Agenda item

Stuart North, Chief Operating Officer, Bury CCG will report at the meeting.  Presentation and reports attached.

The Chief Operating Officer, CCG provided members of the Board with an update in relation to the proposals for devolution in Greater Manchester. The presentation contained the following information:

Health and Wellbeing Board 9^th April 2015

The integration of health and social care within and across Greater

Manchester has been a major priority for some time as it is a key component of GM’s growth and reform strategies. GM local authorities and the full range of NHS stakeholders have been invited to develop ambitious plans for a new partnership between Greater Manchester health and social care bodies and NHS England.

A Memorandum of Understanding has therefore been worked up by the GM Local Authorities and CCGs, with support from GM NHS providers. 

The primary purpose of the document is to initiate a Build Up Year (2015-16) whereby the necessary detailed work will be completed between the parties to allow the delegation of full responsibilities from NHS England to Greater Manchester in April 2016.

It is anticipated to achieve the overall Devolution Outcomes that a series of MOUs will need to be agreed with the other National Bodies/ ALBs allowing a combined approach to the Build Up Year. This MOU will act as a clear signal to other organisations to be involved and agree a similar process.

The MoU, sets out the broad principles that the parties have agreed, the objectives, a proposed governance structure and a timeline for implementation.  It does not make any changes to the statutory accountabilities or duties of local authorities or CCGs nor will the accountabilities or existing financial flows to CCGs or local authorities be affected.

The Chief Operating Officer reported that there will be further rapid and intensive engagement with government and NHS national bodies as well as the development of the MOU workstreams underpinning the new partnership with NHS England.

In response to a Member’s question, the Chief Operating Officer reported that there is a clear approach to onward communication and engagement with partner organisations.

The Chief Operating Officer reported that the clinical and financial sustainability plan is critical to the success of the Devolution proposals.  All parties to the agreement need to think radically about the future of the services they provide and not just about protecting the future of their individual organisations.

The Chair of the CCG; Dr. Patel reported that the Devolution proposals should allow change to happen more quickly.  Primary care will need to change,  services provided by GPs will need to be delivered, consistently with greater emphasis on prevention.

With regards to concerns raised in relation to Bury’s influence being reduced as a result of the devolution proposals; the Chief Operating Officer reported that the Local Authority and the CCG will ensure they lobby on behalf of Bury and its residents.  Rob Bellingham, NHS England, reported that the work undertaken within Bury in relation to the Prime Ministers Challenge Fund and the Healthier Radcliffe Pilot, is evidence that the organisations in Bury can work well in partnership and bid successfully for National money.

Health and Wellbeing Board 9^th April 2015

The Executive Director, Communities and Wellbeing expressed concern with regards to the pace of change; capacity within the Local Authority to drive the necessary change in relation to the 19 identified work streams and to deliver on the proposals.

There was consensus amongst those present that it will be necessary to ensure that the resources are made available to assist with the development of the proposals at a local level and the proposals make a difference to how service are developed, commissioned and integrated.

 Delegated decision:

1     The proposals for Greater Manchester Devolution be noted.

The Chief Operating Officer Bury CCG will provide regular update reports to the Board on the progress of the Greater Manchester devolution proposals.