Greater Manchester Health and Social Care Partnership ... · July 2016 30 Nov 2016 Primary care...

Greater Manchester Health and Social CarePartnershipChief Officer Report – September 2016

4

1. Key Messages for September

2. Transformation Programmes 1-5

3. Cross Cutting Themes

4. Finance

5. Communications and Engagement

Key Messages

• Warren Heppolette is the 4th appointment to the new GMHSC Partnership Executive Management Team. He has been appointed asExecutive Lead for Strategy and System Development and his role will be to act as the main champion for the development andimplementation of the GM Strategic Plan – Taking Charge, ensuring that it is achieved with on-going input from all key partners andstakeholders.

• The first of our Transformation Fund Investment Agreements will be signed with Salford in the next couple of weeks. Additionally, inlight of the report from the independent evaluator and its review at the Transformation Fund Oversight Group, the Strategic PartnershipBoard Executive in September 2016 proposed a substantive investment of £23.2m into Tameside & Glossop.

• The national planning guidance has been published by NHS England and NHS Improvement. Whilst this is a significant process for us toengage in, it is immediately predictable that GM’s participation will have a number of unique features when compared to the rest of thecountry. A proposed GM approach is being developed through the Finance Executive Group.

• There has been an agreement in principle from NHS England for the creation of a single integrated digital fund for GM.

• CMFT in partnership with Manchester Science Partnerships (MSP) is to receive a £60m investment in its Citylabs biomedical hub. Oncecomplete, the two new facilities are forecast to generate additional economic growth of more than £100m and create over 750 jobs inthe region.

• Salford Royal Hospitals NHS Trust was selected as one of only twelve “global centres of digital excellence”, receiving funding of up to£10m and will be expected to deliver pioneering approaches to digital services and help others in the NHS learn from their experience.

• It should be noted that there has been a superb turnaround in performance by University Hospital of South Manchester and its partnerswith respect to emergency care performance.

• The Improvement Plan for the Pennine Acute Hospitals Trust is to be submitted to the Care Quality Commission on 6th October. It willaddress four key services and a number of key cross-cutting themes.

• In the next few weeks, GM will launch a GM recruitment campaign for doctors to work in urgent and emergency care and relatedspecialties.




4. Finance


SRO/Director:Date: Overall RAG A

Transformation Programme 1: Radical Upgrade in Population Health PreventionWendy Meredith19 September 2016

Headlines

Progress Update:

• A commissioning options appraisal is being undertaken to implement the GM EY strategy, this will connect to emerging GMand locality implementation and investment plans.

• GM were unsuccessful with our initial expression of interest for innovation funding through the national Joint Work andHealth Unit which was aimed at testing new ways of working across health and employment services. Further discussion willtake place in October to understand other future opportunities to work with the Unit moving forward.

• Further engagement has taken place with localities and senior stakeholders around the ageing well agenda including asession with SROs to discuss the year 1 priorities which are currently falls, housing & health and nutrition & hydration. Costbenefit analysis of the evolving proposals are also being developed to test the case for investment. GM Ageing Hubprogramme continues to evolve with the recent success of GM being awarded EU reference site status for Active and HealthyAgeing.

• As part of negotiations for the GMCA contract on Behavioural Insights with the Behavioural Insights Team, a scoping reporthas been produced identifying short and medium term opportunities for RCTs linked to key health and social care systempriorities.

• NHS England and Cancer Vanguard’s programme to mobilise a citizen led social movement for cancer prevention by workingthrough the voluntary sector has made significant progress this month with the recruitment to social movement and cancerchampions roles and the mapping of existing voluntary and third sector cancer prevention activity and beginning to gatherintelligence from these groups re root causes of cancer for some of our key communities that face health inequality.

• Work to deliver the prevention priorities within the Cancer Vanguard this month includes:• Launch of RCT re breast screening invite letters to improve uptake• Provider commissioned to deliver health equity audits across the 7 cancer screening programmes regarding bowel and

breast to help identify barriers to uptake and access, to inform future commissioning and delivery of services.• A good workshop was held with representatives from across the system exploring the concept of social value, this including

sharing what is already happening across GM and testing worked up proposals to seek support from the wider GM healthand social care system.

Upcoming Programme Activities:

• Working closely with GM Connect todevelop an investible IM&Tproposition to free up EYs resources,invest intelligently and evaluateimpact.

• Wider engagement event in theAutumn to discuss shared prioritiesacross housing, health and social care,following an initial meeting on 18th

August.• Working up proposals with NESTA

regarding GM programme to scale upperson-centred and asset-basedapproaches (to be discussed atOctober stakeholder meeting)

• Develop the Cancer preventionelements of the GM Cancer Plan.

• Extensive qualitative research of GMaudience undertaken to support majorsocial marketing campaign withPHE/CRUK re bowel cancer screening.

• Further engagement sessions beingdeveloped with the VCS on early yearsand social movements

Key Milestones

Baseline Date Forecast Date Description RAG

April/May 2016 October 2016Joint Commissioning Board - Decision on proposals and recommendations for the GM Dementia UnitedProgramme

A

June 2016 October 2016 Joint Commissioning Board - Commissioning for Reform Progress Report for Theme 1 A

5 October 2016 5 October 2016 First Theme 1 Executive Meeting G


Transformation Programme 2: Transforming Community Based Care & SupportRob Bellingham19 September 2016

Headlines

Progress Update:

• Held Locality SRO and GM session to understand scope of Local CareOrganisation (LCOs) and alignment to public service reform (PSR)

• The Primary Care Strategy for Greater Manchester has been approved byJoint Commissioning Board Exec, Joint Commissioning Board and StrategicPartnership Board Exec

• Planning for the first GM primary care engagement event ‘New models ofcare – how we will make them a reality’, as part of the Health & SocialCare Partnership is underway. The full day event will launch the revisedprimary care strategy for Greater Manchester and focus on primary care’scontribution to delivering integrated care across GM, including thepracticalities of delivering new models of care at scale.

• Asset based approaches training pilot presented at the Integrated CarePioneer Assembly in Leeds, outlining the context, details of the training,lessons learnt and next steps

• Building on the Pride in Practice Programme, which has been in GM since2011, all primary care services in GM now have the opportunity to go for abronze, silver or gold award in excellence in LBGT healthcare.

• Review of 7 day access including service provision and cost of service isnow complete. Review of GM Primary Care Medical Standards and localstandards across GM also complete. Findings of both will be presented toChief Operating Officers.


• PSR & H&SC task & finish group have commenced planning for deepdive/’what good looks like’ workshop to inform optimum models of caredelivery. Workshop will take place 11/16

• Primary care strategy for Greater Manchester to be ratified at theStrategic Partnership Board - 30/09/16

• Commencement of detailed implementation plan for delivery of GMPrimary Care Strategy

• ‘New models Of Care – how will we make them a reality’ GM primary careengagement event will take place on 05/10/16

• Planning has commenced for third workforce visioning event 18/11/16,which will inform the development of a GM Primary Care workforcevisioning document/strategy

• Continued development of primary care standards for dental, optometryand pharmacy providers to reduce unwarranted variation in quality andcare

• Planning is underway for GP Forward View GM engagement event inNovember 16

Key Milestones


June 2016 30 Sept 2016 Ratification of the Primary Care Strategy at Strategic Partnership Board A

July 2016 30 Nov 2016 Primary care standards for dental, optometry and pharmacy presented to JCB Exec A

5 Oct 2016 5 Oct 2016 Primary care engagement event G

7 Oct 2016 18 Nov 2016 3rd workforce visioning event A

30 Nov 2016 30 Nov 2016 ‘What good looks like’ workshop re LCO development G

SRO/Director:Date: Overall RAG G

Transformation Programme 3: Standardising Acute and Specialised ServicesLeila Williams19 September 2016

Headlines

Progress update - projects in delivery:

• The transformation of GM OG and Urology Cancer services, which brought together clinicians, managers and commissioners to improve carefor our sickest patients, will shortly complete. Each service will have consistent clinical and patient standards across GM that will make eachservice one of the best in the UK. The collaborative approach is now forming the template for the transformation of other prioritisedspecialised services, including Vascular and Neuro-rehabilitation.

• Healthier Together sectors have also submitted their plans for the transfer of patients on the 1st April 2017 together with a feasibility (andrisk) assessment.

• In Healthier Together work has started to look at how ERAS+ (Enhanced Recovery After Surgery), a new surgical patient pathway that focuseson pre-operative assessment and preparation of patients for surgery, can be rolled out across GM. This pathway is already successfully used atCMFT, and a 50% reduction in significant post-op respiratory complications has been seen across a group of 1000 patients. In addition, the useof ERAS+ led to a shorter stay in hospital for patients.

• The Healthier Together National Emergency Laparotomy Audit (NELA) dashboard is now live, which means that the current levels ofcompliance against quality and safety standards can be monitored and improved within and across sectors.

• Neuro-Rehabilitation: A series of events has been held with patients and carers across GM to listen to their experiences of the currentinpatient and community service for neuro-rehabilitation. From this, proposals have been developed for an improved inpatient andcommunity service which will improve standards and outcomes for patients and enable equity and consistency of service provision across GM.These proposals were tested with patients, carers, therapists and commissioners at an evening event on the 8th September. Participants wereasked to develop a set of service expectations from the patient and carer perspective to be embedded into future service specifications.

Progress update - projects in development• Work has started to develop the scope and specification for the recommended priority projects. Provider and commissioner support has been

requested and colleagues have been confirmed for this. This provides a good opportunity to promote collaborative system working , with theaim of providing a benefit to patients.

Upcoming ProgrammeActivities:• The sectors in Healthier

Together will befinalising their BusinessCases.

Key Milestones


21st September 2016 21st September 2016 Theme 3 Steering Group. G

21st September 2016 21st September 2016 Healthier Together Joint Committee to contribute to commissioning intentions. G

31st October 31st October 2016 Project Initiation Documents to be reviewed by Theme 3 Steering Group. G


Transformation Programme 4: Standardising Clinical Support and Corporate FunctionsSarah Senior19 September 2016

Headlines

Progress Update:

• The GM Chief Pharmacists held a session to develop the framework for a GM HospitalPharmacy strategy. This will now be worked up into a strategy document that will formpart of each acute trust’s draft “Hospital Pharmacy Transformation Programme” (HPTP),to be submitted to NHSI by the end of October.

• Corporate Functions: the NHSI data collection templates have been piloted and a rangeof observations and recommendations fed back; additional questions will be included toallow the collection of information on assets, organisational readiness and preferredstructure for shared services. Templates are expected for distribution mid Sept and keycontacts in all NHS Trusts and CCGs have been identified in readiness for this.

• The Procurement project has completed the first pass analysis of purchase order datafrom NHS trusts. This has potentially identified at a high level some areas where savingscan be made; these results are being sense checked prior to the planning of next steps.

• The Pathology project has identified eight improvement themes from the ‘long list’ ofideas that was generated at a recent workshop; each theme has identified a lead and a‘Speciality Champion’.

• The Chief Officer met with Theme 4 for a detailed review of progress on the CorporateFunctions and Pathology projects. A similar session will be held for Hospital Pharmacyand Procurement.


• In line with the recommendation from the Carter report,McKesson have agreed to support Trusts to undertake acomprehensive assessment of the pharmacy supply chainacross GM. Data from all Trusts will be analysed and detailedvisits to CMFT and Stockport FT are scheduled to fullyunderstand the current systems in place. From this piece ofwork a series of options will be defined for consideration.

• McKesson’s study visit will take place before the end ofSeptember with the final report due by mid-November.

• The Corporate Functions project team will co-ordinate theNHSI data collection exercise in GM, extending it to all trustsand CCGs. The individual returns will be sense checked toensure consistency of interpretation of the data requests anda coordinated submission of the GM response.

• Each Pathology improvement theme will work on identifyingthe maximum improvement that can be made in their area.All potential improvements will be brought together into afuture state model due to be signed off by the end of theyear.

Key Milestones


30 Sept 2016 30 Sept 2016 McKesson to complete their initial pharmacy study visits to CMFT and Stockport FT G

28 Oct 2016 28 Oct 2016 Completion of the data collection for the Corporate Functions baseline assessment G

28 Oct 2016 28 Oct 2016 Deadline for acute trusts to submit their draft Hospital Pharmacy Transformation Programmes to NHSI G


Transformation Programme 5: Enabling Better Care: CommissioningRob Bellingham19 September 2016

Headlines

Progress Update:

• Joint Commissioning Board Executive Group (JCBEG)paper on principles of co-design reviewed in first draftstage.

• Mental Health Strategy update presented to JCB on 2September. Follow up engagement with GM systempartners being co-ordinated via JCBEG.

• Further work being initiated to enhance systemengagement with work to describe anticipated timelinefor GM level Commissioning decisions

• Commissioning Capacity review to be commenced asphase one data collection exercise, under sponsorship ofJCEG.

