G C H A R G E – L O O K IN G B UIL D IN G A SUST A IN A B L E G re a te r M a n ch e ste r H e a lth B A C K , L O O K IN G A H E A D an d S o cia l C a re P a rtn e rsh ip H E A L T H & C A R E SYST E M IN 2018/19 WE … G re a te r M a n ch e ste r co n tin ue s to outp e rfo rm Engla n d with a higher rate of dementia • diagnosis – with a rate of 76.9% co mp a re d to 68.7% in na tio n a lly (M a rch 2019); We ha ve se e n a n imp ro ve me n t in th e numbe r of ca re ho me s a n d ca re a t ho me • a ge n cie s a ch ie vin g a C QC ra tin g of goo d or outsta n d in g - G reater Manchester is improving faster th a n na tio n a l a n d regio n a l co mp a ra to rs; Eigh t G M lo ca litie s ha ve no w co mmissio n e d a n d are de live rin g lo ca lity-wid e Social • Prescribing pro gra mme s. The rema in in g two lo ca litie s ha ve de ve lo p e d so cia l pre scribin g sch e me s which th e y in te n d to co mmissio n durin g 2019/20. Da ta from six G M lo ca litie s sh o ws th a t ove r 8,000 pe o p le be n e fite d from so cia l pre scribin g in 2018/19 – a n d th is will co n tin ue to grow; We co n tin ue to manage our finances well a s we ha ve do n e th ro ugh o ut Devo lutio n . We • gen e ra te d a surp lus of £92m in a very difficult fin a n cia l e n viro n me n t – a n d th is ha s he lp e d to sup p o rt th e na tio n a l NH S fin a n cia l po sitio n .
B UIL D IN G A SUST A IN A B L E T A K IN G C H A R G E – L O O K IN G G re a te r M a n ch e ste r H e a lth B A C K , L O O K IN G A H E A D H E A L T H & C A R E SYST E M an d S o cia l C a re P a rtn e rsh ip Key C h a lle n ge s ● We ha ve no t se cure d relia ble de live ry of NH S C o n stitutio n a l S ta n d a rd s in all pa rts of G M – on our A&E pe rfo rma n ce an d growth in ele ctive waitin g lists ● We still ha ve to o much varia tio n in pro gre ss of lo ca litie s in red ucin g d e ma n d for acute se rvice s ● The re is in sufficie n t workfo rce ca p a city in so me ke y are a s ● The re also varia tio n in th e de ve lo p me n t an d maturity of Loca l C a re Organ isa tio n s ● S o cia l C a re rema in s vuln e ra ble in th e abse n ce of a lo n g-te rm fund in g se ttle me n t.
B UIL D IN G A SUST A IN A B L E T A K IN G C H A R G E – L O O K IN G G re a te r M a n ch e ste r H e a lth B A C K , L O O K IN G A H E A D H E A L T H & C A R E SYST E M an d S o cia l C a re P a rtn e rsh ip LOC ALITY TRANS FORM ATION ● The Ann ua l Re p o rt ha s pro file s of tra n sfo rma tio n in our 10 lo ca litie s. The se in clud e : Join in g up co mmissio n in g betwe e n co un cils an d C C G s an d ● p o o lin g budge ts; Neigh bo urh o o d ca re an d sup p o rt join in g up with wid e r public ● se rvice s an d VC S E S e cto r; New ways of workin g with ca re ho me s – in clud in g digita l; ● Deve lo p me n t of mod e ls of ca re th a t co n n e ct gen e ra list an d ● sp e cia list se rvice s – in te rme d ia te tie r.
T A K IN G C H A R G E – L O O K IN G G re a te r M a n ch e ste r H e a lth T H E H E A L T H /WE A L T H PA R A D IG M B A C K , L O O K IN G A H E A D an d S o cia l C a re P a rtn e rsh ip ST R E N G T H E N IN G T H E H E A L T H / WE A L T H PA R A D IG M …po o r he a lth in so me G re a te r M a n ch e ste r co mmun itie s, cre a tin g a barrie r to work a n d to pro gre ssio n in work, pro vid e s a n imp o rta n t exp la n a tio n for why ove ra ll growth ha s be e n slo w in th e la st de ca d e . It exp la in s why so me co mmun itie s ha ve be e n una ble to co n tribute or be n e fit more . H E A L T H N E E D S T O FE A T UR E FA R MO R E PR O MIN E N T L Y IN D ISC USSIO N S O F H UMA N C A PIT A L , L A B O UR MA R K E T PA R T IC IPA T IO N , A N D PR O D UC T IVIT Y
G M MO D E L FO R UN IFIE D T A K IN G C H A R G E – L O O K IN G G re a te r M a n ch e ste r H e a lth PUB L IC SE R VIC E S B A C K , L O O K IN G A H E A D an d S o cia l C a re P a rtn e rsh ip G re a te r M a n ch e ste r ha s a unique op p o rtun ity to in te gra te acro ss all public se rvice s…Th e G re a te r M a n ch e ste r M o d e l se ts out ho w we pla n to do this. We wan t to ch a n ge the way in which public se rvice s work to sup p o rt pe o p le to ach ie ve the ir po te n tia l an d en sure no bo d y is le ft beh in d . Tha t mea n s in te gra tin g aro un d pe o p le , pla ce s an d the ir ne e d s, focussin g on pre ve n tio n , de ve lo p in g ne w mod e ls of sup p o rt an d sh a rin g in fo rmatio n acro ss the public se rvice . Devo lutio n ho ld s the key to brea kin g do wn the silo s betwee n public se rvice s an d movin g from ‘pickin g up the pie ce s’ to a pre ve n ta tive mod e l which is truly pla ce -base d an d pe rso n -ce n tre d . In G re a te r M a n ch e ste r ‘public se rvice s’ mea n s all se rvice s to the public, rega rd le ss of se cto r or fund in g, an d reco gn ize s the role of citize n s in this.
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