1. How Public Health Leadership will Influence Health and Social Care Devolution
Sarah Price, Exec Lead for Population Health and Commissioning
FPH Conference 21 June 2017

2. This slides reiterates our vision
Then describes the 4 strategic objectives to deliver that vision.
The objectives will be delivered through planning and delivery at 4 spatial levels (GM, cluster, locality, neighbourhood), which are all aligned through the 5 transformation themes.
Localities and the 5 transformation themes are working to describe how they will deliver the objectives through a range of improvement programmes, but they have also identified that some of their reform cannot be delivered within existing resources or through existing efficiency plans. Each locality and each theme is working to understand what one-off investment or what double-running costs it needs support from the GM transformation Fund to resolve.
There is a process around localities and the transformation themes being able to put a proposal into the TF and how the Fund will operate is still being worked through.

3. We’re Shifting the Balance of Spending, Focusing Resources on Early Intervention and Prevention
Thinking about cumulative impact rather than single service planning
Identifying and addressing demand before it escalates
Supporting individuals and families collaboratively, working across organisational boundaries
Reducing demand on expensive, reactive services
Housing
Fire & Rescue
Police
Health services
Local Government
Working in collaboration
to support GM residents
and improve outcomes

4. Creating a radical upgrade in population health for GM
NHS Health & Social Care Act 2013
PHE MoU July 2015
Taking Charge Together Dec 2015
Devolution Agreement April 2016
Wider GM Partnership Working 2016
Transition to new working model
April 2018
Our Transformation Journey
Which resulted in System fragmentation
Lift and shift of PH from PCT with no repurposing
GM commissioning for reform Strategy
Alignment with public service reform
Locality Plans
LCO development
Population health plan
Commitment of Partners to create a unified population health leadership system
Commitment to population health underpinning system transformation
S7a services delegated from NHSE

5. Achieving Our Vision for An Upgrade in Population Health
Common Population Health Goals
New System Design for Public Health Functions
Commissioning for Population Health
System Enablers
Population Health Leadership
Governance & Accountability
We have developed a suite of proposals covering:

6. Achieving Our Vision for health intelligence
New System Design for Public Health Functions
We are also proposing to establish a GM Population Health
Intelligence Function
Wider GM Intelligence Function
New Economy
The Farr Institute
Connecting to Healthy Cities
Health Innovation Manchester
Data Well
Etc…
GM  single population health information and knowledge repository
A networked PH Intelligence system across GM including PHE, LA, CCG other key partners including Academia and New Economy.
Minimum functions:
Development of GM JSNAs
Development of dashboards and metrics
Risk Stratification Tools
Innovation & Sharing good practice
Development tools to support local PBC

7. Making it real
20 programmes under the population health plan but prevention features across the investment portfolio
Emerging local care organisations will have prevention outcomes as part of their investment agreements
Challenging ourselves to go further – could we re-shape national programmes to deliver for GM
What more could devolution do for us – starting the debate
Ownership of prevention across the partnership