• Final version of “Commissioning for Reform” documentbeing prepared for review by commissioning leads,JCBEG and GM Equalities Advisory Group.


• Nominees from JCBEG working to develop and finalise paperdescribing principles of co-design.

• “Commissioning for Reform” document to be reviewed atworkshop hosted by GM Equalities Advisory Group.

• Updated draft of paper on Commissioning Co-Designprinciples to be taken to JCB Executive Group in OctoberAugust.

• Update on development of Health and Work Programme tobe presented to JCBEG in October 2016.

• Social Value proposal paper to be taken to JCBEG in October2016.

• Working Group to be established to enhance systemengagement and participation in development andimplementation of GM Mental Health Strategy.

• OG Cancer paper to be presented to JCB in October 2016.

Key Milestones


18 Oct 2016 18 Oct 2016 Presentation of OG Cancer paper to JCB G

14 Sept 2016 October 2016 Commissioning timeline update to be presented to JCBEG. Specific date to be confirmed via JCBEG A

18 Oct 2016 18 Oct 2016 Final version of “Commissioning for Reform” to be presented to JCB G

31 Oct 2016 31 Oct 2016 Data outputs from Commissioning Capacity review (phase 1) to be shared with JCBEG G


Geoff Little / Neil Grice19 September 2016

Headlines

Progress Update:

• National MOU and GM MOUs have been agreed with DH and havebeen issued to GM Public Sector organisations for approval. Workinggroup on NHS Capital Receipts and housing targets held on 7th

September.• Capital Financing Strategy for Estates: GM is developing a model to

clarify and articulate the options available to fund capitaldevelopments in GM.

• GM Pipeline of Capital Projects – Revised Pipeline presented toEstates Board in August. SEGs to own pipeline and review and updateat each meeting.

• GM Estates Database – working with New Economy and GM connectto ensure health and social care estates data is captured as part ofLand Commission Database. Good progress made. Additional fundingattracted from CHP to gather Locality data for the Shape Dashboard.

• GM Virtual Estates Team – new bid submitted to CHP to continuefunding of existing team until March 2017. GM Estates Delivery Team& Virtual Team is in place, meeting monthly.

• Workshops held in Salford & Bury to support development of LocalityPlans

• LA Lead for Estates is Eamonn Boylan. Ann Barnes is NHS Trust Leadfor Estates. Lead CCG Chief Officer is Simon Wootton.


• Commence procurement of Estates support once NHS E approvesBusiness Case

• Support the development of OPE 4 Submissions andTransformation Fund Bids for October.

• Progress with NHS Property Services review of NHS Offices acrossGM – Report into estates Board in September

• Workshop with Theme 3 on estates to be organised for October.• SEG Chairs Workshop to be held on 23rd September• Support Development of GM STP submission by 21st October• Develop Project Prioritisation Process for Community Facilities• Present paper on results of GM wide Utilisation Studies and agree

GM wide Utilisation Policy• Roll-out methodology for undertaking Local Asset Reviews of public

sector estates in specific neighbourhoods, this has been developedby Tameside and Stockport.

• Work with Theme 2 to develop GM wide policies to supportrelocation of GPs into new or under-used facilities.

Key Milestones


31 July 2016 30 Sept 2016 GM MOU – To be approval by individual organisations. Date has slipped but MOUs are now agreed. A

31 May 2016 15 Oct 2016 Tender for Estates support – Locality Plan development & implementation. NHS E approval timescale A

Transformation Programme 5: Enabling Better Care: Estates


Transformation Programme 5: Enabling Better Care: IM&TGeoff Little / Vicky Sharrock19 September 2016

Headlines

Progress Update:

• Detailed implementation plan for the IM&T Strategy underdevelopment.

• Work underway to ensure alignment of GM IM&TImplementation Plans with National Improvement Boardpriorities

• Letter of Intention being developed with NHS Digital as avehicle to access funding for GM through the National IM&TDriving Digital Maturity Programme

• Salford Royal FT successful in their bid for status as a GlobalCentre of Digital Excellence.

• Engagement Session on DataWell held with IM&T Communityon 24th August.

• Work underway to scope out requirements for a Single View ofthe Resident Record, a key IM&T priority.


