Agenda item

Agenda item

[11.30-11.55] Integrated Care Systems

Report of the Executive Member for Healthy Manchester and Adult Social Care

 

The purpose of this report is to update Health Scrutiny Committee on the UK Government’s reforms to health and social care to establish Integrated Care Systems, including at the level of Greater Manchester. 

 

The report also sets out the arrangements as they relate to the City of Manchester.

 

 

Minutes:

The Committee considered the report of the Executive Member for Healthy Manchester and Adult Social Care that provided an update on the UK Government’s reforms to health and social care to establish Integrated Care Systems, including at the level of Greater Manchester. 

 

Key points and themes in the report included:

 

·         Integrated Care Systems (ICS) were being established nationally as part of the next phase of health and social care integration;

·         The national aims for ICS, noting that ICS included a strong focus on place-based partnership working;

·         From 1 July 2022, Clinical Commissioning Groups (CCGs) would be disestablished across England, and ICSs would be established in line with legislation set out in the Health and Care Act 2022;

·         In Manchester, the statutory responsibilities of NHS Manchester CCG would transfer to Greater Manchester Integrated Care (NHS GM) alongside those of the other nine Greater Manchester (GM) CCGs;

·         The Manchester Partnership Board would lead the development of Manchester’s future operating model for health and social care integration;

·         Joanne Roney OBE had been appointed by NHS GM as the Place-Based Lead for Manchester, in addition to her role as Chief Executive of Manchester City Council; and

·         Next steps, noting that Manchester and the other nine GM localities were developing their own place-specific locality models.

 

Some of the key points that arose from the Committee’s discussions were: -

 

·         Were the Board and related structures within the organisation reflecting the diversity of the city;

·         Were local health professionals supportive of the new arrangements;

·         What influence would the new structural arrangement have at a national level;

·         A visual representation of the new structure should be provided;

·         Had staff been supported during the transition to the new arrangements;

·         An assurance was sought that the issue of safeguarding remained; and

·         What examples could be provided to articulate the benefits of the new arrangements for Manchester residents.

 

Sir Richard Leese, Chair, Greater Manchester Integrated Care stated that the organisation did reflect the diversity of the city. He advised that the Integrated Care Systems would have a mechanism to feed directly into Government and meetings with Ministers would also be convened.  Mark Fisher CBE, Chief Executive Designate, Greater Manchester Integrated Care stated that the Greater Manchester Integrated Care Systems was the second largest in the country, that gave it the responsibility and authority to articulate the needs and ask of Greater Manchester.

 

Sir Richard Leese, Chair, Greater Manchester Integrated Care stated that in Manchester health professionals were supportive of the new arrangements, adding that this had been achieved as a result of the existing strong relationships that had been developed over the previous years through the devolution process. In response to the issue raised regarding safeguarding he commented that the existing arrangements would remain.

 

Sir Richard Leese, Chair, Greater Manchester Integrated Care provided examples of the benefits that would be realised as a result of the new arrangements. He described that this would enable providers to work collaboratively across Greater Manchester to address strains on the system, using all resources and capacity efficiently and effectively. It provided the opportunity to manage the health system as a whole and the Integrated Neighbourhood working model that had been initiated in Manchester to great success could be rolled out and implemented across Greater Manchester.

 

Mark Fisher CBE, Chief Executive Designate, Greater Manchester Integrated Care stated that the new arrangements had come into effect from 1 July 2022 and he was satisfied that staff and teams were fully informed of the new arrangements and the transition had been successful, with all functions operating. He said that this had been achieved through rigorous planning and communications with all staff. He further commented that a diagram that visually described the new organisation could be circulated to the Committee for information following the meeting.

 

The Chair stated that any future update report should include how success was to be measured, including Key Performance Indicators, and particularly the work to address health inequalities. The Chair noted that the Committee would be considering health inequalities at the Marmot themed October meeting and asked that officers include information in the reports to be considered at that meeting that considered how the Greater Manchester Integrated Care arrangements contributed to this important area of work.

 

The Chair further noted that when this item was to be considered again an invitation would be sent to Joanne Roney Chief Executive of Manchester City Council

who had been appointed by NHS GM as the Place-Based Lead for Manchester.

 

Decision

 

To note the report.

 

Supporting documents: