Latest Public Sector News

14.11.17

Councils urged to adopt ‘exemplary’ Manchester single commissioning process

The best way to solve the social care crisis would be by encouraging a single commissioning process whereby local authorities and NHS trusts pool resources and budget.

Speaking to PSE during a visit to Manchester, Professor Sir Bruce Keogh, NHS England’s outgoing national medical director, said the approach he had seen in the city “makes a lot of sense.”

Greater Manchester is currently undergoing a health devolution process – the first in the country – as medical responsibilities are passed down from central government to the Greater Manchester Health and Social Care Partnership.

Jon Rouse, chief officer of the partnership, told PSE today that the city’s approach to care involved integrating care systems and allowing different services to work with one goal and pooled funding.

“A big thing here was introducing integrated discharge teams in every hospital. Now we have health, social care, voluntary support, community transport – and even housing in some cases – working in a co-located environment and all owning the discharge process,” he said.

“Devolution cements the joint responsibility because we are all part of one governance. In many of our localities, for all intents and purposes, it is single commissioning now with a fully pooled budget.”

Keogh, who is in the process of leaving his top job at NHS England at the end of the year, with a replacement announced this week, also spoke very highly to PSE of the systems he has seen in Manchester.

“All parts of the country are facing increasing demand, more complex patients and a tighter financial environment,” he argued. “What strikes me in Manchester is that the way that local authorities and the NHS are working together to solve problems is exemplary. I think it makes a lot of sense.

“The way that things are done at the moment sometimes makes it very difficult for those delivering the services to keep them joined-up, and it makes it virtually impossible for those receiving the service to navigate what they are hoping to receive.

“So, the joined-up approach that is being espoused in Manchester is the right way forward.”

After the first 18 months of the devolution process Greater Manchester has managed to reduce delayed transfers of care and deliver a balanced budget, albeit with help from some one-off measures. It has also launched a major new merger of two large hospital trusts in the city centre.

However, Rouse – responsible for the transition of control from central government to more local institutions – said that despite progress the situation was still “really tough.”

He spoke of the creation of a single operational hub in the borough which would oversee the entire system, including ambulance services. The centre would be equipped with several predictive mechanisms aimed at forecasting a potential crisis and allowing escalation of services before a major event hits.

Top image: Joe Giddens - PA Archive

Have you got a story to tell? Would you like to become a PSE columnist? If so, click here.

Comments

Santokh Dulai   26/11/2017 at 11:24

Absolutely makes sense to pool budgets with common agreed goals and cohesive organisational culture Has worked well within outstanding integrated mental health trusts but does need clear robust and transparent governance arrangements and postive personalities that enable partnership working

Add your comment

 

related

public sector executive tv

more videos >

last word

The importance of openness after Grenfell

The importance of openness after Grenfell

Following the recent Grenfell Tower tragedy, Lord Porter, chairman of the LGA, argues that if the public are going to have faith in the safety testing process then everything must be out in the open more > more last word articles >

public sector focus

View all News

comment

Crown Commercial Service: Travel solutions on track

10/09/2018Crown Commercial Service: Travel solutions on track

Katrina Williams, head of travel at the Crown Commercial Service (CCS), exp... more >
LEPs need to do more for England's countryside

10/09/2018LEPs need to do more for England's countryside

Paul Miner, head of strategic plans and devolution at the Campaign to Prote... more >

interviews

Michael King: Time for Ombudsman reform

06/08/2018Michael King: Time for Ombudsman reform

Michael King first joined the Local Government Ombudsman service back in 20... more >

the raven's daily blog

Social value: what is it and why?

14/09/2018Social value: what is it and why?

Ben Carpenter, chief executive of Social Value UK, discusses the worth of social value, and argues that, before we start measuring social value, we should ask clearly: what is... more >
read more blog posts from 'the raven' >

editor's comment

25/10/2017Take a moment to celebrate

Devolution, restructuring and widespread service reform: from a journalist’s perspective, it’s never been a more exciting time to report on the public sector. That’s why I could not be more thrilled to be taking over the reins at PSE at this key juncture. There could not be a feature that more perfectly encapsulates this feeling of imminent change than the article James Palmer, mayor of Cambridgeshire and Peterborough, has penned for us on p28. In it, he highlights... read more >