• Development of a proposal for a GM Health and Social CareArchitecture Design & Commissioning Agency (ADCA)

• Review of IM&T programme governance to be undertaken toensure it supports the Implementation Plan a ADCA

• Further work to be complete and sign off the ‘Letter ofIntention’ which will enable access to the wider national IM&Tfunding for GM

• IM&T Core Group 21st September• IM&T Leaders Group 27th September• Technical workshop on DataWell with IM&T Community on

29th September – this will help understand the integrationrequirements of accelerated roll out

• First Engagement session with GM IM&T Clinical ReferenceGroup – chaired by Gareth Thomas CCIO Salford Royal FT on28th September. This session to be used to understand theclinical implications of the IM&T strategy

• IM&T Risk Workshop and Stakeholder Mapping workshopplanned for Sept/October

Key Milestones


October 2016 October 2016Proposal for GM Architecture Design & Commissioning Agency developed andapproved.

A

October 2016 October 2016 Letter of Intention approved by GM Governance and NHS Digital & NHSE A

November 2016 November 2016 IM&T Implementation Plan approved by Strategic Partnership Board A


Transformation Programme 5: Enabling Better Care: Incentivising Reform (Contracting and Pricing)

Anthony Hassall / Helen Ibbott19 September 2016

Headlines

Progress Update:

• External support is still being pursued through the NHS England procurement process.The business case is under consideration through the NHS England governance andprocurement specification documents are in the process of being drawn up.

• The external support will:• Support the analysis of the baseline exercise• Provide a library of national and international best practice examples of how

contracting and payment mechanisms have been developed and implementedto support reform

• Provide a 2-4 year programme plan• Template to undertake baseline exercise across all 37 organisations to understand

current contracting and payment approaches and activity information systemsdeveloped and tested to ensure relevant and appropriate. Process to disseminate andcomplete this is being considered.

• GM Finance Executive Group to consider GM approach to the 2016/17 planning roundand impact for Incentivising Reform Group to be considered at the Septembermeeting.

• September meeting to consider the work undertaken in Tameside and Glossopinformed by new models of care and commissioning in the locality.


• Procure and direct external support• Undertake baseline exercise across all

37 GM organisations to understandcurrent contracting and paymentapproaches to deliver new models ofcare

• Participate as directed in theforthcoming 2017/18 planning round.

Key Milestones


June 2016 October 2016Undertake baseline exercise across GM organisations on current contracting and paymentapproaches

A

March 2016 December 2016 Procure external support to the work. A

Non set December 2016 Develop Programme plan for the next 2-3 years R


Geoff Little / Yvonne Rogers19 September 2016

Headlines

Progress Update:

• Update paper on workforce programme to SPBE 12September and priorities and resource requirementsapproved.

• Met with Tameside/Stockport/Salford to review theirprogress and consider how to extend this to other Localities

• Agreed proposal to establish GM Workforce & EducationGroup (new LWEG) as part of the Strategic Workforce Boardagenda

• Undertook mapping exercise of existing GM workforcegroups to inform proposals for aligning their work with theworkforce strategy

• Undertook review of MoU with Health Education England(HEE) & Skills for Care and other key stakeholders

• Jon Rouse will join Strategic Workforce Board• LA Lead for Workforce is Carolyn Wilkins. CEX Acute Lead

for workforce is Andrew Foster. Lead CCG Chief Officer isSusan Long


• Developing plans to address key workforce pressures – ED, Middlegrade Drs, Nursing & Social Work

• Meeting with New Economy and HEE to determine developmentof GM approach for delivering a GM Apprenticeship programmes

• Further discussion with HR community regarding development ofGM OD strategy and cultural readiness assessment

• Scoping out workforce elements of shared services workstream• Identify emerging workforce requirements from Transformation

themes, Cross Cutting themes and Healthier Together to alignwith overarching strategy

• Meetings with HROD colleagues to design and develop the GMworkforce strategy based on the priorities outlined in the 12 SeptSPBE paper.

• Undertaking detailed planning for workforce programme for next6-12months.

