1. Devolution in Greater Manchester Bolton Together February 2016 Alex Whinnom, Chief Executive GMCVO

2. Devolution: What and Why? Context – –core cities (UK & global) –economic growth –public spending cuts Agreement between GMCA and HM Treasury Devolution of decision-making (not extra money) Governance “price” Not party-political

3. April 2011 – GMCA, with powers: –economic regeneration, transport, housing & planning, education & skills, environment March 2012 – City Deal: –£30m pa earnback for infrastructure projects, local investment framework, housing investment board, apprenticeship hub, skills hub, low carbon hub Greater Manchester the city

4. Core Cities 2013 Summit in Westminster Economic case – Core Cities: –“Competitive Cities, Prosperous People: A Core Cities Prospectus for Growth” Prof Michael Parkinson

5. Res Publica report Sept 2014 Case for devolution to Greater Manchester: –“Devo Max, Devo Manc, place based public services” Res Publica

6. Nov 2014 – Mayor & GMCA: –Mayor: PCC role, transport budget, bus services, rail stations, statutory special framework, £300m housing investment fund, reformed earnback £30m pa for 30 years –GMCA: business support budgets, apprenticeship grant, restructure FE provision, expanded Working Well, joint commissioning of Work Programme, integrated health & social care –£2b devolved Devo Manc

7. Core Cities Feb 2015 Summit in Glasgow, inclusion of Glasgow & Cardiff “A Modern Charter for Local Freedom” signed Ambition of Core Cities: –“Restoring Britain’s City States, Devolution, Public Service Reform & Local Economic Growth” Res Publica Focus on governance and equalities

8. Feb 2015 – Health & Social Care deal: –£6b health & social care funding –NHSE, CCGs, PHE, NHS & Foundation Trusts, Councils (38 organisations) –Joint framework & shadow governance >> –April 2016 full devolution (pooled budget) Devo Manc

9. Government & devolution: May 2015 George Osborne: Chancellor & First Secretary of State Jim O’Neill (former Chair of City Growth Commission): Commercial Secretary to the Treasury Greg Clark (former Minister for Cities): DCLG James Wharton: Minister for the Northern Powerhouse in the Department for Communities and Local Government

10. “Northern Powerhouse” Core City case conclusively won – for GM/c –27 May Queen’s Speech includes a city devolution bill – provides legal framework for devo-Manc with Mayor “Northern Powerhouse” centred on GM but extending to Leeds, Sheffield, Liverpool and hinterlands Capital investment –“Transport for the North” incl investment in roads & railways –Sir Henry Royce Institute at M/c University –Jodrell Bank “Square Kilometre Array” –Factory Manchester Devolved powers – devolved responsibilities

11. Feb 2015 – Health & Social Care deal: –£6b health & social care funding –NHSE, CCGs, PHE, NHS & Foundation Trusts, Councils (38 organisations) –Joint framework & shadow governance >> –April 2016 full devolution (pooled budget) Devo Manc

12. December 201512 A Unique Context MOU Health and Social Care devolution signed February 2015: NHS England plus the 10 GM councils, 12 Clinical Commissioning Groups and 15 NHS and Foundation Trusts Greater Manchester is taking charge and taking responsibility – in a historic first, devolution is handing the power and responsibility over to the people and the 37 local authorities and NHS organisations here Local H&SC decision makers take control of estimated budget of £6 billion from April 2016 We have developed the GM Strategic Plan & Ten Locality Plans We have already secured our CSR settlement & Transformation Fund We are operating the new GM Governance

13. STANDARDISING ACUTE HOSPITAL CARE The creation of “single shared services” for acute hospital services and specialist services to deliver improvements in patient outcomes and productivity through the establishment of consistent and best practice specifications that decrease variation in care and enabled by the standardisation of information management and technology. 3 1 2 TRANSFORMING COMMUNITY BASED CARE & SUPPORT A new model of care closer to home that includes scalable evidence based models for integrated primary, acute, community, mental health and social care. Key features will be targeted case management of the population most in need delivered by upskilled multi- disciplinary teams, together with streamlined discharge planning in order to reduce the demand placed on acute hospitals. RADICAL UPGRADE IN POPULATION HEALTH PREVENTION A shift in focus to population health that supports GM residents to self-manage, innovates the model for prescribers and pharmacies, and tackles the future burden of cardiovascular disease and diabetes. STANDARDISING CLINICAL SUPPORT AND BACK OFFICE SERVICES The transformational delivery of clinical support and back office services at scale across GM, including the establishment of coordination centres to help navigate GM residents through our complex system to the right services. 4 5 ENABLING BETTER CARE The creation of innovative organisation forms, new ways of commissioning, contracting and payment design and standardised information management and technology to incentivise ways of working across GM, so that our ambitious aims can be realised. It describes the application of a radical new landscape of commissioning and provision towards a common purpose to maximise health benefit

14. Key messages Greater Manchester’s leadership has confirmed its clear support for this direction of travel over recent weeks The transformations build upon and are consistent with the ambitions outlined in Locality Plans The transformation is not achievable purely as a public sector exercise – sustainability confirms the need for Wanless’ fully engaged scenario. These organisations must set a movement for change which will encompass the activity of hundreds of other organisations who can positively impact on the health and wellbeing of the population, through developing a different deal with the GM public to help residents take more control of their lives and improve their health We must explore a new relationship across the statutory and voluntary sector – defined by common purpose and principles of mutuality. The development of that agreement could be supported through the new VCSE Reference Group and the VCS Assembly, connecting to relevant public sector partners.

15. Now what??? April 2017 –Mayoral elections –GMCA Intermediary body status April 2018 –GMCA Co-financer ????????? Devo Manc ?

16. Reflections Governance – politics v function aka GM v LA…. Local taxation – little change (yet) £22b public money – no change (yet)  This is NOT (yet) devolution

17. GMCVO - Currently Places on Strategic Partnership Boards: –Health & Social Care –Place-based Integration Exec –Skills and Employment –ESIF Committee Community engagement project Research projects Brokerage

18. Community action Volunteering Social and community enterprise Opportunity Recognised in written strategies Autumn statement: cuts and more cuts >> impossible to carry on as “normal” Much of public and voluntary current activity may go under Increasing interest in dialogue and new ideas Blurring of sectors – common aims and interests > collaboration VCSE is at the heart of both “new society” and “new economy” We are far more numerous and powerful than many people realise

19. Mobilising the VCSE sector