Key Milestones


4 May 2016 30 Sept 2016 First meetings of Locality Workforce Transformation Groups taken place A

4 May 2016 30 Sept 2016 MoU with HEE and Skills for Care under review in conjunction with key stakeholders A

15 Sept 2016 15 Sept 2016 Locality Workforce Plans first draft submitted for Strategic Workforce Board consideration A

Transformation Programme 5: Enabling Better Care: Workforce




4. Finance



Cross-cutting Themes: Cancer (including GM Cancer Vanguard)Adrian Hackney19 September 2016

Headlines

Progress Update:

• First meeting of Greater Manchester Cancer Board will take place 23 Sep.• The GM Cancer Vanguard is accountable to both the GM Cancer System Board and to

NHSE New Care Models Team.• Vanguard National Oversight Group meeting will take place on 22 Sep prior to NHSE

Q2 Review of the National Cancer Vanguard 30 Sept.• Nearly 40 pharmaceutical companies responded to a ‘Pharma Challenge’, to evaluate

and select potential projects that could be developed with one or more of the 3Cancer Vanguard sites. The very successful process resulted in 5 projects beingshortlisted for further development.

• The early diagnosis work stream held a successful engagement event for GPs toexplain their role in our ‘one-stop’ diagnostic model. Additionally, it has been agreedto establish the one stop model pilots at Royal Oldham and UHSM.


• Inaugural meeting of the new GMCancer Board in Sept.

• Assessment of current initiatives andactivities across the region.

• Planning under way to hold a nationalengagement event (in London),involving the three national cancervanguard partners, for up to 150 guestsin the autumn

• First meeting convened with acutecancer providers to develop solution forcommon, real-time system-wide patientoutcomes and experience

Key Milestones


Sept 2016 Sept 2016 Developing rapid cancer investigation units project - pilot sites confirmed G

Sept 2016 Sept 2016New aftercare pathway model for breast cancer defined and agreed by Manchester CancerPathway Board.

G

Sept 2016 Oct 2016Describe case for change for commissioning, contracting and finance (system architectureproject)

A


Cross-cutting Themes: Learning DisabilitiesTeresa Grant / Caroline Kurjeza19 September 2016

Headlines

Progress Update:

• GM LD Programme alignment process agreed with GMADASS

• Gaps in key LD health data and screening programmesidentified with NHS England

• Provider and Market Development Group workprogramme agreed

• Early intervention and prevention research scope andwork programme agreed

• GM LD/Autism Ethical Commissioning Frameworkproposal signed off by ADASS

• First meeting of the GM LD Mortality Review SteeringGroup 12th September

• Successful GM Care and Treatment Review event on 14th

of September, development of GM principles for CTRs nowunderway


• Launch of the public consultation on ‘Proposed Redesignof Learning Disability Services in the Northwest’

• Early intervention and prevention work stream workprogramme to be agreed

• Scoping meeting to develop GM LD Clinical ReferenceGroup- 23rd September

• GM Fast-track Board to agree proposal to revise GM LDprogramme Governance arrangements

• GM LD Fast-Track Board meeting 23rd September• Early intervention and prevention research workshop 11th

October• Planning for CLTD Conference 17th October to begun

Key Milestones


Sept 2016 Oct 2016 GM Fast-track Board to agree proposal to revise GM LD Programme Governance arrangements A

Sept 2016 Oct 2016 GM Fast-track Board to sign off GM LD and Autism Ethical Commissioning Framework paper A

Sept 2016 Oct 2016 Scope and purpose of GM LD Clinical Reference Group to be agreed A

Sept 2016 Oct 2016 Public Consultation on the Proposed Redesign of Learning Disability Services in the Northwest A


Cross-cutting Themes: Mental HealthWarren Heppolette19 September 2016

Headlines

Progress Update:

• Crisis Care Concordat Dashboard in final stages of development.• A mandate has been agreed by the DPHs to share local suicide

audits to inform and develop a system for a GM Suicide Audit• Review of best practice undertaken and project plan completed for

24/7 Mental Health crisis service and 7 day community provision.• Single eating disorder service specification with core GM standards

produced to reduce variation across the 3 clusters with full sign upacross GM.

• Baseline data for standards for ADHD has been completed andreviewed.

• Dementia United Executive developed 4 products to help withunderstanding and implementation ideas for the programme

• Set of GM standards, which have been agreed in principle;• Locality profiles highlighting variation;• Proposed implementation model and• Financial model

• MH and Employment trailblazer - GP referral pathway into WorkingWell now open in Manchester & Bury, resulting in 51 referrals todate.


• A new enhanced model of street triage being developed.• Refreshed and updated implementation plan for GM with clear

system wide ownership for delivery.• Survey and self-assessment to take place to identify current practice

in GM and visits arranged to identify and review national bestpractice areas for 24/7 Mental Health crisis service and 7 daycommunity provision.

• Configuration of GM beds including specialist Eating Disorder bedsand role of community eating disorder services to support youngpeople stepping down from inpatient services.

• Development of a multi-agency ADHD stepped care pathway• Dementia United Executive holding a ‘One Year On’ celebration

event on the 11th November 2016.• Tameside and Wigan GP referral pathways due to go live this quarter• NHSE Assurance Audit underway across GM

Key Milestones


January 2017 January 2017Investable Proposition to the GM Transformation Fund (dates to be reviewed following detailedimplementation plans being developed)

A

January 2017 January 2017 Delivery of the initial priority actions highlighted within the strategy G




4. Finance



FinanceSarah Senior19 September 2016

Headlines

Progress Update:

LOCALITY FINANCIAL PLANS: The central Partnership team has provided on-going support tolocalities to develop their plans to become investment ready. There are a number of localitiesand themes that are looking to or have submitted a proposal to the TFund imminently.

TRANSFORMATION FUND: Investment Agreements and metrics have been agreed with Salfordand Stockport localities and their funding approved at the SPBE on 12/09/16. Funding forTameside locality is now agreed and now work will commence to agree metrics. Discussionsconcluded with Manchester locality and development funding has been agreed.

FINANCIAL STRATEGY: The GMH&SCP team met with Paul Baumann and team from NHSE todescribe the progress made with the financial model since devolution was granted in December2015.

PLANNING & BUSINESS RULES: A paper has been written and views sought from across thethree sectors on the local application of planning and business rules for 2017/18 onwards.

PROCUREMENT: The team have met with the NHSE procurement team in order to understandhow the procurement governance system operates and consider how a more effective approvalsprocess for anticipated consultancy spend can be put into place to support the GM StrategicPlan.GMH&SC PARTNERSHIP BUDGET: A paper detailing the proposed resource requirements andfunding sources for the second half of 2016/17 and recurrently was presented and agreed by theSPBE 12/09/16.


• Bespoke feedback meetings are being held withlocalities as they are ready

• Investment metrics will be drawn up with the locality inparallel to the evaluation in order to reduce the timetaken from assessment to sign off of the InvestmentAgreement.

• STP submission dates on 16/09 and 21/10.• Re-model of top down financial gap and solution by

end October 2016.• Re-model of bottom up financial gap and solutions by

end of March 2017.

• Proposal on GM planning round approach to FEG bythe end of September.

• A proposal for a consolidated business case is beingdrawn up.

• Following approval of the principles contained withinthe paper, the mechanics of how the recruitment andresourcing will function needs to be worked through.

Key Milestones


16 Sept 2016 16 Sept 2016 Submission of STP return G

End Sept 2016 End Sept 2016 Proposal for consolidated procurement business case agreed and submitted to NHSE A




4. Finance



Communications and EngagementWarren Heppolette19 September 2016

Headlines

Progress Update:

• Directors and staff were widely involved at Expo at ManchesterCentral

• New Introduction to Partnership document launched at Expo• MEN Interview with Jon Rouse• Visit of Suffolk Transformation Academy to meet partnership

team• Presentation of comms and engagement strategies to SPBE and

SPB• GM awarded prestigious Biomedical Research Centre status –

widespread national media coverage• Salford award digital centre of excellence status• Getting Greater Manchester Active survey results published• Announcement Steven Pleasant appointed as the interim

Accountable Officer of NHS Tameside and Glossop ClinicalCommissioning Group (NHS Tameside and Glossop CCG)

• Partnership social media with Deputy Police Commissioner’soffice to support Suicide Prevention Day


• Launch of GM Cancer Board• GM mental health interfaith conference• Two new Exec Leads starting (1st Oct)• Primary Care strategy to be launched• Stoptober Campaign• Tameside and Glossop awarded Transformation fund money• Launch of a regular blog from Mental Health

Implementation Executive Chair• Planning for GM suicide prevention conference• HSJ summit – Jon Rouse to speak

Key Milestones


23 Sept 2016 23 Sept 2016 Launch of GM Cancer Board G

26 Sept 2016 26 Sept 2016 GM Mental Heath Interfaith Conference G

6 Oct 2016 6 Oct 2016 Primary Care Strategy to Be Launched G

4 Nov 2016 4 Nov 2016 GM Suicide Prevention Conference G

11 Nov 2016 11 Nov 2016 HSJ Summit G

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